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www.flexiblebenefit.com © 2014 Flexible Benefit Service Corporation. All Rights Reserved. Employer Mandate Year 2015 2016 Applicability Employers with 100 or more employees* Employers with 50 or more employees Requirements to avoid penalties 1. Offer Coverage to 70% of FT Employees 2. Coverage must meet minimum value and affordability guidelines 1. Offer Coverage to 95% of FT Employees 2. Coverage must meet minimum value and affordability guidelines Who is considered full-time (FT)? Employees working 30 hrs/wk Employees working 30 hrs/wk What is the minimum value? 60% actuarial value 60% actuarial value When is coverage affordable? Employees pay no more than 9.5% of wages for self-only coverage for lowest cost plan Employees pay no more than 9.5% of wages for self-only coverage for lowest cost plan Maximum penalties $2,000/yr per employee if fewer than 70% of FT employees are offered coverage (less 80) $3,000/yr per employee if coverage does not provide minimum value and/or is unaffordable $2,000/yr per employee if fewer than 95% of FT employees are offered coverage (less 30) $3,000/yr per employee if coverage does not provide minimum value and/or is unaffordable *Exemption required for employers with 50-99 employees Questions? 888-353-9178

ACA Employer Mandate Chart 2015 vs. 2016

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Page 1: ACA Employer Mandate Chart 2015 vs. 2016

www.flexiblebenefit.com © 2014 Flexible Benefit Service Corporation. All Rights Reserved.

Employer Mandate Year 2015 2016

Applicability Employers with 100 or more employees* Employers with 50 or more employees

Requirements to avoid penalties

1. Offer Coverage to 70% of FT Employees

2. Coverage must meet minimum value and affordability guidelines

1. Offer Coverage to 95% of FT Employees

2. Coverage must meet minimum value and affordability guidelines

Who is considered full-time (FT)?

Employees working 30 hrs/wk Employees working 30 hrs/wk

What is the minimum value?

60% actuarial value 60% actuarial value

When is coverage affordable?

Employees pay no more than 9.5% of wages for self-only coverage for lowest cost plan

Employees pay no more than 9.5% of wages for self-only coverage for lowest cost plan

Maximum penalties

$2,000/yr per employee if fewer than 70% of FT employees are offered coverage (less 80)

$3,000/yr per employee if coverage does not

provide minimum value and/or is unaffordable

$2,000/yr per employee if fewer than 95% of FT employees are offered coverage (less 30)

$3,000/yr per employee if coverage does not

provide minimum value and/or is unaffordable

*Exemption required for employers with 50-99 employees Questions? 888-353-9178