(a) Coverage for essential health benefits package
A health insurance issuer that offers health insurance coverage in the individual or small group market shall ensure that such coverage includes the essential health benefits package required under section
18022(a) of this title.
(b) Cost-sharing under group health plans
A group health plan shall ensure that any annual cost-sharing imposed under the plan does not exceed the limitations provided for under paragraphs (1) and (2) of section
18022(c) of this title.
(c) Child-only plans
If a health insurance issuer offers health insurance coverage in any level of coverage specified under section
18022(d) of this title, the issuer shall also offer such coverage in that level as a plan in which the only enrollees are individuals who, as of the beginning of a plan year, have not attained the age of 21.
For delayed effective date of section, see Effective Date note below.
References in Text
18022(c) of this title, referred to in subsec. (b), was in the original “section
1302(c)”, and was translated as meaning section 1302(c) ofPub. L. 111–148, pars. (1) and (2) of which relate to annual limitations on cost-sharing and deductibles, to reflect the probable intent of Congress.
18031(d)(2)(B)(ii) of this title, referred to in subsec. (d), was in the original “section
1302(d)(2)(B)(ii)(I)”, and was translated as meaning section 1311(d)(2)(B)(ii) ofPub. L. 111–148, which relates to offering of stand-alone dental benefits, to reflect the probable intent of Congress.
A prior section
300gg–6, act July 1, 1944, ch. 373, title XXVII, § 2706, as added Pub. L. 105–277, div. A, § 101(f) [title IX, § 903(a)], Oct. 21, 1998, 112 Stat. 2681–337, 2681–438, which related to required coverage for reconstructive surgery following mastectomies, was renumbered section 2727 of act July 1, 1944, and transferred to section
300gg–27 of this title.
A prior section 2707 of act July 1, 1944, was renumbered section
2728 and is classified to section
300gg–28 of this title.
Another prior section 2707 of act July 1, 1944, was successively renumbered by subsequent acts and transferred, see section
238f of this title.
Section effective for plan years beginning on or after Jan. 1, 2014, see section 1255 ofPub. L. 111–148, set out as a note under section
300gg of this title.
The table below lists the classification updates, since Jan. 3, 2012, for this section. Updates to a broader range of sections may be found at the update page for containing chapter, title, etc.
The most recent Classification Table update that we have noticed was Tuesday, August 13, 2013
An empty table indicates that we see no relevant changes listed in the classification tables. If you suspect that our system may be missing something, please double-check with the Office of the Law Revision Counsel.