IEA Region 67 Presents: Understanding the Affordable Care Act  Benefits & Options Available Under ACA  Employer-Based Coverage  Health Plan Exchanges  Work Hours for Part- time Faculty & Other  Employer Penalties  Collective Bargaining Issues  Other Issues

Unparalleled Improvements Under the Affordable Care Act (ACA)  32 million uninsured to be eligible for healthcare;  No denials due to pre-existing conditions;  No gender discrimination on premiums;  Ends annual and lifetime caps on health coverage;  Covers dependents up to age 26;  Wellness/preventive care; mental illness and drug addiction coverage provided;  Lowers cost, improves quality thru payment reform;

But our work to make healthcare affordable is far from finished. Governor & State legislature The Bargaining Table

Medicaid Exchanges The Main Elements of ACA Coverage Under the ACA, starting January 1, 2014, working people will get their health insurance via one of 3 ways: Employer- provided coverage

Medicaid The ACA expands Medicaid for all adults and children up to 138% of Federal Poverty Level (FPL) This includes individuals and families who are citizens or legal residents for 5 yrs. (Based solely on earned income--not assets.)

The Case for Medicaid Expansion Excellent option for members who meet the eligibility requirements but don’t have access to an affordable employer plan. Under the ACA, the federal government pays 100% of the costs of Medicaid expansion through 2016; this gradually drops to 90% of the cost in States who opt in to the expanded Medicaid program will SAVE more than they spend, as their costs for other social programs would be reduced.

Eligibility for Medicaid Expansion Family size Annual Income (up to 138% of Federal Poverty Level) Hourly rate for family of 1 Hourly rate for family of 2 1 $16,006$7.70N/A 2 $21,681$10.42N/A 3 $27,355$ $33,030$15.88$ $38,705$18.61$ $44,379$21.34$ $50,054$24.06$ $55,729$26.79$13.40

The ACA creates “exchanges” so individuals who are without health care options can get individual coverage. Subsidies are provided based on a sliding scale for those earning up to 400% of Federal Poverty Level (FPL). (Persons are not eligible for the exchanges if the Employer provides “affordable” insurance, or if the person(s) qualify for Medicaid, or CHIP.)

Insurance Exchanges  Exchanges will be open to individuals and small employers (50 or fewer employees) on January 1,  Sign-up for exchange starts October 1,  In 2017, states will have option of opening exchanges to large employers as well.

Subsidies Under ACA  U.S. citizens and legal residents who do not have access to Medicaid, CHIP or suitable employer-sponsored coverage can get subsidies for health care purchased on the exchanges.  Cost of premiums and quality of coverage will vary based on income and family size.

Exchange Coverage Four tiers of coverage Bronze-- 60% of the Actuarial Value (Total value of plan) Silver-- 70% of the Actuarial Value Gold-- 80% of the Actuarial Value Platinum- 90% of the Actuarial Value

Actuarial Value: the percentage of TOTAL covered expenses that the PLAN pays. The balance is paid “out-of –pocket” by worker: deductibles, copays, etc. NOTE: The coverage will vary for those who receive subsidies. Benefit PackageSummaryEstimated Actuarial Value Medicaid for children Full payment for “necessary” health services. 100% Typical employer- sponsored HMO No deductible, $20 copay for office visits, $250 hospital copay, no cost sharing for lab and x-ray 93% Typical employer- sponsored PPO (large firm) $400 deductible, 20% coinsurance, $2,000 out-of-pocket max 84% Sample “Bronze” plan $3,000 deductible, 20% coinsurance, $5,950 out-of-pocket max 60% Sources: Congressional Research Service, “Setting and Valuing Health Insurance Benefits,” April 6, 2009; sample Bronze plan developed and estimated by Towers Watson

Exchange Subsidies Subsidies on sliding scale based on income & family size For those who earn between 100% and 200% of the Federal Poverty Level, care options may range from very comprehensive to ordinary. For those who earn more than 200% of the Federal Poverty Level, subsidies will provide for benefits that are much less attractive.

