Determining “Minimum Value” of Health Plan Coverage

Health Care Reform Legislative BriefEffective for 2014, a large employer may be liable for a penalty under the Affordable Care Act’s (ACA) “pay or play” rules if any of its full-time employees receives a premium tax credit through a state-based health insurance exchange (Exchange). A “large employer” is an employer with at least 50 full-time equivalent employees during the preceding calendar year.

To qualify for the premium tax credit, an individual cannot be eligible for other minimum essential health coverage, including coverage under an employer-sponsored plan that is affordable to the individual and provides minimum value. Thus, an individual may receive a premium tax credit if his or her employer’s group health coverage does not provide minimum value.

Click Minimum Value Requirement for more.

 

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