ACA Title 1, Sec. 1301. Qualified health plan defined: “Good” – a “good housekeeping-like seal of approval”. This section establishes a class of health plans offered by exchanges that are called “qualified health plans” which are really like the old “good housekeeping seal of approval” to provide an easy third party qualification for health plans. To be a “qualified health plan” the plan must be labeled as a qualified plan or certified as one, provide “essential health benefits” coverage, be offered by an insurer that is licensed in the state and in “good standing” implying they are financially stable and considered…”going business concerns,” offers at least two generous health plans (silver and gold levels), and agrees to charge the same premiums to all populations for the plan. (Can’t get the plan for a cheaper price anywhere else) Does not apply to self-insured health plans or MEWAs.

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