Does Affordable Care Act apply to employers with less than 50 employees?

Asked by: Afton Frami  |  Last update: November 19, 2025
Score: 4.9/5 (62 votes)

No business has to offer health insurance. Small employers (less than 50 FTE's) will not be penalized for choosing not to offer coverage to employees. However, if a business has more than 50 FTE's it will face a fine if they do not offer coverage.

Are employers with less than 50 employees exempt from Obamacare?

Small business owners with fewer than 50 full-time employees are not required to offer health care coverage to their employees. However, you should know that if a small business with fewer than 50 full-time employees does offer coverage, then that coverage must comply with the requirements of the ACA.

What size employer does ACA apply to?

Learn more at HealthCare.gov. If you have 50 or more full-time employees, including full-time equivalent employees, you are an applicable full-time employer and need to issue statements to employees and file an annual information return reporting whether and what health insurance you offered employees.

Which act requires companies with more than 50 employees?

Family and Medical Leave Act (FMLA)

The FMLA applies to any private-sector employer who has 50 or more employees within a 75-mile radius. The FMLA requires these employers provide up to 12 weeks of unpaid, job-protected leave for their employees.

Does the Affordable Care Act cover everyone?

You'll find the following protections for patients in the ACA California: Everyone in California has access to health insurance. Pre-existing health conditions cannot deny anyone health coverage or extra charges. Children can be listed on their parent's health plan until they are 26 years of age.

Affordable Care Act (ACA) Requirements for Employers [Overview]

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Who is not eligible for Affordable Care Act?

You are not eligible for Obamacare if: You do not live in the U.S. You are incarcerated. You are not a U.S. citizen, U.S. national, or lawfully present noncitizen in the U.S.

Who is subject to the Affordable Care Act?

One provision contained in the law is known as the “individual mandate” which requires that all Americans (regardless of age) be covered by health insurance (through a group or individual plan) or pay an annual financial penalty assessed by the Internal Revenue Service, unless waived under certain limited circumstances ...

Are employers with at least 50 employees covered under the EEOC?

Employers who have at least 100 employees and federal contractors who have at least 50 employees are required to complete and submit an EEO-1 Report (a government form that requests information about employees' job categories, ethnicity, race, and gender) to EEOC and the U.S. Department of Labor every year.

What are the ACA requirements for employers in 2024?

Employers must report employee insurance information with the California Franchise Tax Board (FTB) once per year. Information should be submitted to the state using federal Forms 1094-C, 1095-C, and 1095-B. Organizations must also distribute copies to employees.

What are the FTE requirements for ACA?

Any employee who works an average of at least 30 hours per week for more than 120 days in a year. Part-time employees work an average of less than 30 hours per week.

What are the ACA minimum requirements?

An employer-sponsored plan provides minimum value if it covers at least 60 percent of the total allowed cost of benefits that are expected to be incurred under the plan.

What happens when an employer reaches 50 employees?

Once you hit the 50 employee threshold, your company becomes what's called an “applicable large employer” (ALE). In addition to offering health insurance, you'll need to demonstrate your HR compliance to the IRS every year by filing Forms 1095-C and 1094-C.

What is the 30 hour rule for ACA?

If an employee is credited with an average of 30 hours per week or more during the Standard Measurement Period, the employee would be eligible for benefits for the upcoming plan year. The Stability Period is the period of time that the employee cannot lose eligibility regardless of the hours he works.

What is the 50/30 rule in the Affordable Care Act?

The Affordable Care Act's “shared responsibility” provisions (also referred to as the "employer mandate" or "play or pay") generally require that “applicable large employers” or ALEs (those with 50 or more full-time employees working at least 30 hours per week or their equivalents when adding together part-time hours) ...

What is the ACA 50 employee threshold?

Employers with 50 or more full-time and/or FTE employees must offer affordable/minimum value medical coverage to their full-time employees and their dependents up to the end of the month in which they turn age 26, or they may be subject to penalties.

What is the 13 week rule for the Affordable Care Act?

Classifying Rehires under the ACA

An employee will be considered to be a terminated and rehired employee if the employee has a period of 13 consecutive weeks during which the employee is not credited with an hour of service.

How many employees do you need for ACA?

The Affordable Care Act's (“ACA”) Employer Mandate aims to increase health coverage among employees by presenting applicable large employers (“ALEs”) (i.e., those with 50 or more full-time or full-time equivalent employees on average during the prior year) with the choice to either “pay or play” under its rules—either ...

Which of the following is generally used by companies with fewer than 50 employees?

Companies with fewer than 50 employees typically use outsourcing and employee leasing to manage tasks that would otherwise require more in-house resources. Offshoring and downsizing are less common due to the smaller scale of their operations.

What is the employer mandate for the Affordable Care Act?

Under the Affordable Care Act's employer shared responsibility provisions, certain employers (called applicable large employers or ALEs) must either offer minimum essential coverage that is “affordable” and that provides “minimum value” to their full-time employees (and their dependents), or potentially make an ...

What size employers are eligible for the Equal Pay Act?

The California Labor Code sections, including the California Equal Pay Act, apply to all employers, regardless of their size, but do not protect federal government employees. The federal Equal Pay Act applies to all employers, including public agencies. Title VII applies to employers with fifteen or more employees.

Who is exempt from filing an EEO-1 report?

Federal contractors with 1-49 employees, and other private employers with 1-99 employees, are not required to file either EEO-1 component 1 data or component 2 data. EEO-1 data reports must include employment data from a "workforce snapshot period," which is any pay period from October through December.

What federal legislation requires employers of 50 or more employees?

Administered by the Wage and Hour Division, the Family and Medical Leave Act (FMLA) requires employers of 50 or more employees to give up to 12 weeks of unpaid, job-protected leave to eligible employees for the birth or adoption of a child or for the serious illness of the employee or a spouse, child or parent.

Does ACA rule apply to small employers?

The Affordable Care Act (sometimes called the health care law, or ACA) established the Small Business Health Options Program (SHOP) for small employers (generally those with 1–50 full-time and full-time equivalent employees (FTEs)) who want to provide health and dental coverage to their employees.

Who does not support the Affordable Care Act?

The Patient Protection and Affordable Care Act (ACA) was passed by a Democratic Congress and signed into law by a Democratic president in 2010. Republican congressmen, governors, and Republican candidates have consistently opposed the ACA and have vowed to repeal it.

What is Affordable Care Act eligibility?

To be eligible to enroll in health coverage through the Marketplace, you must: Live in the United States (U.S). Be a U.S. citizen or national, or be lawfully present non-citizen in the U.S. Learn about eligible immigration statuses. Not be incarcerated.