9293ab8b____Blue_Shield_of_Rhode_Island__How_It_Affects_You
[Healthcare Reform] Grandfathering [When It Takes Effect] Applies to plans that were in effect March 23, 2010. [How It Affects You] 
Self-funded health plans may choose to "grandfather," which exempts them from some requirements of the law. Groups must communicate this decision to Blue Cross in writing.
Healthcare Reform Simplified | Blue Cross & Blue Shield of Rhode Island
How It Affects You