Don Levit
Aug 10 2006, 12:38 PM
Folks;
I am curious about any conflicts you may see between these 2 entities.
According to Sec. 2791(d)(3) of the Public Health Service Act, a bona fide association, with respect to health insurance coverage offered in a state, must meet the following requirements:
1. Must have existed for 5 years.
2. Been formed for purposes other than obtaining insurance.
3. A person must not have to prove health to join.
4. Must be a member of the association to obtain insurance.
5. Meets any additional state requirements .
A VEBA is formed in order to obtain insurance for the participants.
Wouldn't this conflict directly with the first 2 requirements of a bona fide association?
Don Levit
GBurns
Aug 10 2006, 01:05 PM
To whom is the PHSA applicable?
What is the definition of "association" under PHSA?
How would a VEBA be used ?
Don Levit
Aug 10 2006, 03:17 PM
George:
The PHSA stands for the Public Health Service Act.
I am not sure to whom this applies, although according to a memorandum from the Dept. of Health and Human Services from Sept. 2002, these associations are applicable to the group and individual markets.
I would assume that the people are banded together either individually, or in groups, through some common bond.
The VEBA provides a similar function, if more than one employer is involved.
Through section 501©(9), employers, in the same line of business across 3 contiguous states, can form an "association," expressly for various health and welfare benefits for its participants.
Don Levit