Linda Tiano Quoted in Article, “Stop-Loss Insurance Skirts ACA”

Crain's New York Business

Linda Tiano, a Member of the Firm in the Health Care and Life Sciences practice, in the Washington, DC, and New York offices, was quoted in an article titled "Stop-Loss Insurance Skirts ACA."

Following is an excerpt:

A growing number of employers are considering using stop-loss insurance as a way to skirt the requirements of the Affordable Care Act, according to attorneys and benefits consultants.

"There's been a trend of smaller employers looking to self-insure in order to avoid state regulatory requirements," said Linda Tiano. ?...

"There is much less regulation for stop-loss," which allows the employer "total flexibility in benefits," said Ms. Tiano.

States with heavy mandates, such as New York, were more likely to see employers using stop-loss policies creatively. Now, the Self Insurance Protection Act (S. 1735/H.R. 3462), introduced earlier this month, seeks to permanently exempt stop-loss insurance from the ACA's requirements, allowing businesses to effectively circumvent the ACA. New York regulators would vociferously oppose the bill, currently in committee, if it were to reach broader consideration, Ms. Tiano added.