The Affordable Care Act (ACA) requires employers across all segments to provide their employees with a written notice of existence of public health insurance exchanges and eligibility for premium tax credits or cost sharing (if applicable for employer's plan), regardless of whether the exchange is operated by the state or the federal government.
Who do employers need to notify?
Employers must send a notice to all full and part time employees, whether or not they are on the employer's group health plan. Even if the employer does not offer group coverage, they are still required to send out a notice. Employers do not have to notify employees' dependents or others who are eligible for coverage but are not employees.
When do employees need to be notified?
Current employees must be notified by October 1, 2013. New employees hired on or after October 1, 2013, must receive this notification within 14 days of their start dates.
How do employers know if their plans meet the minimum value standard?
Some of the questions within the model notice ask employers to indicate if their plans meet the minimum value standard. If company’s health plan does not meet the minimum value standard, the employees may be able to get a tax credit by buying health insurance on a federal or state exchange.
Please note: A health plan meets the ACA's minimum value standard if it pays for at least 60 percent of each covered employee's health care costs.
Is there an approved template employers should use?
The U.S. Department of Labor (DOL) created model notices that you can use to notify employees. If you would like a copy of the template or would like to talk with an agent about your company’s current health plan offerings, please call J.R. Torres at 407-558-6198 or e-mail him at [email protected]