As mentioned in the above article, the Affordable Care Act is impacting initial benefits eligibility. This provision will also impact continuing benefits eligibility. 

Who is Impacted

  • Faculty and staff currently enrolled in benefits that have a reduction in hours below 45 percent time.

What’s New

Continuing eligibility for benefits will now be determined by the outcome of an employee’s first full standard measurement period and by the subsequent measurement periods:

  • The threshold for continuing eligibility will still be average weekly hours of 17.5 or more for most faculty and staff
    • The change for this population is that the 17.5 average will now apply to the entire measurement period

The first measurement period is already underway:

  • Nov. 1, 2014, through Oct. 31, 2015, for monthly paid employees
  • Nov. 9, 2014, through Nov. 7, 2015, for employees paid biweekly

Considerations

  • These changes may result in an increase in benefits costs to your department
    • When making your business plan keep in mind that going forward benefits eligibility for your employees may continue for a longer period of time
  • The CORE default will be turned off starting on Jan. 1, 2016, so if no enrollment action is taken during a PIE there will no longer be automatic health coverage

This article is intended to be informational; departments do not need to take any action at this time.

Stay tuned to HR Update for more information as it becomes available and please partner with your HR Generalist and Benefits Office if you have any questions.