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Frequently Asked Questions |
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Q: We do not contribute 50% toward the premium amount for every tier offered. Can we still participate in this program? A: Employers are qualified for the Insurance Partnership for tiers in which they contribute at least 50% of the premium. In any tier where the contribution is less than 50%, the employer would not be eligible for Insurance Partnership payments. Q: Most of my employees are seasonal. Will they remain on the Insurance Partnership during layoff? A: So long as these employees stay in the health insurance plan offered through you as their employer and you continue to contribute 50% toward the premium, Insurance Partnership and Premium Assistance payments will continue on a monthly basis. Q: We were recently approved as an employer; however, we did not receive an Insurance Partnership payment this month. Why? A: The total amount of your Insurance Partnership payment depends on the number of qualified employees you have and the tier of coverage they have. You receive an Insurance Partnership payment for each qualified employee. If you have no qualified employees, you will not receive an Insurance Partnership payment. Q: Do we have to wait until we receive our first insurance premium bill to begin the Insurance Partnership application process? A: No. You may begin applying as an employer as soon as you receive either an insurance quote or a bill. You will not receive the benefits of the program until you are actively enrolled in the insurance plan submitted. However, we will begin the application process in anticipation of the policy start date. Q: Most of my employees are on a part-time basis. Are they eligible to apply for this program? A: Absolutely. These employees would also be qualified based on family size and income guidelines; and you, as the employer, would need to contribute 50% toward the premium amount. Q: When can we expect to receive our first payment? A: After having been approved as an employer, you will begin to receive Premium Assistance and Insurance Partnership payments upon the approval of your first qualified employee. Premium Assistance and Insurance Partnership payments are paid in advance at the end of the month. Generally, employees approved in any given month will generate a payment at the end of the month for the following month's coverage. For example: An employee is approved on October 1st; a payment will be made at the end of October to be applied to November's premium. Q: How will this affect the way we perform payroll deductions? A: Qualified employers must adjust or establish the amount withheld from the pay of their qualified employees to account for the amount of the employee's premium assistance payment made by the Insurance Partnership. If the withheld amount cannot be adjusted by the time of the first Premium Assistance payment, the employer must reimburse the employee for each Premium Assistance payment that is not reflected in the employee's withheld amount for health insurance. Q: How will we keep track of payments made to us? A: Each month, qualified employers will receive a remittance advice detailing each Insurance Partnership and Premium Assistance payment made either by check or ACH (direct deposit). The remittance advice should be checked for accuracy, and any changes, such as increase in premium, employment terminations, etc., should be reported immediately to the address shown on the remittance advice. Click here to send us any question you may have about the Insurance Partnership. Your questions will be answered promptly via telephone. |
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