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29 U.S.C. § 1183Guaranteed renewability in multiemployer plans and multiple employer welfare arrangements

submitted 30 years ago by Pub. L. 93-406 to r/title-29-LABOR · 189 words · no verdicts yet

in plain englishAI-generated · not legal advice

A group health plan that is a multiemployer plan or multiple employer welfare arrangement generally may not deny an employer continued access to the same or different coverage. The section lists six exceptions, including nonpayment, fraud, material noncompliance, ending coverage in an area, certain network-plan situations, and failure to meet a collective bargaining agreement.

A group health plan that is a multiemployer plan or a multiple employer welfare arrangement may not deny an employer whose employees are covered by the plan continued access to the same coverage or different coverage under the plan, except for any of these reasons: (1) The employer did not pay its contributions. (2) The employer committed fraud or intentionally misrepresented an important fact. (3) The employer did not comply with important plan provisions. (4) The plan is stopping all coverage in a geographic area. (5) The plan provides benefits through a network plan, no individual enrolled through the employer still lives, resides, or works in the network plan’s service area, and the plan applies this rule uniformly. It may not apply the rule based on employers’ claims experience or on a health-status factor relating to those individuals or their dependents. (6) The employer failed to meet the terms of an applicable collective bargaining agreement; failed to renew a collective bargaining or other agreement that requires or permits contributions to the plan; or failed to employ employees covered by such an agreement. This section uses the terms “group health plan,” “multiemployer plan,” “multiple employer welfare arrangement,” “material,” “network plan,” “service area,” “claims experience,” “health status-related factor,” and “collective bargaining agreement.” This section does not define those terms.
the actual law source: uscode.house.gov ↗public domain

A group health plan which is a multiemployer plan or which is a multiple employer welfare arrangement may not deny an employer whose employees are covered under such a plan continued access to the same or different coverage under the terms of such a plan, other than—

(1)

for nonpayment of contributions;

(2)

for fraud or other intentional misrepresentation of material fact by the employer;

(3)

for noncompliance with material plan provisions;

(4)

because the plan is ceasing to offer any coverage in a geographic area;

(5)

in the case of a plan that offers benefits through a network plan, there is no longer any individual enrolled through the employer who lives, resides, or works in the service area of the network plan and the plan applies this paragraph uniformly without regard to the claims experience of employers or any health status-related factor in relation to such individuals or their dependents; and

(6)

for failure to meet the terms of an applicable collective bargaining agreement, to renew a collective bargaining or other agreement requiring or authorizing contributions to the plan, or to employ employees covered by such an agreement.

Source credit: (Pub. L. 93–406, title I, § 703, as added Pub. L. 104–191, title I, § 101(a), Aug. 21, 1996, 110 Stat. 1946.)

history & why it existsrecord from the source credit
  • 1996Enacted · Pub. L. 93-406 · 110 Stat. 1946

A history note hasn’t been published yet. The record shows enactment by Pub. L. 93-406 on 1996-08-21.

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