FAQs Address COVID-19 Vaccine Coverage and Premium Discounts

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On Oct. 4, 2021, the Departments of Labor (DOL), Health and Human Services (HHS), and the Treasury (Departments) issued FAQs addressing rules regarding premium incentives for COVID-19 vaccinations and rapid coverage of preventive services for COVID-19.

The maximum premium discount related to COVID-19 vaccination is 30% of the cost of coverage.

Highlights

  • Premium discounts for COVID-19 vaccination generally must be offered as part of a wellness program.
  • These wellness programs will generally be required to offer a reasonable alternative standard to qualify for the discount for certain individuals.
  • Plans generally may not condition eligibility for benefits or coverage on vaccination status.

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