CMS Final Rule for STLDI to Shorten Time Limit Periods in 2025

The information below refers to the Short-Term, Limited-Duration Insurance and Independent, Noncoordinated Excepted Benefits Coverage (CMS-9904-F) Fact Sheet released by CMS on March 28, 2024. Click here to read it on CMS.gov!

What you need to know

On March 28, 2024, the Departments of Health and Human Services (HHS), Labor, and the Treasury (collectively, the Departments) released final rules for short-term, limited-duration insurance (STLDI) and independent, noncoordinated excepted benefits coverage.

Unlike most health insurance plans, STDLI plans are not subject to the Affordable Care Act’s (ACA’s) critical consumer protections, including guaranteeing coverage for people with pre-existing conditions and prohibiting discrimination based on health status, age, or gender. This final rule will limit these “short-term” plans to truly short time periods, no more than four months instead of three years.

This rule also makes minor modifications to Fixed-Indemnity type plans (such as HIP) that will not affect the plan design in any significant way, but will result in additional disclosure regarding the type of coverage and limitations.

When will this go into effect?

This final rule applies to short-term plans sold after September 1, 2024, and the indemnity provisions take effect starting January 1, 2025.

For more information, please visit CMS.gov or call us today at (800) 689-2800!

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