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>>What is a TPA?

Third Party Administrator.

>>I assume grandfathered plans are not ACA compliant,

Correct.

>>hence do not have all the provisions that make health insurance worth having

Not necessarily. Some have broader benefits that maybe you would want.

https://www.healthcare.gov/health-care-law-protections/rate-...

Some states are 85/15. Did you know that? However, the plans you are referring to are Marketplace plans. I am not referring to Marketplace plans, nor community rated employer plans. I'm referring to self funded employer based commercial plans. These same type of plans are commonly offered not only in the US, but UK, Canada and Germany.

Edit: I get downvoted for providing proof.




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