The Trump executive order calls for broadening the definition of a “bona fide group or association” to allow a greater number of small employers that are members of local chambers of commerce or a national trade association to form fully insured “large group” or self-insured “group” association health plans.Association health plans are by definition required to provide adequate coverage, and additional federal protections apply, including fiduciary responsibilities, a rigorous appeals process, and prohibitions against basing premium rates on an individual participant’s health condition.

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