The Department of Labor, IRS and Department of Health and Human Services have erased any residual doubt about how out-of-pocket limits set by the Affordable Care Act will govern family members covered under a group plan. In the latest FAQs about Affordable Care Act Implementation (part XXVII), the agencies make clear that OOP limits applicable to single coverage also apply to individuals covered in a family policy in a non-grandfathered plan.
Earlier regulations left some doubt about the matter.
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