Lifetime Limits Exclusion

Plans Covered: All plans otherwise subject to the PPACA, but not those considered “excepted benefits” under HIPAA, such as retiree-only medical plans, health flexible spending accounts and limited-scope dental or vision plans.

  • Notice of Special Enrollment Rights
  • Guidelines and Model Language: click here
    • Distribution Requirement: The notice must be provided to any individual who has lost coverage because he or she reached a lifetime limit on benefits. The notice may be included with other enrollment materials provided that it is prominent, and may be provided to an employee on behalf of his or her dependent.