Each year, to meet ACA requirements, Blue KC surveys employer groups to classify them as large or small groups. ACA requirements apply differently based on group size.<\/p>\n\n\n\n
One important example is the requirement that insurance companies report their medical loss ratio (MLR) to a federal agency and pay rebates if certain MLR targets are not met. Rebates are paid based on whether the targets are met for the individual market, the small group market, and the large group market.<\/p>\n\n\n\n
Insurance companies are also required to comply with certain rating and benefit requirements for small employer insurance products. To comply with the ACA\u2019s requirements, Blue KC collects data from an authorized employee (e.g., group administrator or benefits coordinator) via a short form that requests the number of individuals employed by their company. This data helps determine if a group will be classified as small (50 or fewer employees) or large (51 or more employees).<\/p>\n\n\n\n
Please note, if the group size has changed since the last time the group completed the form, Blue KC may need to make modifications to the group\u2019s insurance coverage to ensure compliance. We will notify applicable groups of such changes.<\/p>\n\n\n\n
If you have questions, please contact your Blue KC representative.<\/p>\n\r\n\t\t\t