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“Limited Benefit” Medical Plans: Last Call for PPACA Waiver Requests

Sep 9, 2011 - Alerts by

A “limited benefit plan” (or, as some people refer to it, a “mini-med plan”) is a type of medical plan that offers very limited benefits. Although doctor visits and hospital stays are typically covered, benefits are capped at a fairly low dollar amount. For example, benefits might be capped at $10,000 per year. Limited benefit plans are typically offered by employers who have a significant number of either part-time employees or employees whose hours greatly vary from week to week. This describes many employers in the restaurant industry and, in our experience, limited benefit plans are common in that industry. Most of our clients do not offer a limited benefit plan to their employees, but a small number do.

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