Under what circumstances will an employee receive a premium credit?
Author: Jayne Zanglein, Western Carolina University
An employee may be eligible for a premium credit under three circumstances:
- The employer does not offer coverage;
- The employer offers coverage that is unaffordable (i.e., the premium exceeds 9.5% of the employee's household income); or
- The employer offers coverage that does not provide minimum value (i.e., the plan pays, on average, less than 60% of the covered health expenses).