ACA Rate  Rule for  Dependent Children

 

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

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