4. ORIGINAL SIMPLIFIED
(a) In General- A group health plan and a health Health insurers cannot set limits to how much
insurance issuer offering group or individual health money you can claim for your health over your life-
insurance coverage may not establish-- time, or to how much you can claim annually, within
reason (see Internal Revenue Code for the bar health
(1) lifetime limits on the dollar value of ben- insurers can set for annual limits -- they cannot be
efits for any participant or beneficiary; or ‘unreasonable’).
(2) unreasonable annual limits (within the However, health insurers can place annual and
meaning of section 223 of the Internal Revenue Code lifetime limits on the benefits your beneficiaries
of 1986) on the dollar value of benefits for any partici- (children, for example) can receive, as long as those
pant or beneficiary. limits are allowed under Federal and State law.
(b) Per Beneficiary Limits- Subsection (a) shall
not be construed to prevent a group health plan or
health insurance coverage that is not required to pro-
vide essential health benefits under section 1302(b)
of the Patient Protection and Affordable Care Act
from placing annual or lifetime per beneficiary limits
on specific covered benefits to the extent that such
limits are otherwise permitted under Federal or State
law.
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S.1789 S.Res.117
FAIR SENTENCING ACT OF 2009 NO SHORT TITLE
General Sponsored by Sen. Richard Durbin (IL) Sponsored by Sen. Olympia Snowe (ME)
Information
To provide for permanent extension of the A resolution commemorating the 80th anniversary
attorney fee withholding procedures under title II of the Daughters of Penelope, a preeminent
of the Social Security Act to title XVI of such A... international women's association ...
Progress 21%
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54 Summaries Average Rating 21 Summaries Average Rating
3 -5
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5 Contributors 5 Contributors
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H.R.3590
PATIENT PROTECTION AND AFFORDABLE CARE ACT
General Sponsored by Sen. Richard Durbin (IL)
Information
54 summaries 32 threads
ISSUES health care, insurance, annual lifetime limits, beneficiaries
Section Health insurers cannot set limits to how much money you can claim for your health over
User-generated 43 your lifetime, or to how much you can claim annually, within reason (see Internal Revenue
Code for the bar health insurers can set for annual limits -- they cannot be ‘unreasonable’).
Summary
However, health insurers can place annual and lifetime limits on the benefits your
beneficiaries (children, for example) can receive, as long as those limits are allowed under...
User Tags #health care #insurance
approve simplified by simplify recommend
object jimlamiell other sections from this bill
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Section Difficulty Influence Topics
43 hard +20 Health plan, insurance, lifetime
limits, annual limits, etc.
SUMMARIZE & SIMPLIFY WHAT’S ON THE RIGHT FROM THE ORIGINAL
(a) In General- A group health plan and a health
insurance issuer offering group or individual
health insurance coverage may not establish--
(1) lifetime limits on the dollar value of benefits
for any participant or beneficiary; or
Place to (2) unreasonable annual limits (within the
Summarize
meaning of section 223 of the Internal Revenue
Code of 1986) on the dollar value of benefits for
any participant or beneficiary...
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10. Fill out a summary, and gain influence Section Difficulty Influence Topics
over how others understand Congress 43 hard +20 Health plan, insurance, lifetime
limits, annual limits, etc.
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how difficult the original text is)
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