Waiting Periods - The regulation and the administration are two different things!
(Posted on 01/20/14)

Employers will be limited to a waiting period of not more than 90 days effective 1/1/2004.
- Horizon automatically reduced all waiting period in excess of 90 days to 90 days effective 1/1/2014, regardless of renewal date. A copy of the letter sent out to affect groups is below.
- Oxford groups will automatically be reduced to a 90 day wait upon renewal. If the group would like a waiting period of less than 90 days, they will need to submit a written request.
- AmeriHealth groups need to be aware of the new limitation on waiting periods and ensure their compliance. AmeriHealth does not actively monitor waiting periods for their employer groups.
- Aetna groups will automatically be reduced to a 90 day wait upon renewal. If the group would like a waiting period of less than 90 days, they will need to submit a written request.