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Health Insurance: Small is the New Large (CRS Report for Congress)

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Release Date Aug. 26, 2015
Report Number IN10346
Report Type Insight
Authors Mach, Annie L.
Source Agency Congressional Research Service
Summary:

The group health insurance market is divided into large- and small-group markets. Historically, employers with 50 or fewer employees were considered small and could purchase health insurance coverage in the small-group market. The Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended) expands the definition of small employer to include employers with 100 or fewer employees. States must implement the expanded definition for plan years beginning in 2016 and have the option of implementing the expanded definition prior to 2016.