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ACA Rates 2018 Final Rule Dependent Child


The Final Rule directs all health plan issuers of non-grandfathered small group and individual plan coverage (on and off the Exchanges) to revise the member level rating age bands used for individuals 0-20 years of age from using one age band to now create 7 age bands. The first age band cover ages 0-14, then single year age bands cover 15, 16, 17, 18, 19 and 20. This change will align with utilization of services while smoothing rate increases over time.  Kaiser

frequently asked questions (PDF).

Guidance 12.16.2016

More on Small Group Rating Factors

Blue Cross – Sample Amendment

Kaiser FAQ’s



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