New Health
Insurance Marketplace Coverage Options and Your Health Coverage
Part A: General
Information
When
key parts of the health care law take effect in 2014, there will be a new way
to buy health insurance: the Health Insurance Marketplace. To assist you as you
evaluate options for you and your family, this notice provides some basic
information about the new Marketplace and employment-based health coverage
offered by your employer.
What is the Health
Insurance Marketplace?
The
Marketplace is designed to help you find health insurance that meets your needs
and fits your budget. The marketplace offers “one-stop shopping” to find and
compare private health insurance options. You may also be eligible for a new
kind of tax credit that lowers your monthly premium right away. Open enrollment
for health insurance coverage through the marketplace begins in October 2013
for coverage starting as early as January 1, 2014.
Can I Save Money on
my Health Insurance Premiums in the Marketplace?
You
may qualify to save money and lower your monthly premium, but only if your
employer does not offer coverage, or offers coverage that does not meet certain
standards. The saving on your premium that you are eligible for depends on your
household income.
Does Employer
Health Coverage Affect Eligibility for Premium Savings through the Marketplace?
Yes.
If you have an offer of health coverage from your employer that meets certain
standards, you will not be eligible for a tax credit through the Marketplace
and you may wish to enroll in your employer’s health plan. However, you may be
eligible for a tax credit that lowers your monthly premium, or a reduction in
certain cost-sharing if your employer does not offer coverage that meets
certain standards. If the cost of a plan from your employer that would cover
you (and not any other members of your family) is more than 9.5% of your
household income for the year, or if the coverage your employer provides does
not meet the “minimum value” standard set by the Affordable Care Act, you may
be eligible for a tax credit.
Note: If you purchase a health plan
through the Marketplace instead of accepting health coverage offered by your
employer, then you may lose employer contribution (if any) to the
employer-offered coverage. Also, this employer contribution -as well as your
employee contribution to employer-offered coverage- is often excluded from
income for Federal and State income tax purposes. Your payments for coverage
through the Marketplace are made on an after-tax basis.
How Can I Get More
Information?
For
more information about your coverage offered by your employer, please check
your summary plan description.
The Marketplace can
help you evaluate your coverage options, including your eligibility for
coverage through the Marketplace and ist cost. Please visit HealthCare.gov for more information, including an online application
for health insurance coverage and contact information for a Health Insurance
Marketplace in your area.