ACA Profile - Coverage

The "Coverage" tab displays the selected employee’s medical election by date, if the plan is a Qualified Health Plan, and what 9.5% of the employees W2, Rate of Pay, and (or) Poverty Level compared to 9.5% of the employee’s salary is. For more information about Poverty Guidelines, you can refer to the following page found on the Office of the Assistance Secretary for Planning and Evaluation webpage: Poverty Guidelines

  • Coverage Level
    • Displays the Coverage Level the employee is enrolled in, including the Package Name | Benefit Name | Plan Name | Option Name.
  • Date Range
    • Displays the date range for the elected benefit.
  • Qualified Health Coverage
    • Displays a True/False value.
      • If the employee's enrolled coverage is considered to be a Qualified Health Coverage, a green check-mark will display, indicating true. If false, a red “X” will be displayed.
  • 9.5% of Rate of Pay
    • Represents the employee's self-only coverage that provides minimum value is not greater than 9.5% of rate of pay as of the first day of the coverage period (generally the first day of the plan year).
  • 9.5% of W-2 Earnings
    • The employee's required premium co-share for the lowest-cost, self-only coverage that provides Minimum Value, not greater than the 9.5% of an employee's W-2 taxable income (Box 1).
  • 9.5% of Poverty Level
    • The employee's required premium co-share for the lowest-cost, self only coverage that provides Minimum Value, not greater than the 9.5% of the federal poverty level for a single individual.
  • Annual Employee Cost
    • Displays the annual cost assigned to the employee for their current medical election ($0 if waived).

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