- 795
I have a client who owns 4 quick service restaurants and they will fall under the mandate as they have over 100 FTEs.
I haven't been able to find a good answer to this question, so here goes. As it's a restaurant, most of the employees are under 400% of the FPL. So when they sign up for coverage, they should be getting subsidized.
Even though her question is irrespective of the subsidy question, it's related. How much of the premium is paid for by the employer? She is under the impression that there is a cost sharing which says that the amount out of pocket is determined somehow in the process. In other words, she thinks it's like ordinary group coverage that predetermined how much each party pays, 50% or whatever etc...
I am not aware of such a mechanism and that if there is any out of pocket, that is 100% the responsibility of the employer. Who is right here?
What is the final word on this...?
There is so much crazy information out there, I just need a concise explanation of this...
On top of this question, is anyone aware of an actual verification of the SSN that takes place when a new EE signs up for coverage?
I have other questions but those two are a good start...
I haven't been able to find a good answer to this question, so here goes. As it's a restaurant, most of the employees are under 400% of the FPL. So when they sign up for coverage, they should be getting subsidized.
Even though her question is irrespective of the subsidy question, it's related. How much of the premium is paid for by the employer? She is under the impression that there is a cost sharing which says that the amount out of pocket is determined somehow in the process. In other words, she thinks it's like ordinary group coverage that predetermined how much each party pays, 50% or whatever etc...
I am not aware of such a mechanism and that if there is any out of pocket, that is 100% the responsibility of the employer. Who is right here?
What is the final word on this...?
There is so much crazy information out there, I just need a concise explanation of this...
On top of this question, is anyone aware of an actual verification of the SSN that takes place when a new EE signs up for coverage?
I have other questions but those two are a good start...