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What Should You Do With a Marketplace Notice?

Posted: August 18, 2016

Employers of all sizes are receiving notices from Health Insurance Marketplaces (“Notice” or “Marketplace Notice”) alerting them that an employee or employees have obtained Exchange coverage and are eligible for and receiving financial assistance to purchase that coverage.  An applicable large employer (“ALE”) is subject to the employer shared responsibility provisions of the Affordable Care Act (“employer mandate"), and may be subject to assessable payments (“penalties”) if minimum value, affordable health care coverage (“sufficient coverage”) is not offered to any employee who works, on average, at least 30 hours a week (“ACA full-time employee”). There is no requirement to file an appeal of the determination that an employee is eligible for premium tax credits and/or cost sharing reductions (“subsidized coverage”), since only the IRS can assess penalties under the employer mandate. For more information, click here.