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Employer Mandate in 2016

We would like to bring your attention to some important changes in regards to the employer mandate, as you prepare for your 2016 plan year.

 

Who should be aware of these changes?
This chart summarizes who must comply with the employer mandate and when they must be in compliance:

WhoWhen
Large employers with 100 or more full-time or full-time equivalent employees (FTEs) First plan year beginning on or after January 1, 2015
Employers with 50-99 FTEs First plan year beginning on or after January 1, 2016
Employers with less than 50 FTEs Not applicable

 

How will the employer mandate requirements change from 2015 to 2016?
Whether your plan is already complying with the employer mandate or you are preparing to do so in your next plan year, the chart below highlights the changes from 2015 to 2016 that you should be aware of if you are subject to the employer mandate.

Who20152016
Large employers with 100 or more full-time or full-time equivalent employees (FTEs) Percentage of FTEs who must be offered coverage – 70% Percentage of FTEs who must be offered coverage – 95%
Employers with 50-99 FTEs Not applicable Percentage of FTEs who must be offered coverage – 95%
Employers with less than 50 FTEs Not applicable Not applicable

 

If you have any questions, simply contact your client relationship manager.


Compliance Quarterly is being provided as an informational tool. It is recommended that plans consult with their own experts or counsel to review all applicable federal and state legal requirements that may apply to their group health plan. By providing this publication and any attachments, Meritain Health is not exercising discretionary authority over the plan and is not assuming a plan fiduciary role, nor is Meritain Health providing legal advice.