As Donald Trump takes the oath of office to become the 45th president of the United States of America, questions remain about what will replace the Affordable Care Act, which the new administration and Republican-led Congress have promised to repeal. Although Trump has said that he would like a new health insurance plan in place by the end of February, the details of a new plan and what might remain of the current plan continue to be a source of confusion for employers.

Trump has expressed a willingness to keep a few core elements of ACA, such as providing health coverage for pre-existing conditions and allowing adult children up to the age of 26 to remain on their parents’ health plans. On the flip side, Trump has said that his plan will eliminate the so-called Cadillac tax for high-priced health plans (the tax was slated to kick in in 2020), and remove the employer mandate as well.

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