If I get a job that offers insurance, can I keep the MarketPlace policy I have now and just pay the additional portion covered by the the subsidy?


Answer

Yes!  You do not have to accept employer-sponsored health coverage if it is offered to you, but upon having access to such a plan, you will no longer qualify for most of the cost assistance you were initially offered.

However, if the job-based coverage would cost more than 9.5% of your household income after deductions, then it is not considered affordable.  As such, you could still shop for health insurance on the marketplace and be eligible for Cost Assistance.

As such, you can

  1. Keep your Marketplace plan and additionally pay the amount previously covered by your subsidies, or
  2. Qualify for a Special Enrollment Period specific to the job-based policy you were offered.  You will then be able to switch to the plan your employer offers you.

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Les Craddock on


Answer Rating:

THANKS!

marie on

My husband and I currently have insurance through the market place and I just got a job. The job insurance is offered to my whole family. My husband is scheduled to have surgery in the next 2 months and his ortho isn’t covered with the new work insurwnce…what would happen if I was to accept my work insurance for just me and leave him with Obama care? Or could I get my work insurance for the both of us and also keep Obama care for the next 2-3 months as well until he had his surgery. Any advice would be greatly appreciated!!

Lisa on

How do they figure the 9.5%? Let’s say one was out of work for a few months and would soon be eligible for insurance through their new employer. They already have a marketplace plan and would like to keep it (Employer only offers worthless United plans).

Do you take the expected annual income vs. how much it would have cost to insure them for the entire year (had they been eligible – i.e. weekly cost x 52) or do they somehow go month by month?

ObamaCareFacts.com on

Great question. It is (from what I understand) always based on annual figures. So you take your monthly premium and x12 and compare that to your projected household income (which is roughly MAGI plus dependents AGI). You then compare that to the federal poverty level.

Could be less complicated, but that is the gist.