Why Is My Employer Refusing to Offer Health Benefits?


I work for a very large health care company with several thousand employees. I was hired as a pay-per-visit-employee. I have always worked in excess of 30 hours per week however, I am not eligible for the company’s health insurance benefits because I am only a pay per visit employee. Can they avoid the ACA mandate of offering me health care coverage just because of my job classification?

Leave a comment

We'll never share your email with anyone else.

1 2 3 4 5

This site uses Akismet to reduce spam. Learn how your comment data is processed.

I am a full time employee for large company. For 10 years. I went out on leave and was on disability for 1 year they held my position and kept me in the system. I came back to work in may and was told i wouldnt qet benefits until jan 2021 i didnt work enough hours. They calculated the time i was off on disability Now they say i dont get them for this whole year because again i dudnt work enough hours I have been told to contact corporate which I’ve done and I have written at least 10 emails with no response whatsoever I’ve been trying to get a written policy or written statement as to why I do not get benefits and I have received nothing

Reply

My new employer offers medical benefits after you have been employed for a year. Can I get insurance through Obamacare in the meantime.

Reply

Yes. The rule for not getting marketplace coverage when you have employer coverage is based on having access to employer coverage. So until you can actually enroll in an employer plan, you can use the marketplace and will qualify for cost assistance based on income.

Reply

I work in Illinois and my company is out of Indiana. I work over 40 hours a week and my company doesn’t offer any form of health care . I’m in need of a affordable option. Now that I got a family

Reply

I asked my boss for insurance he said no, but I don’t think he’s paying the penalty. How do I repot him to pay the penalty or force him to give me insurance

Reply

My employer refuses to give me my heath insurance for 2016 cause they claim I didn’t meet the deadline when I did. What can be done

Reply

i am a full time employee. my company has blue cross blue shield but refuses to sign me up. i have heard every excuse imaginable. my medical bills are in the thousands and i have been eligable for 17 months now. im also being penalized by the IRS. i’m confused about my rights.

Reply

For 2015 a large employer only has to insure 75% of full-time employees, starting in 2016 it’s 95%. If you work for a large employer who doesn’t offer coverage you can get coverage with cost assistance through the health insurance marketplace. You may need to have your employer fill out an employer coverage tool https://www.healthcare.gov/downloads/employer-coverage-tool.pdf . Although typically this is used to show an employer offers coverage that isn’t affordable, not that they simply aren’t expanding coverage to you.

The kicker here is that you were supposed to be getting coverage through the private market (including the marketplace) since 17 months ago. Your employer should have made this more clear to you, but they didn’t technically break any laws by not doing this. What you should do is check with your employer if you will be offered coverage before January 1st. If not make sure to enroll in a plan by December 15th of this year to have coverage that starts as early as January 1st of the next year. You’ll owe the fee for this year but can get on the right track starting next year.

You can also go for the long shot and try to explain to the marketplace the situation and see if you qualify for special enrollment.

https://obamacarefacts.com/obamacare-employer-mandate/

Reply

I am employed by a company that offers medical, dental, and vision. However, people were having trouble logging on during open enrollment so they extended the open enrollment by a few days. I was never able to login and I’ve contacted my company at least a half a dozen times and told them that I was never able to sign up for benefits. I still can’t get anyone to help me. What should I do? It’s been a few months now.

Reply
ObamaCareFacts is a free informational site. It's privately owned, and is not owned, operated, or endorsed by the US federal government or state governments. Our contributors have over a decade of experience writing about health insurance. However, we do not offer professional official legal, tax, or medical advice. See: Legal Information and Cookie Policy. For more on our company, learn About ObamaCareFacts.com or Contact us.