Shock Number One
Shock Number Two
You as an employer offer affordable minimal essential coverage to your employee. Most, if not all, of my clients do. The coverage must at least be comparable to a bronze plan and can't cost the employee any more than 9.5% of their W-2 Income. Here is where the shock comes in. You have an employee that hears that they are going to get a penalty or thinks the cost under the employer plan is too expensive. They now decide to go check out the exchange and see what that's all about. They sign up for coverage and get a nice subsidy based on their income. In this case lets say they are an individual and get a $250 subsidy per month to help pay for their coverage. Here is the problem, if your employee is offered affordable, minimal essential coverage at work, they aren't eligible for a subsidy on the exchange and will have to pay back all of those subsidy dollars. In this case $3,000.
Please let your employees know that they should not go to the exchange to get coverage with a subsidy for themselves unless they have have written proof from an exchange representative that they are eligible. However, they may be eligible for subsidy's for their spouses and children as those coverages when added to their individual coverage may be unaffordable as most employers help pay for the cost of the individual not the spouses or dependents.
If your employees are eligible for Medical Assistance this is considered affordable minimal essential coverage and is allowed even if the employer offers affordable minimal essential coverage.
Please keep in mind that the IRS requires all employers to report to the IRS what employees have what coverage every year. For employers under 50 lives, this is done at the carrier level.
Please keep in mind that the IRS requires all employers to report to the IRS what employees have what coverage every year. For employers under 50 lives, this is done at the carrier level.
If you have any questions regarding this information please feel free to contact me at 410-239-5009.