42 U.S.C. § 300gg-6 - Comprehensive health insurance coverage

• Cite as: 42 U.S.C. § 300gg-6

(a) Coverage for essential health benefits package

A health insurance issuer that offers health insurance coverage in the individual or small group market shall ensure that such coverage includes the essential health benefits package required under section 18022(a) of this title.

(b) Cost-sharing under group health plans

A group health plan shall ensure that any annual cost-sharing imposed under the plan does not exceed the limitations provided for under paragraph (1) of section 18022(c) ¹ of this title.

(c) Child-only plans

If a health insurance issuer offers health insurance coverage in any level of coverage specified under section 18022(d) of this title, the issuer shall also offer such coverage in that level as a plan in which the only enrollees are individuals who, as of the beginning of a plan year, have not attained the age of 21.

(d) Dental only

This section shall not apply to a plan described in section 18031(d)(2)(B)(ii) ¹ of this title.

¹ See References in Text note below.

Cite as 42 U.S.C. § 300gg-6

Source: July 1, 1944, ch. 373, title XXVII, §2707, as added Pub. L. 111-148, title I, §1201(4), Mar. 23, 2010, 124 Stat. 161; amended Pub. L. 113-93, title II, §213(b), Apr. 1, 2014, 128 Stat. 1047.

Notes from the Office of Law Revision Counsel

current through 6/14/2023

EDITORIAL NOTES

REFERENCES IN TEXT

Section 18022(c) of this title, referred to in subsec. (b), was in the original "section 1302(c)", and was translated as meaning section 1302(c) of Pub. L. 111-148 of which relates to annual limitation on cost-sharing, to reflect the probable intent of Congress.