Can My Employer Pay for Individual Health Coverage?


Can my employer pay for my health insurance coverage?

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My employer is reimbursing my coworker every month for her $300 medical insurance under covered california. He has not offered this to me or an other type of insurance even though i have asked. Is this legal for him to do?

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Yes, it can be. It has to do with how many hours you work over what time period (measurement periods).

SEE: https://obamacarefacts.com/questions/initial-measurement-period-start-date/

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This tells me nothing about small businesses. Can a small business – one not required to provide health insurance because it has fewer than 50 FTE employees – reimburse or partially reimburse an employee for their ACA premium?

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I updated the answer. The general answer is generally it is best to offer a group plan, however ZaneBenefits has been suggesting a “carefully structured” section 105 plan. Documentation over the years suggests Zane is right, but we’ve been erring on being neutral in the discussion. You can learn more here: https://www.zanebenefits.com/blog/Section-105-Plans-for-Dummies.

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If I cant reimburse and I cant afford good health care from Highmark/UPMC…what is my options so our employees are covered. Highmark is forcing the small company out for what ever reason….what are my options?

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All businesses with less than 100 FTE can start using the SHOP marketplace for group coverage. Smaller businesses can get tax breaks. In theory the SHOP helps avoid businesses from getting swindled by health brokers looking to extort small businesses who lack the buying power of larger firms.

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can an employer pay for medical insurance that is the employer offers the employee . for instance an employee is out on w/c injury and cant afford the premium that was coming out of his check, can the employer pay it .

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The employer can’t pay an employee premium directly. 100% bottom line. The payment will be rejected if it comes from a business account. An employer has to provide compensation, and then the employee can use that compensation to pay the premium. That said, employers can use different methods of compensation, but this gets into heady business law stuff.

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