Model language.
The following model language, or substantially similar language, can be used to satisfy the notice requirement of this paragraph (d)(1): "Your student health insurance coverage, offered by [name of health insurance issuer], may not meet the minimum standards required by the Affordable Care Act for the restrictions on annual dollar limits for key benefits. Restrictions for annual dollar limits for key benefits for group and individual health insurance coverage is $1.25 million for policy years before September 23, 2012; and $2 million for policy years beginning on or after September 23, 2012 but before January 1, 2014. Restrictions for annual dollar limits for key benefits for student health insurance coverage is $100,000 for policy years before September 23, 2012, and $500,000 for policy years beginning on or after September 23, 2012, but before January 1, 2014. Your student health insurance coverage put an annual limit of: [dollar amount] on [which covered benefits – notice should describe all annual limits that apply]. If you have any questions or concerns about this notice, contact [provide contact information for the health insurance issuer]."
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | CMS |
| File Modified | 0000-00-00 |
| File Created | 2021-01-28 |