1. Affordable Care Act Basics

2. What is the Affordable Care Act?
Signed into law March of 2010
Health Insurance is a requirement for most
You can no longer be declined for insurance
Also known as “ObamaCare”

3. Who is the ACA For? IF your client… SOLUTION IS…
Application During Open Enrollment
Client has Qualifying Life Event
HealthCare.gov ACA Plan

4. 60 window to purchase insurance
Qualifying Life Event
QLE is a change in your life that can make you eligible to enroll in ACA health coverage.
Special Enrollment Period
60 window to purchase insurance

5. Tax Penalties

6. Subsidies and Cost Sharing
Subsidies – tax credits that reduce your plan premium
Cost Sharing – Reduction of out of pocket costs
Deductibles
Co-Pays
Max Out of Pockets
You may receive a Subsidy IF…
Household income is between 100% - 400% of FPL
You may also receive Cost Sharing IF…
Household income is between 100% - 250% of FPL

7. Subsidy and Cost Sharing Chart

8. Calculating the Credits
What Income is not Included?
Child Support
Gifts
Supplemental Security Income
Veterans Disability Payments
Workers’ Compensation

9. The Metal Levels Keep it Simple
Bronze
Silver
Cost Share
Gold
Platinum
Deductible Range
$3,500 – $6,600
$2,000 – $3,500
$0 – $1,500
$1,000 – $2,000
$0 - $1,500
Cost $ $$
$$$
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