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Family Glitch

An unintended consequence of the Affordable Care Act when an employee is offered affordable ESI through their work place but the coverage offer is not extended to the employees’ family, or is unaffordable for the family. This leaves the employees’ spouse and/or children both ineligible for exchange subsidies and without access to other affordable coverage.

Community Rating

Setting premiums the same for all insurance applicants. “Modified community rating” refers to organizations changing premiums based on demographic characteristics, such as age, but cannot…