Exchange example 1: 149% FPL  Family of 1 earning $16,200 in 2011 pays $56/mo.  Family of 2 earning $21, pays $76/mo.  Family of 4 earning $33,300 in 2011 pays $116/mo. No Charge for Preventive/Wellness Care Typical Deductible: $0 Typical Co-Insurance: 8% Maximum Out of Pocket: $2100 Estimated benefits based on Kaiser Family Foundation Study)

Exchange Example 2: 204% FPL Premium Max: 6.5% of incomeAV: 73% (assumes 2%/year income growth)  Family of 1 earning $22,250 in 2011 pays $127/mo  Family of 2 earning in $30, pays $171/mo  Family of 4 earning $45,500 in 2011 pays $258/mo No Charge for Preventive Care Typical Deductible: $1,750 Typical Co-Insurance: 25% Maximum Out of Pocket: $3200 (Premiums are for 2 nd least expensive silver plan in exchange. Estimated benefits based on Kaiser Family Foundation Study)

Employer insurance and exchange subsidies Employees who can get insurance from their employer are not eligible to participate in exchanges, unless the employer’s coverage is either : “Unaffordable” OR “Below Minimum Standards”

Employer insurance and subsidized coverage on the Exchanges Unaffordable: If the cost of employer-provided individual insurance exceeds 9.5% of total family income. Example: Single head of household makes $15/hour, or $31,200/year. If his/her share of premium exceeds $2,964/year, or $247/month for individual coverage is it considered “unaffordable.”

Employer insurance and subsidized coverage on the Exchanges Definition of “Inadequate” An insurance plan that pays less than 60% of the total health costs (not including premiums). (Actuarial Value below 60%) Very low thresholds – many high-deductible plans will still meet this standard.

Eligibility Rules for Subsidized Dependent Coverage The Employer’s offer of individual coverage for less than 9.5% of family income and offer of dependent coverage at ANY price will disqualify dependents for subsidized coverage on exchange. Children who are eligible for Medicaid or CHIP are not eligible for exchange. Only if employer does not offer spouse coverage and spouse does not have affordable coverage from his/her employer, then spouse WOULD be eligible for subsidized coverage on exchange.

Employer Penalties Applies to employers with over 50 FTE’s Penalty of $2,000 per employee if employer does not offer coverage to at least 95% of full-time workers; or IF employer offers coverage, but plan is inadequate or unaffordable for some employees: $3,000/FT penalty for each worker who then gets subsidized coverage on the exchange. Many employers are carefully calculating if it is “cost beneficial” to maintain health insurance “Play” or to pay the penalty “Pay”.

Individuals must maintain minimum essential coverage or receive tax penalty for each month without coverage; Exceptions: No penalty if coverage not available for less than 8% of family income No penalty if under tax filing income threshold, if undocumented, or if valid religious objection Individual Penalties

IRS Scrutinizes How Colleges Calulate Adjunct Hours  On 1/2/13, the IRS proposed rules that would consider calculating hours spent outside of the classroom which are necessary to teach a class.  One plan being considered is to calculate 3 hours for every classroom hour taught.  Deadline for public comments: 3/18/13

Colleges Limit Adjunct Hours Several colleges, including Oakton CC, Youngstown State, and Allegheny CC have publicly announced plans to limit adjunct hours. Over the next several months, more colleges could follow suit. (Hours compiled through teaching at multiple colleges do not count toward achieving full-time status.)

Potential Collective Bargaining Issues Be Pro-Active. Don’t wait for management to announce its own plan. Get the information and develop the local’s strategy and proposals. Maintenance of Hours provision. To protect part-time faculty and other employees from having hours cut. Define “Reasonable” in a way that advances union’s goals. Different strategies include a “1 to 1” approach, or an expanded definition of 75%. Carefully analyze any new or existing health care plan to see if it meets litmus test for eligibility under ACA. Employer subsidy for exchange. Consider an employer- provided subsidy for employees required to purchase health insurance on the exchange.

Possible Collective Bargaining Issues Grandfathered contracts. Some existing health care plans may grandfather until contract expires if the contract signed before March 23, 2010; Information requests. May be helpful to help clarify if college intends to cut part-time employees’ hours and/or provide a new or revised health care plan that is acceptable under the ACA. Dependent Children. Remember to take into account that children can receive strong health care coverage under CHIP’s Spousal coverage. Remember also that spouses may be eligible for exchange only if there is no spousal coverage offered under Employer’s plan.

SO WHAT’S THIS MEAN FOR US?  Move State of Illinois to fully expand Medicaid;  Win at the bargaining table — ensure that workers have access to quality and affordable insurance coverage;.  Pressure employees not to cut adjunct/part-time employee hours  Evaluate employer coverage vs. exchange  Promote multi-region, multi-union coordination