The ACA/Obamacare lists the following metal tiers for health insurance plans, allowing for a +/- 2% variation
60% = Bronze
70% = Silver
80% = Gold
90% = Platinum
This results in an ambiguity with regards to the acceptable actuarial values of a plan. Specifically, are plans allowed to exist outside of this +/- 2% variation of the actuarial value?
For example, would a plan with an actuarial value of 86% considered "gold tier" or would it be illegal under the ACA?
It's most sensible that the tiers represent minimums, as plans with >92% previously existed. Because of this ambiguous wording, providers are now RAISING the costs of plans to LOWER their actuarial value. More importantly, does this limit apply to private plans offered outside of the exchange? Why would a plan be LIMITED to 92%?
This is historical material “frozen in time”. The website is no longer updated and links to external websites and some internal pages may not work.
