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questions and answers about health insurance and employee benefits

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Health Insurance FAQs
Health Insurance FAQs

questions and answers about health insurance and employee benefits

Premium Tax Credits

Premium Tax Credits are available in the individual health insurance market, offering financial assistance to individuals and families to help lower the cost of health insurance premiums. For small employers, it’s important to know that the group health plan they offer, if affordable, could block employees (and potentially their family members if the employer contributes to dependent premiums) from receiving a premium tax credit.

What is the family glitch?

HealthInsuranceFAQs, March 27, 2025March 27, 2025

The “family glitch” made families ineligible for subsidies if employee-only coverage was affordable—even if family coverage wasn’t. A 2023 rule change fixed this by evaluating family affordability separately.

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Tax-Advantaged Accounts

  • POPs – Premium Only Plans
  • FSAs – Flexible Spending Accounts
  • DCAs – Dependent Care Accounts
  • HSAs – Health Savings Accounts
  • HRAs – Health Reimbursement Arrangements
  • MERPs – Medical Expense Reimbursement Plans
  • MPRAs – Medicare Premium Reimbursement Arrangements
  • ICHRAs – Individual Coverage HRAs
  • QSEHRAs – Qualified Small Employer HRAs

Compliance Requirements

  • Marketplace Notice
  • HIPAA Notice
  • COBRA
  • State Continuation
  • SBCs
  • ERISA
  • Medicare Part D Notice
  • Medicare Secondary Payer
  • RxDC Reporting
  • Employer Reporting
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