Which of the following does the ACA require of employers?
Asked by: Kenna Zemlak | Last update: March 30, 2025Score: 4.8/5 (75 votes)
What does the ACA require of employers?
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 ...
What does the ACA employer mandate require quizlet?
ACA requires all businesses with 50 or more full-time equivalent employees to provide health insurance to at least 95% of their full-time employees and dependents up to age 26, or pay a fee.
What are the requirements of the ACA?
- Must live in the United States.
- Must be a U.S. citizen or national (or be lawfully present). Learn about eligible immigration statuses.
- Cannot be incarcerated in prison or jail.
What does the ACA require Quizlet?
Under the Affordable Care Act, the individual mandate requires all Americans to purchase health insurance. The individual mandate was a key provision of the Affordable Care Act (ACA), which aimed to increase the number of Americans with health insurance and reduce the overall cost of healthcare.
Affordable Care Act (ACA) Requirements for Employers [Overview]
What are the ACA filing requirements?
- Organizations who employ California residents must file, regardless of whether the organization is located in or out of state.
- Employers must report employee insurance information with the California Franchise Tax Board (FTB) once per year.
What does the ACA mandate?
The individual mandate is a provision within the Affordable Care Act (ACA) that required individuals to purchase minimum essential coverage – or face a tax penalty – unless they were eligible for an exemption.
What are the main points of the ACA?
- Make affordable health insurance available to more people. ...
- Expand Medicaid to cover all adults with income below 138% of the FPL. ...
- Support innovative medical care delivery methods designed to lower the costs of health care generally.
What are 5 mandated benefits under the ACA?
The 10 categories of benefits in an EHB package are: 1) ambulatory patient services, 2) emergency services, 3) hospitalization, 4) maternity and newborn care, 5) mental health and substance use disorder services, 6) prescription drugs, 7) rehabilitative and habilitative services and devices, 8) lab services, 9) ...
What are the requirements for ACA training?
- Be at least 21 years of age.
- Hold current ACA membership and SEIC registration.
- Be an active ACA Instructor in the appropriate discipline for at least two years.
What is the ACA contraceptive mandate?
Under PHS Act section 2713 and its implementing regulations, in conjunction with the HRSA-supported Guidelines, plans and issuers are required to cover without cost sharing the full range of FDA-approved, -cleared, or -granted contraceptives.
What states have an ACA mandate?
- California.
- D.C.
- Massachusetts.
- New Jersey.
- Rhode Island.
- Vermont (but there's currently no financial penalty attached to the mandate)
What is the purpose of the pre-existing condition insurance plan?
The Affordable Care Act created the Pre-Existing Condition Insurance Plan (PCIP) to make health insurance available to those that have been denied coverage by private insurance companies because of a pre-existing condition.
Does ACA require employers to offer dependent coverage?
The ACA's age 26 coverage mandate does not require plans and issuers to offer dependent coverage at all. Instead, the mandate requires plans and issuers that provide coverage to dependent children to make that coverage available until the child reaches age 26.
What are the minimum value requirements for ACA?
- It's designed to pay at least 60% of the total cost of medical services for a standard population.
- Its benefits include substantial coverage of physician and inpatient hospital services.
How to determine if an employee is ACA eligible?
The predefined period is known as the "measurement period" or ACA lookback period. If the employee's average hours per week are 30 or higher, that employee is considered full-time for purposes of the ACA (regardless of HR full- or part-time status).
What are the ACA requirements for employers?
Employers must offer health insurance that is affordable and provides minimum value to 95% of their full-time employees and their children up to the end of the month in which they turn age 26, or be subject to penalties. This is known as the employer mandate.
Which of the following is required by the Affordable Care Act?
A set of 10 categories of services health insurance plans must cover under the Affordable Care Act. These include doctors' services, inpatient and outpatient hospital care, prescription drug coverage, pregnancy and childbirth, mental health services, and more. Some plans cover more services.
What coverage is required by the ACA?
The Affordable Care Act requires non-grandfathered health insurance coverage in the individual and small group markets to cover essential health benefits (EHB), which include items and services in at least the following ten benefit categories: (1) ambulatory patient services; (2) emergency services; (3) hospitalization ...
What are 2 key provisions of the ACA?
Health insurance companies cannot turn down your application because of your health status. Women can no longer be charged more for insurance than men. In fact, insurance rates cannot be based on gender or gender identity at all. Once you buy health insurance, you do not have to pay anything for preventive care.
What does the ACA include?
It applies to people aged 16 and over. It covers decisions about day-to-day things like what to wear or what to buy for the weekly shop, or serious life-changing decisions like whether to move into a care home or have major surgery. Examples of people who may lack capacity include those with: dementia.
What are the three pillars of ACA?
1 The 3 pillars of the Affordable Care Act (ACA): access, quality, and cost.
What are the 3 purposes of the ACA?
The ACA has three primary goals at its foundation, collectively known as the Triple Aim. The Triple Aim goals are: improve patient care, improve population health, and reduce the cost of health care.
What is the employer mandate?
The Affordable Care Act requires employers with 50 or more full-time equivalent employees to provide health coverage to at least 95% of full-time employees and sets a minimum baseline of coverage and affordability.
What is ACA employer mandate affordability?
2025 ACA Affordability Percentage Increases to 9.02%: The IRS has announced that the ACA affordability percentage used to determine compliance with the employer mandate will increase from 8.39% (2024) to 9.02% (2025) of the employee's household income, as determined under one of the three safe harbor approaches ...