§ 4306-e. Prohibition on lifetime and annual limits. (a) A corporation
shall not establish a lifetime limit on the dollar amount of essential
health benefits in an individual, group or blanket contract of hospital,
medical, surgical or prescription drug expense insurance.

(b) A corporation shall not establish an annual limit on the dollar
amount of essential health benefits in an individual, group or blanket
contract of hospital, medical, surgical or prescription drug expense
insurance for contract years beginning on and after January one, two
thousand fourteen.

(c) For contract years beginning prior to January one, two thousand
fourteen, a corporation may establish restricted annual limits on the
dollar amount of essential health benefits in an individual, group or
blanket contract of hospital, medical, surgical or prescription drug
expense insurance consistent with section 2711 of the Public Health
Service Act, 42 U.S.C. § 300gg-11 or any regulations thereunder.

(d) The requirements of subsections (b) and (c) of this section shall
not be applicable to any individual contract that is a grandfathered
health plan. For purposes of this section, "grandfathered health plan"
means coverage provided by a corporation in which an individual was
enrolled on March twenty-third, two thousand ten for as long as the
coverage maintains grandfathered status in accordance with section
1251(e) of the Affordable Care Act, 42 U.S.C. § 18011(e).

(e) For purposes of this section, "essential health benefits" shall
have the meaning ascribed by section 1302(b) of the Affordable Care Act,
42 U.S.C. § 18022(b).