Access Health CT Large Employer Mandate and Appeal Process
Large employers who offer affordable coverage that provides Minimum Value to the required number of full-time employees and their dependents (up to age 26) satisfy the “Employer Mandate” requirements. Because they offer affordable coverage, these employers are not subject to the Employer Shared Responsibility Payment. Any individual that meets the criteria should look into the Access Health CT Large Employer Mandate and Appeal Process. Large employers who fail to offer coverage, or offer coverage that is not Affordable or does not provide Minimum Value, may be subject to the Employer Shared Responsibility Payment if at least one full-time employee enrolls in health care coverage through a health insurance marketplace established under the Affordable Care Act, such as Access Health CT, and is eligible for a premium tax credits in connection with that coverage.
Employers that have fewer than 50 full-time equivalent employees (“FTEs”) do not fall into the category of “large employers”.
Therefore, they are not subject to the Employer Mandate. They will not face the Employer Mandate tax penalty. This is true whether they fail to appeal their employee’s eligibility for premium tax credits or not.
If Access Health CT informs a large employer that one of their employees is enrolled in coverage through Access Health CT and is determined eligible for a premium tax credit, the employer should complete the Employer Appeals form and email it to ExemptionsAndAppeals.ahct@ct.
We have recently had many inquiries about Large Employers receiving notice that they have failed to offer coverage, or offer coverage that is not affordable or meet minimum essential value. Attached is the form along with instructions for addressing the employer mandate inquiries.
click the form above, it is a hyperlink. This is the final form approved by legal.
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