Download presentation
Presentation is loading. Please wait.
Published byCharles Webb Modified over 9 years ago
1
“Creating A More Educated Georgia” The Affordable Care Act (ACA) Shared Responsibility Mandate 1
2
“Creating A More Educated Georgia” Shared Responsibility Mandate If employer offers coverage, must be offered to 95% of full- time employees Must be Affordable Must meet Minimum Value Standards Use Safe Harbor guidelines to determine track time of 2
3
“Creating A More Educated Georgia” Coverage Defined as: 95% of full-time employees Full-time is defined as average of 30+ hours per week Includes employee’s children to age 26 Spouses or domestic partners not required Must have the opportunity to enroll at least once per year 3
4
“Creating A More Educated Georgia” Affordability Affordable coverage is coverage that is 9.5% or less of household income Federal government offered 3- Safe Harbors to employers USG is using the Federal Poverty Line Safe Harbor: Must offer coverage with an employee premium that is 9.5% or below the Federal Poverty level 2014 Federal Poverty level is $11,680; 9.5% of $11,680 is $1,110 or a monthly premium of $92 USG High Deductible Health Plan monthly premium is $47 Under Safe Harbor, employee is not eligible for subsidy in the exchange market and USG would not be subject to penalties 4
5
“Creating A More Educated Georgia” Minimum Value 60% minimum plan value based on ACA rules definition of “essential health benefits” Healthcare Plan’s actuary has confirmed all USG Healthcare plans meet Minimum Value coverage as defined by ACA 5
6
“Creating A More Educated Georgia” Penalties for not meeting Shared Responsibility requirements If don’t meet coverage requirements: $2,000 times total number of FTEs – not counting first 30 FTEs if don’t meet coverage requirements If don’t meet affordability requirements: Up to $3,000 annually for each FTE receiving income based assistance for health insurance exchange coverage Each USG institution’s management is accountable and responsible for achieving and maintaining compliance with the requirements under the Affordable Care Act Each USG institution will be held financial accountable for non-compliance 6
7
“Creating A More Educated Georgia” Tracking Time Worked - initially all employees not offered health insurance Safe Harbor Tracking Method Look-back or measurement period (3-12 months), this is the period of time in which hours will be tracked for part-time employees; standard year after year After the measurement period, employers have the option to have an administrative period (up to 90 days); this period is used to determine eligibility and facilitate enrollment of any employees who meet eligibility Stability period – period during which part-time employees who met eligibility may elect to participate in the healthcare plan (6-12 months) Hours worked for faculty must be calculated based on the academic year to determine eligibility unless they work during the summer 7
8
“Creating A More Educated Georgia” Example Tracking Periods 8
9
“Creating A More Educated Georgia” Reporting Employers are required to report their employer provided health coverage data to the Federal Government 9
10
“Creating A More Educated Georgia” Three Major Impacts 1.Must revise the USG Employee Category Policy and the definitions of employment and employee types 2.Develop a Conversion Chart for Credit hours to hours worked for part-time faculty 3.Set up tracking method to determine health benefits eligibility for part-time workers 10
11
“Creating A More Educated Georgia” Final Guidance Released February 10, 2014 Further Guidance on types of employees and hours of service 2015 Transition Tracking Period Provisions Transitional 6 month tracking period Must begin 11
12
“Creating A More Educated Georgia” Definitions from Guidance Seasonal Variable Hour Adjunct Faculty Rehired employees 12
13
“Creating A More Educated Georgia” Student Employees 13
14
“Creating A More Educated Georgia” Proposed Definition of Student Employees Currently not exempt under ACA Proposed solution is to revise the Employee Category Policy: Students must work part-time except during the summer and holidays and may not exceed 1300 hours in any consecutive 12-month period International students and work study students must work no more than 20 hours per week 14
15
“Creating A More Educated Georgia” Next Steps Collect feedback from this group and from system-wide VPAAs, CBOs, and CHROs, last week of February or first week of March Finalize documents and distribute system wide mid-March Training sessions first two weeks in April 15
16
“Creating A More Educated Georgia” Send suggestions/comments to VPAA listserv 16
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.