• Grandfathered status applies to health plans that were in effect on March 23, 2010 and did not conduct any action that would cause the plan to lose grandfathered status in accordance with Health Care Reform and Department of Labor regulations. You may also view our frequently asked questions regarding grandfathered health plans for more information.
  • Grandmothered status applies to transitional health plans that were in effect as of October 1, 2013 and renewed prior to December 31, 2020 in accordance with the Transitional Policy.

Although these plans are not required to fully comply with the ACA’s essential health benefits mandate, HMAA has enhanced its coverage for preventive and wellness services for these plans. If at any time you determine that your health plan no longer qualifies for grandfathered or grandmothered status, please contact your HMAA Account Manager or email AccountManager@hmaa.com so we can update our records with the correct classification. Penalties may be imposed on employers and health plans that fail to adhere to grandfathering and grandmothering provisions.