Tuesday, June 10, 2014

Employer Mandate & Exchange Notices

Good Afternoon,

Beginning in 2015, employers are required to provide their full-time employees with a health insurance plan that is affordable.  If an employer does not provide affordable coverage and a full-time employee receives a tax credit by purchasing a health insurance plan through an Exchange, the employer will be subject to penalties and fines.  This regulation is better known as the Employer Mandate.  It is important to remember that the Employer Mandate only applies to employers with 50 or more employees.  The Employer Mandate does not take effect until 2015, but beginning in April of 2014 health insurance Exchanges will begin to provide notices to employers informing them of which employees purchased a health plan through an Exchange and received a tax credit.  Please note if an employer receives a notice in 2014 these notices won’t be as important as notices that are received in 2015 since the Employer Mandate has been delayed until 2015.  The notices will be provided to inform the employer of any employee who received a tax credit through the Exchange.  It will not differentiate if the employee was a full-time employee or a part-time employee.  This is why it is critical for the employer to have a proper method in place for handling these notices and appealing them if the notices are inaccurate.

If an employer receives an Exchange notice, these notices should be directed to your HR department or your company’s payroll administrator.  These departments will have the capability to track and note which employees received a tax credit through the Exchange.  These departments will also be able to differentiate which employees were part-time or full-time and provide the proper documentation to appeal a notice that may be inaccurate.  Employers should make all employees who handle the company’s mail aware of these notices and inform them of which department to direct the notice.  It is imperative the proper department receives these notices as they will have 90 days to appeal if the notice states a full-time employee received a tax credit.  If the notice is inaccurate and the employer does not appeal within the 90 days then the employer would be responsible for the fine or penalty.

If your company has received an Exchange notice and you have questions regarding it or need a solution on how to track these notices, please contact our office. 

Thank You.