Many of the ACA's requirements apply to self-insured plans, some of which include:

  • Extending dependent coverage for adult children to age 26;
  • Coverage of preventive services with no cost sharing (exception for grandfathered plans);
  • No rescission of coverage except for fraud and misrepresentation;
  • No lifetime limits for essential health benefits. Annual limits restricted until 2014, when all limits are removed;
  • Coverage of emergency services;
  • Choice of provider requirements for pediatricians and OB-GYNs;
  • Automatic enrollment for large employers;
  • Summary of Benefits and Coverage requirements; and
  • Form W-2 Reporting Requirements.