Browse Arkansas Code titles and sections
42 U.S.C. § 300gg–11 — No lifetime or annual limits
Federal law — U.S. Code and appendices · legal_authorities
**(a) Prohibition**
(1) **In general** — A group health plan and a health insurance issuer offering group or individual health insurance coverage may not establish—
(A) lifetime limits on the dollar value of benefits for any participant or beneficiary; or
(B) except as provided in paragraph (2), annual limits on the dollar value of benefits for any participant or beneficiary.
(2) **Annual limits prior to 2014** — With respect to plan years beginning prior to January 1, 2014, a group health plan and a health insurance issuer offering group or individual health insurance coverage may only establish a restricted annual limit on the dollar value of benefits for any participant or beneficiary with respect to the scope of benefits that are essential health benefits under [section 18022(b) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section18022/b&num=0&edition=prelim), as determined by the Secretary. In defining the term “restricted annual limit” for purposes of the preceding sentence, the Secretary shall ensure that access to needed services is made available with a minimal impact on premiums.
**(b) Per beneficiary limits** Subsection (a) shall not be construed to prevent a group health plan or health insurance coverage from placing annual or lifetime per beneficiary limits on specific covered benefits that are not essential health benefits under [section 18022(b) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section18022/b&num=0&edition=prelim), to the extent that such limits are otherwise permitted under Federal or State law.
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 300gg–11
Stored review status: release_metadata_unconfirmed. A text match is a research starting point; applicability is not established.
Original supplied file — preserved unchanged
Download original Markdown file
File SHA-256: 8157952cf247b209b5859ec69e17aea7551719d77031b5e911ececd8b492977d. The original may include catalog metadata, neighboring provisions, or embedded records outside this collection's scope. Search shows only the selected federal record. Historical editions and unverified snapshots are not a statement of current law.
Authority boundary: historical or unconfirmed source not current law verified.
Record provenance
Stable record: federal_law:legal_authorities:record_usc_39601a185e7f37d885f8b84c
Source file: Laws/federal/codes/united-states-code/title-42/section-300gg11-no-lifetime-or-annual-limits--63dc00181b.md
Pages: Not recorded – Not recorded
Passage SHA-256: ad7ac40167c0f872d385cf138e2ede7f5c6aa970a585ce6a49a03c80c225e3bb
Source location: Title 42, Chapter 6A, § 300gg–11; chapter-6a-public-health-service.md
Stored source content
**(a) Prohibition**
(1) **In general** — A group health plan and a health insurance issuer offering group or individual health insurance coverage may not establish—
(A) lifetime limits on the dollar value of benefits for any participant or beneficiary; or
(B) except as provided in paragraph (2), annual limits on the dollar value of benefits for any participant or beneficiary.
(2) **Annual limits prior to 2014** — With respect to plan years beginning prior to January 1, 2014, a group health plan and a health insurance issuer offering group or individual health insurance coverage may only establish a restricted annual limit on the dollar value of benefits for any participant or beneficiary with respect to the scope of benefits that are essential health benefits under [section 18022(b) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section18022/b&num=0&edition=prelim), as determined by the Secretary. In defining the term “restricted annual limit” for purposes of the preceding sentence, the Secretary shall ensure that access to needed services is made available with a minimal impact on premiums.
**(b) Per beneficiary limits** Subsection (a) shall not be construed to prevent a group health plan or health insurance coverage from placing annual or lifetime per beneficiary limits on specific covered benefits that are not essential health benefits under [section 18022(b) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section18022/b&num=0&edition=prelim), to the extent that such limits are otherwise permitted under Federal or State law.
Cross-references
Connections may be documented source relationships, shared citations or nearby passages. Each explains its basis; a connection alone does not establish applicability to your situation.
Federal law — U.S. Code and appendices · legal_authorities
The Secretary may provide for suitably acknowledging, within the Department (whether by memorials, designations, or other suitable acknowledgments), (1) efforts of persons who have contributed substantially to the health of the Nation and (2) gifts for use in activities of the Department related to health.
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 238j
Stored review status: release_metadata_unconfirmed. Explicit cross-reference supplied in source Markdown; currentness and applicability require review.
Federal law — U.S. Code and appendices · legal_authorities
**(a) Deduction allowed** In the case of an individual who is an eligible individual for any month during the taxable year, there shall be allowed as a deduction for the taxable year an amount equal to the aggregate amount paid in cash during such taxable year by or on behalf of such individual to a health savings account of such individual.
**(b) Limitations**
(1) **In general** — The amount allowable as a deduction under subsection (a) to an individual for the taxable year shall not exceed the sum of the monthly limitations for months during such taxable year that the individual is an eligible individual.
(2) **Monthly limitation** — The monthly limitation for any month is 1⁄12 of—
(A) in the case of an eligible individual who has self-only coverage under a high deductible health plan as of the first day of such month, $2,250.
(B) in the case of an eligible individual who has family coverage under a high deductible health plan as of the first day of such month, $4,500.
(3) **Additional contributions for individuals 55 or older**
(A) *In general* — In the case of an individual who has attained age 55 before the close of the taxable year, the applicable limitation under subparagraphs (A) and (B) of paragraph (2) shall be increased by the additional contribution amount.
(B) *Additional contribution amount* — For purposes of this section, the additional contribution amount is the amount determined in accordance with the following table: For taxable years beginning in:The additional contribution amount is: 2004$500 2005$600 2006$700 2007$800 2008$900 2009 and thereafter$1,000.
(4) **Coordination with other contributions** — The limitation which would (but for this paragraph) apply under this subsection to an individual for any taxable year shall be reduced
Source: Supplied U.S. Code snapshot — release unconfirmed · 26 U.S.C. § 223
Stored review status: release_metadata_unconfirmed. Explicit cross-reference supplied in source Markdown; currentness and applicability require review.
Federal law — U.S. Code and appendices · legal_authorities
**(a) General rule** For purposes of section 38, in the case of an eligible small employer, the small employer health insurance credit determined under this section for any taxable year in the credit period is the amount determined under subsection (b).
**(b) Health insurance credit amount** Subject to subsection (c), the amount determined under this subsection with respect to any eligible small employer is equal to 50 percent (35 percent in the case of a tax-exempt eligible small employer) of the lesser of—
(1) the aggregate amount of nonelective contributions the employer made on behalf of its employees during the taxable year under the arrangement described in subsection (d)(4) for premiums for qualified health plans offered by the employer to its employees through an Exchange, or
(2) the aggregate amount of nonelective contributions which the employer would have made during the taxable year under the arrangement if each employee taken into account under paragraph (1) had enrolled in a qualified health plan which had a premium equal to the average premium (as determined by the Secretary of Health and Human Services) for the small group market in the rating area in which the employee enrolls for coverage.
**(c) Phaseout of credit amount based on number of employees and average wages** The amount of the credit determined under subsection (b) without regard to this subsection shall be reduced (but not below zero) by the sum of the following amounts:
(1) Such amount multiplied by a fraction the numerator of which is the total number of full-time equivalent employees of the employer in excess of 10 and the denominator of which is 15.
(2) Such amount multiplied by a fraction the numerator of which is the average annual wages of the employer in excess of the dollar am
Source: Supplied U.S. Code snapshot — release unconfirmed · 26 U.S.C. § 45R
Stored review status: release_metadata_unconfirmed. Incoming connection: Explicit cross-reference supplied in source Markdown; currentness and applicability require review.