NOTICE - Employer-Sponsored Small Group Health Insurance Requirement

To: All Companies Writing Health Insurance in Nebraska

Under the Patient Protection and Affordable Care Act (PPACA), the number of employees required for purposes of the issuance of small group health insurance has been increased to 100, however, a state may opt to keep that number at 50, which is current Nebraska law.

After consideration of this issue, the Nebraska Department of Insurance has opted to retain the current statutory grouping of 2-50 for purposes of all small group health insurance issues, except for purposes of the medical loss ratio (MLR) calculation. The Department will allow companies to use 1-100 employees for purposes of determining the MLR for small group health insurance.

Questions concerning this notice may be directed to Martin Swanson, Counsel, at