Ep. 70: Association Health Plans – Legislative Update

by | Jul 24, 2018

Todd Martin is an attorney at Stinson Leonard Street with over 20 years of experience in various functions in the healthcare industry including insurance regulation, administrative law, employee benefits, transactions, and governance. His work and in-depth experience regarding the healthcare regulatory environment has been instrumental in advising clients on the Affordable Care Act as well as the substantial work he has done with multiple health plan structures.

Todd joins us today to explain the new rules and regulations regarding Association Health Plans. He explains the key differences between the old and new rules and how it may affect both old and new companies. He also discusses the requirements necessary for new associations to operate, and the pros and cons of starting a new association health plan. finally, he also describes how one state varies from the other when it comes to Association Health Plans and some of the primary concerns of those opposing the new regulations.

“Some states are very receptive to association health plans, and some are very restrictive.” - Todd Martin

What you'll learn:

  • The intended purposes of the new legislative regulations
  • How the regulations limited Association Health Plans before the ACA rules.
  • How the new regulations changed the current rules regarding associations.
  • Requirements on how the association operates.
  • How to form an association.
  • The pros and cons of starting a new association.
  • Do state laws still apply to association health plans?
  • How states regulate association health plans.
  • Concern from groups opposed to association health plan expansion.
  • When the new rules will be in full effect.

Connect with Todd

Key Takeaways:

  • The association can't be controlled by the insurance issuer; it has to be controlled by the employer members of the association.

This episode was brought to you by

Insurance Licensing Services of America (ILSA), America’s premier regulatory compliance experts. To learn more visit ILSAinc.com.

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