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Employer Notice Program


grmy2h

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An FYI for you or your business clients. I received this notice from my insurance agent.....

"Beginning in June, 2016, the Marketplace intends to phase in the employer notice program. This means, you as an employer may receive a letter from the Marketplace notifying you that an employee has been deemed eligible for a Marketplace subsidy and enrolled in coverage. This notification will only occur if the employee has correctly provided the employer’s address and the information is routed to the employer’s human resource personnel.

The Marketplace will only determine whether an individual is eligible for these subsidies when he or she applies for coverage. This determination does not establish whether the individual’s employer is liable for shared responsibility penalties, but it may provide a basis for the IRS to assess penalties against an Applicable Large Employer or ALE (a large employer with 50 or more FTEs). For this reason, as well as to help ensure that individuals do not mistakenly receive health insurance subsidies, the ACA gives all employers the right to appeal Marketplace eligibility determinations. An appeal will allow an employer to correct any inaccurate information the Marketplace may have about the health coverage it offered to an employee who was deemed eligible for subsidies."

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