State regulation
Pa.
*N.J.
Del.
Md.
Colo.
Is initial contract duration limit shorter than federal limit? Non/an/a 3 months 3 months 6 months
Is purchase of multiple or consecutive plans prohibited? Non/an/a^Limited No+Limited
Are there rating restrictions? Non/an/a No No Same as ACA
Are all preexisting condition exclusions banned? Non/an/a No No No
Are rescissions prohibited? Non/an/a No No Yes
Are essential health benefits required? Non/an/a No No Yes
Is there a minimum medical loss ratio requirement? Non/an/a60% No80%
Do consumers have access to external appeals? Non/an/a No Yes Yes
*Underwritten short-term plans are not permitted in New Jersey
^Can't be covered by same insurer more than three months in a 12-month period
+Can't be enrolled more than 12 months in an 18-month period