Risk & Business Magazine General Insurance Services Fall 2019 | Page 7
NEW EMPLOYEE BENEFIT
• individual insurance coverage
purchased on an ACA Exchange; • Nonsalaried employees (i.e., hourly
employees) • individual insurance coverage
purchased outside of an ACA
Exchange (including coverage
purchased through a private exchange
model); • Employees whose primary site of
employment is in the same rating area •
• Seasonal employees •
Employees who are covered by a
collective bargaining agreement (CBA) •
•
•
student health insurance coverage; or
catastrophic health insurance
coverage.
One key restriction to keep in mind is if
an employer offers an ICHRA to a class of
employees, the employer cannot also offer
a traditional group health plan to the same
class of employees.
EMPLOYEE CLASSES
Employers with ICHRAs may make
distinctions between different groups of
employees, using the following employee
classes:
•
•
•
Full-time employees
Part-time employees
Employees who are paid on a salary
basis
• Employees who have not satisfied a
waiting period for coverage
• Nonresident aliens with no US-based
income
•
• Temporary employees of staffing firms
Any group of employees formed by
combining two or more of these
classes
MINIMUM CLASS SIZE
A minimum class size requirement applies
if an employer offers a traditional group
health plan to some employees and an
ICHRA to other employees based on the
following classes: full-time versus part-
time status; salaried versus nonsalaried
status; or geographic location, if the
location is smaller than a state.
The minimum class size is determined
prior to the start of the ICHRA plan year
and depends on the employer’s size, as
follows:
•
employers with fewer than 100
employees: at least 10 employees
employers with 100–200 employees:
at least 10 percent of the total number
of employees
employers with more than 200
employees: at least 20 employees
Whether a class of employees satisfies the
minimum class-size requirement for a plan
year is based on the number of employees
in that class who are offered the ICHRA as
of the first day of the plan year.
For more information about ICHRAs
and how this new benefit could make an
impact on your business, please give me
a call 219.510.6207 or send me an email
at [email protected]. I’d be happy
to provide additional information and
resources. +
Striving to make every day
better for business.
For information about UnitedHealthcare group plans,
and how we’re working to lower costs and improve
health outcomes, go to uhc.com/employer.
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