ACA Profile - Coverage Tab

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

Navigating to ACA Profile

From the menu, expand Employee, expand Benefits, then click ACA Profile.

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If you are already viewing an employee's profile, it can be found by hovering over Benefits and clicking ACA Profile.

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Click the Coverage tab.

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Columns

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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