Insurance · Individual and Group Coverage

Under ACA, employers with how many full-time employees are required to offer affordable health coverage or face a penalty?

Correct answer

50+ full-time equivalent (FTE) employees — the 'Applicable Large Employer' threshold for the employer mandate

  1. A 1+ employees
  2. B 50+ full-time equivalent (FTE) employees — the 'Applicable Large Employer' threshold for the employer mandate
  3. C 100+ employees
  4. D 500+ employees

Why this is the answer

The ACA's employer mandate (also called 'pay or play') applies to Applicable Large Employers (ALEs) — those with 50 or more full-time equivalent employees in the prior year. ALEs must offer affordable health coverage that meets minimum value standards to full-time employees (30+ hours per week) or pay a penalty. Affordable means employee contribution does not exceed a percentage of household income (around 9-9.5%, adjusted annually). Minimum value means the plan covers at least 60% of allowed costs. Penalties apply if the employer does not offer coverage at all, or if coverage is unaffordable or below minimum value and any employee receives a marketplace subsidy. Smaller employers (under 50 FTEs) have no mandate but may offer coverage. The Small Business Health Care Tax Credit helps very small employers (under 25 FTEs) afford coverage.
Source: NAIC Model Outline, Employer Mandate

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