Affordable Health Care MarketPlace.

So let’s take a closer look at the Health Insurance Exchange rules set forth in the Affordable Care Act (ACA). The ACA creates state-based Health Insurance Exchanges administered by a governmental agency or non-profit organization, through which individuals and small businesses with up to 100 employees can purchase qualified coverage. In 2014 and beyond most Americans who work for small businesses or obtain their coverage in the individual health insurance market will do so through health insurance exchanges.


Those covered by grandfathered plans and Those covered by self-funded plans (this will apply to very few businesses) States also have discretion to allow businesses with more than 100 employees to purchase coverage in the Exchanges beginning in 2017. In addition, states may opt to allow the federal government to establish an Exchange in their state rather than implement their own. Another possibility allowed by the ACA is for states to form regional Exchanges or allow more than one Exchange to operate in a state as long as each Exchange serves a distinct geographic area. The ACA specifically requires all new policies (except stand-alone dental, vision, and long-term care insurance plans), including those offered through the Exchanges and those offered outside of the Exchanges, to comply with one of the four benefit categories. Existing individual and employer-sponsored plans that achieve Grandfather Status do not have to meet the new benefit standards. This provision becomes effective January 1, 2014 at the same time the Exchanges become operational.
Affordable Health care exchange.

  Affordable Care Act

States and National Exchanges.

What is the purpose of an Exchange

The purpose of the health insurance exchanges is to make health insurance more affordable and easier to purchase for small business and individuals. Creation of Health Insurance Exchanges Beginning on January 1, 2014 health insurance exchanges will be created where an individual or small business can compare the costs of various health plans and different types of health coverage benefits. If your state decides not to operate its own health insurance exchange, you will be able to purchase a health plan from a multi-state, or regional exchange run by a government agency (such as the federal Department of Health and Human Services) or a non-profit organization.

Who is eligible


Only U.S. citizens and legal immigrants who are not imprisoned will be eligible to purchase a health plan in one of the exchanges. According to the health reform bill, small businesses with up to 100 employees can purchase health coverage for their employees in an exchange. Beginning in 2017, the states may allow businesses with more than 100 employees to purchase coverage in the exchange. Starting in 2011 and continuing through 2014, your state can receive financial assistance to help pay for the cost of creating the exchange.

Multi-State Health Plans

Regional Exchanges.

Each health insurance exchange must offer at least two health plans that are available in two or more states. At least one of these health plans must be a non-profit organization and each plan must be licensed in each state. Enrollment in one of these plans would give you access to healthcare services in different states and, hopefully foster competition to lower premiums. For example, if you live in New Jersey and enrolled in a multi-state plan that included New Jersey, New York, and Connecticut, your children could see a local pediatrician in your neighborhood and you could get care from a primary care physician in downtown Manhattan, near your office. Please insert your text here.