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seep 2 2010 REC I Yy/2-/ 6

LEGAL PROCESSING DIVISION

P
UBLICATION & REGULATIONS As of: September 02, 2010

PUBLIC Status: Posted.

Posted: September 02, 2010
SUBMISSION Comments Due: August 16, 2010

Submission Type: Web

Docket: IRS-2010-0010
Group Health Plans and Health Insurance Coverage Rules Relating to Status as a Grandfathered
Health Plan Under the Patient Protection and Afforable Care Act

Comment On: IRS-2010-0010-0001
Group Health Plans and Health Insurance Coverage: Interim Final Rules for Relating to Status as
a Grandfathered Health Plan under the Patient Protection and Affordable Care Act

Document: IRS-2010-0010-0627
Comment on FR Doc # 2010-14488

Submitter Information

Name: Sidney Jane Dunn
Address:

5 Kearsley Place

Chillicothe, OH, 45601
Email: sjdunni1@yahoo.com
Phone: 740-773-4727
Government Agency Type: Federal
Government Agency: HHS

General Comment

See attached file(s)

Attachments

IRS-2010-0010-0627.1: Comment on FR Doc # 2010-14488

https://fdms.crulemaking.net/fdms-web-agency/component/submitterInfoCoverPage?Call=P... 9/2/2010


Dunn “20!catev ro HELPING PEOPLE”
| | Chiropractic sx» Rehab

1530 NORTH BRIDGE STREET + CHILLICOTHE, OHIO 45601 -4104 * 740-773-5858

Ted J. Dunn, D.C. + ++ ~~ Chiropractic Orthopedics
August 11, 2010

Office of Consumer Information and Insurance Oversight
Department of Health and Human Services

Attention: OCIIO-9991-IFC

P.O. Box 8016

Baltimore, MD 21244-1850

Re: Interim Final Rule for Group Health Plans and Health Insurance Coverage Relating to Status as a
Grandfathered Health Plan under the Patient Protection and Affordable Care Act

Dear Sirs:
Below are my comments, regarding the Interim Final Rule for Group Health Plans and Health Insurance Coverage Relating to
Status as a Grandfathered Health Plan under the Patient Protection and Affordable Care Act (PPACA).

| believe that every effort should be made to increase the number of individuals covered by PPACA, especially as of January
1, 2014 when most of the reform components (Insurance Exchanges, Subsidies, Tax Credits, etc.) come into play.

The average consumer has a broad definition of “benefits.” Consumers view their health plan beyond the covered benefits,
cost sharing, and the contribution levels associated with the plan.

It is my opinion that the Rule may still result in some confusion to the marketplace in its application. For example, if an
employer raised the copayment level beyond the maximum in one area (i.e. outpatient services) but retained the copayment
level for primary care doctor visits, does that mean a loss of grandfather status? Clarity will be critical both for the employer
and the employee.

Even by the most optimistic estimates, a substantial portion of the employee population will remain outside the PPACA as of
January 2014 based on the current rules. While | understand the difficulty involved in making change, creating another large
sub-population of excluded individuals will only add to costs, increase confusion, and mitigate the potential impact of the
legislation.

The Rule needs to be clear, reasonable, and with no ambiguities involved in determining whether a group health plan is “in or
out.” The decisions the federal government makes today will determine the outcomes for tomorrow. We may need to make
some difficult decisions to create a sustainable health care system that will support a growing economy in the future. That
means getting as many citizens across the country participating at the beginning to make it work and delivering on its promises
to retain their support.

Thank you for the opportunity to comment on this regulation.

Sidney Jane Dunn
Office Manager and Generat X-Ray Machine Operator
SJD/hs*#