In a group health plan covering multiple states, which aspect is NOT influenced by state regulatory jurisdiction?

In a group health plan that covers multiple states, the aspect that is not influenced by state regulatory jurisdiction is the continuation of coverage under COBRA. The Consolidated Omnibus Budget Reconciliation Act (COBRA) is a federal law that provides continuation coverage for individuals who might otherwise lose their health insurance benefits due to certain qualifying events, such as job loss or reduction in work hours. This federal regulation establishes a uniform set of rules applicable across all states regarding the continuation of group health insurance coverage.

While eligibility requirements, required provisions, and minimum enrollment percentages can vary from state to state due to differing state regulations governing insurance, COBRA acts as a standard federal mandate that does not permit states to alter its fundamental terms or requirements. This means that regardless of the specific state laws where the group health plan operates, COBRA's provisions for continuation coverage remain consistent and uniformly applied.