"Obamacare-compliant" and "ACA requirements" here essentially refers to the requirement that employers of a certain size offer plans that are at least as comprehensive as a bronze tier plan. Which, as folks now seem to realize, isn't all that high a bar.
Other changes to employer-sponsored plans made by the law have
already gone into effect. Anyone not in a grandfathered plan (and even some who are) already has a plan that meets all the ACA's requirements. Some of the main ones:
ACA Provision Relevant to Employer-Based Coverage | Applies to: | In Effect? |
Elimination of:
- lifetime limits
- annual limits
- rescissions
- pre-existing condition exclusions
Extension of coverage to dependents up to age 26
Provide standardized summary of benefits and coverage | All plans (even grandfathered) | Yes (implemented for plans years beginning after 9/23/10) |
Requirements around nondiscrimination, appeals, coverage of preventive care, emergency services, choice of primary care provider, coverage of treatments provided as part of a clinical trial, reporting on quality and wellness programs; and cost-sharing limits (no out-of-pocket limits greater than the HDHP/HSA threshold in 2014, then indexed differently). | All non-grandfathered plans | Yes, for non-grandfathered plans |
Offer essential health benefits | Only fully insured plans | Yes (all non-grandfathered commercial policies) |
Limit on deductible: no higher than $2,000 for an individual, $4,000 for a family | Only fully insured small group | Repealed |
Offer minimum essential coverage:
- At least 60% actuarial value (bronze-plan level)
- Affordable (self-only premiums < 9.5% employee income)
| Employers with more than 50 employees | No--delayed (note: this is the employer mandate) |
Unless you think 100 million people in employer-based plans don't have even a bronze-level of coverage (which, spoiler alert, is patently absurd--the average employer-based plan has an actuarial value in the gold to platinum range), I don't know what great upheaval you're expecting.