HealthCare.gov includes all the information you need to apply for and provide health insurance to your employees through the SHOP Marketplace. But other parts of the Affordable Care Act affect employers too. Follow the links below to learn more.
New rules require you to provide certain information about the Marketplace to your employees, whether you offer health insurance or not. Get details on new reporting requirements (PDF).
Under the health care law, if you offer insurance you must offer it to all eligible employees within 90 days of their start date. The IRS provides guidance on the 90-day waiting period rules (PDF).
Employers must provide employees with a standard “Summary of Benefits and Coverage” form explaining what their plan covers and what it costs. The purpose of the SBC is to help employees understand their health insurance options. You could face a penalty for non-compliance. Learn more about SBCs and see a sample completed form.
Under the health care law, employees can’t contribute more than $2,500 to their Flexible Spending Accounts. That limit doesn’t apply to employer contributions. There are now two options for employers to allow employees to carry over unspent FSA funds into the following year. Learn more about the grace period options (PDF).
The Affordable Care Act creates new incentives to promote employer wellness programs and other activities that support healthier workplaces. The maximum reward to employers using a wellness program that’s contingent on employee health has increased from 20% to 30% of the cost of health coverage. The maximum reward for programs designed to prevent or reduce tobacco use is 50%. Learn more about wellness incentives.
Starting in 2015, some employers will be subject to new Employer Shared Responsibility provisions. Employers may have to make payments depending on the number of employees they have, the type of insurance they offer, and other factors. Learn more about Employer Shared Responsibility.
Beginning in 2015, the health care law requires new information reporting by the following: employers with 50 or more full-time (or full-time equivalent) employees; health insurance issuers; self-insuring employers of any size; and other parties that provide health coverage. Learn more about these reporting requirements from the IRS.
Under the health care law, insurance companies must spend at least 80% of premium dollars on medical care. Insurers that don’t meet this requirement must provide rebates to policyholders -- usually an employer that provides a group health plan. Employers who get these premium rebates must determine if the rebates constitute plan assets, and if so, allocate the rebate properly. Learn more about federal tax treatment of Medical Loss Ratio rebates from the IRS.