26 CFR 54.9801-2, 29 CFR 2590.701-2, 45 CFR 144.103

Short-term coverage is not group coverage, and it does not meet the employer mandate.

Short-term, limited-duration insurance (STLDI) is a stopgap individual product, not a group plan. This guide covers the federal definition, why it does not meet the employer mandate and where the 2024 rule stands today.

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Eight Related Guides For Employers.

General information, not legal or tax advice. Each page cites the statute or IRS source it relies on.

IRS Employer Shared Responsibility Provisions

How the IRS describes the offer-or-pay rules that short-term coverage does not meet.

26 U.S.C. § 4980H

The statute behind the employer mandate, with its offer of coverage language.

26 CFR § 54.4980H-1

The Treasury definitions that tie the mandate to minimum essential coverage.

How the (a) Penalty Compounds

What a failure to offer coverage can cost over a year.

Employee Waivers of Group Health Coverage

What to collect when an employee declines your plan and buys something else.

Opt-Out Payment Calculator

Test an opt-out payment before you put it in the plan.

Special Enrollment After Loss of Other Coverage

The group plan route for employees who lose other coverage mid-year.

A Compliance Calendar for Your Plan Year

A plan-year view of the dates that matter.

The Short Version

Where Things Stand.

Short-term, limited-duration insurance is a policy written to cover a gap, such as the weeks between jobs. It is cheap to issue because it is outside most of the Affordable Care Act’s individual market rules. For an employer, the key point is simple: it is not a group health plan, so putting it in front of employees does not count as offering coverage.

The federal definition changed in 2024. As of October 28, 2026, that 2024 rule is final, but the Departments of Labor, Health and Human Services and the Treasury said in August 2025 that they do not intend to prioritize enforcing it while they consider new rulemaking. The sections below separate what is final, what is not being enforced and what we could not confirm.

The Definition

What the Federal Rule Says STLDI Is.

The same definition appears in three places: 26 CFR 54.9801-2 (Treasury), 29 CFR 2590.701-2 (Labor) and 45 CFR 144.103 (HHS). Under the current text, short-term, limited-duration insurance is health insurance coverage provided under a policy, certificate or contract with an issuer that meets two conditions.

First, it has an expiration date specified in the policy that is no more than 3 months after the original effective date, and counting any renewals or extensions it lasts no longer than 4 months in total. A renewal or extension includes a new short-term policy from the same issuer, or from a member of its controlled group, to the same policyholder within 12 months of the original effective date.

Second, a prominent notice in at least 14-point font must appear on the first page of the policy and in the marketing, application and enrollment materials. HHS’s definition of individual health insurance coverage states that it does not include short-term, limited-duration insurance. That exclusion is what places the product outside the federal individual market rules.

The Employer Mandate

Why It Does Not Count for the Employer Mandate.

Section 4980H of the Internal Revenue Code, 26 U.S.C. 4980H, applies to large employers. Subsection (a)(1) addresses an employer that fails to offer its full-time employees and their dependents the opportunity to enroll in minimum essential coverage under an eligible employer-sponsored plan. Subsection (c)(4)(A) defines a full-time employee as one who averages at least 30 hours of service per week.

The terms come from the Treasury regulation at 26 CFR 54.4980H-1, which says an eligible employer-sponsored plan has the meaning given in section 5000A(f)(2). That paragraph describes a group health plan or group health insurance coverage offered by an employer that is a governmental plan or is offered in the small or large group market within a State. A short-term policy is individual coverage that the rule carves out of the individual market, so on our reading of these provisions it is neither.

The Federal Register preamble to the 2024 rule says that because STLDI is not individual health insurance coverage, it is generally exempt from the federal individual market protections. Michigan’s insurance regulator adds that these policies lack essential health benefits and do not have to cover preexisting conditions, and it states they are not minimum essential coverage. The practical risk for an employer is that a plan built around short-term coverage leaves full-time employees without a qualifying offer, and section 4980H assigns a monthly payment to employers in that position when its conditions are met. Our penalty example page shows how that adds up. We have not verified how any particular arrangement would be treated, so have counsel review it first.

Current Status

The 2018 Rule, The 2024 Rule and Today.

2018 rule, final. The Departments published a final rule on August 3, 2018 (83 FR 38212). It allowed an initial term of less than 12 months and a total duration of up to 36 months with renewals.

