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Women's Health and Cancer Rights Act Newborn's and Mother's Health Protection Act Features |
Employer Information
Links to Content on this Page:
Summary of HIPAA's Impact on Employers
Employer Specific Questions and Answers
Certificates of Creditable Coverage
Self-Funded Non-Federal Governmental Plans
Summary of HIPAA's Impact on Employers
A small employer is a company (or a nonfederal governmental employer) that has at least two but not more than 50 employees. Some States, however, may consider a business with only one employee a small employer. Generally, HIPAA provides more protections for employees who work for small employers.
A large employer is an organization (or a nonfederal governmental employer) that has at least 51 employees. Certain HIPAA requirements only apply to large employers.
Employer Specific Questions and Answers
- Employer Specific Questions and Answers About HIPAA
- Employer Specific Questions and Answers on the Mental Health Parity Act
- General Questions and Answers on the Newborns' and Mothers' Health Protection Act of 1996
- General Questions and Answers on the Women's Health and Cancer Rights Act of 1998
Certificates of Creditable Coverage
The certificate of creditable coverage is intended to establish an individual's prior creditable coverage for purposes of reducing the extent to which a plan or issuer offering health coverage in the group market can apply a preexisting condition exclusion.
- Q&A on Certificates of Creditable Coverage
- Notice of Right to Documentation of Health Coverage
- Certificate of Individual Health Insurance Coverage
- Certificate of Group Health Plan Coverage
- Information on Categories of Benefits
Self Funded Nonfederal Governmental Plans
In general, nonfederal governmental group health plans are suject to HIPAA requirements to the same extent as other employer group health plans. However, a nonfederal governmental employer that provides self-funded group health plan coverage to its employees may elect to exempt its plan from certain requirements of title XXVII of the Public Health Service (PHS) Act.
