SEMA eNews Vol. 16, No. 38, September 19, 2013

SEMA Members Must Provide Written Notice of Health Care Options to Employees

By SEMA Washington, D.C., Staff

As a requirement of the new health care law, the “Affordable Care Act,” all employers must provide written notice of available health care coverage options to their employees by October 1, 2013, regardless of whether the company offers health care coverage. The notice may be distributed electronically.  

While companies with 49 or fewer workers are not required to offer health care coverage, they must still provide the written notice as a means of making sure workers are aware of the option to purchase insurance through an exchange. Employers are not required to provide separate notice to dependents and other individuals eligible for coverage under a company plan who are not employees.

The written notice must inform the employee of the existence of the health care exchange marketplaces, including a description of the services provided by the exchanges, and how employees can contact the exchanges to request assistance. It must also explain that if the company plan’s share of the total allowed costs of benefits is less than 60% of total cost, the employee may be eligible for a tax credit if a plan is purchased through the exchange. Finally, the notice must state that if the employee purchases a qualified health plan through the exchange, the worker may lose their employer contribution to any health benefit plan offered by the employer.

To assist employers in providing this notice, the U.S. Department of Labor (DOL) released model notices for employers that provide health plans and for those that do not offer a health plan. DOL also released a helpful guidance document further outlining employer responsibilities.   

While the law requires all employers to distribute the notice to their workers, there is no fine or penalty for failure to do so. For more information, please contact Stuart Gosswein at stuartg@sema.org.

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