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Grandmothering Legislation Passes in California

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California Governor Jerry Brown has signed into law SB 1446, known as the “grandmothering” bill and “transitional relief.”

The new law allows qualifying non-grandfathered small employer health plans to remain in effect until December 31, 2015 even if they don’t meet certain requirements under the Affordable Care Act.

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Out-of-Network Reimbursement Guidelines

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Written by Robert Guenther, HIP Pre-Sale Support Specialist Warner Pacific Insurance Services

This applies to California Small Group Plans.

AETNA From the plan summary: For out-of-network care, Aetna limits the amount it will pay. The limit is called the recognized or allowed amount. Aetna recognizes an amount based on what Medicare pays for these services. The government sets the Medicare rate.

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