2024 rule, final. The final rule published on April 3, 2024 (89 FR 23338) reset the limits to 3 months initially and 4 months in total, added the notice requirement and took effect June 17, 2024. It applies to new policies sold or issued on or after September 1, 2024. Policies sold or issued before that date stay under the 2018 provisions.

August 7, 2025, not enforced. The three Departments issued a joint statement saying that until future rulemaking is issued and applicable, they do not intend to prioritize enforcement actions for violations of the 2024 definition, including its notice provision. HHS encouraged states to take a similar approach. The statement does not say the 2024 rule is rescinded and gives no timeline.

Proposed, not found. The Departments said they intend to consider amending the definition through notice-and-comment rulemaking. A law firm report of a court filing said the government expected proposed regulations by summer 2026. When we checked on October 28, 2026, the Department of Labor’s STLDI page listed nothing newer than the August 2025 statement, so we could not confirm that a proposal has been published. Check the page before you rely on this.

Michigan

What We Could and Could Not Confirm.

The Michigan Department of Insurance and Financial Services publishes a consumer FAQ on short-term coverage, last updated October 1, 2025. It describes a coverage period of 185 days out of any 365-day period with the same insurer, no renewal or extension beyond that, and none of the Affordable Care Act’s essential health benefits, annual or lifetime limits, or cost-sharing caps. The page is a summary and cites no Michigan statute, rule or bulletin, so we are not stating a Michigan legal citation or effective date.

If you are deciding how to treat a short-term policy for an employee who is between plans, the group plan route is usually cleaner. Special enrollment after loss of other coverage is covered in our guide above, and your plan documents control the timing.

Next Steps

What to Do With This.

Do not offer or recommend short-term coverage as your employer plan. Treat it as a personal choice an employee makes, and keep a signed waiver if the employee declines your group plan. Confirm that your offer reaches every full-time employee, and put the dates in your compliance calendar. If you want us to review a plan design, a waiver process or an opt-out payment, we can do that with you as part of your renewal.

Sources

Laws and Sources

26 CFR 54.9801-2: Treasury definition of short-term, limited-duration insurance, with the 3-month and 4-month limits.

29 CFR 2590.701-2: Labor Department version of the same definition.

45 CFR 144.103: HHS definitions, including individual health insurance coverage, which excludes STLDI.

26 U.S.C. 4980H: Employer shared responsibility payments and the full-time employee definition.

26 U.S.C. 5000A: Minimum essential coverage and the eligible employer-sponsored plan definition.

26 CFR 54.4980H-1: Treasury definitions for the employer mandate.

Federal Register, April 3, 2024: The 2024 final rule on short-term, limited-duration insurance, effective June 17, 2024.

Departments’ Statement, August 7, 2025: The non-enforcement statement on the 2024 definition.

CMS Copy of the August 7, 2025 Statement: The same statement as published by CMS.

Michigan DIFS, Short-Term Limited Duration FAQ: The state regulator’s consumer summary, updated October 1, 2025.

General information, not legal or tax advice.

Common Questions

Quick Answers.

Brief answers to what employers ask about short-term coverage, each linked to a fuller page.

Is short-term limited-duration insurance a group health plan?

No. The federal rules define it as health insurance coverage that is not individual health insurance coverage, and it is sold to individuals, not offered as a small or large group plan. That is why the group market rules do not apply to it.

Does offering short-term coverage satisfy the employer mandate?

No. Section 4980H looks for an offer of the opportunity to enroll in minimum essential coverage under an eligible employer-sponsored plan, which means a group health plan or group coverage. Michigan’s insurance regulator states that short-term policies are not minimum essential coverage.

Can an employee waive our group plan and buy short-term coverage instead?

An employee can decline your plan, but the statute turns on your offer, not on what the employee buys instead. A short-term policy does not take the place of a valid offer, and it leaves the employee without the protections of a group plan. Keep a signed waiver on file.

Is the 2024 federal rule on short-term coverage being enforced?

The 2024 rule is final and limits a new policy to 3 months initially and 4 months in total. On August 7, 2025, the Departments said they do not intend to prioritize enforcement of that definition until future rulemaking is issued and applicable. They have not said the rule is rescinded.

What does Michigan say about short-term coverage?

Michigan’s insurance regulator publishes a consumer FAQ stating that a policy runs for 185 days out of any 365-day period with the same insurer and has no essential health benefits. We could not confirm a statute citation behind that figure, so ask us before relying on it.

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