Your Compliance Edge

Cash for Premium Payments & Other Employer Payment Plans

In general, employers with 2 or more active employees who directly pay for or reimburse employees for their individual health insurance policy premiums are maintaining employer payment plans that do not comply with the Affordable Care Act’s (ACA’s) annual dollar limit prohibition and preventive services requirements. Such plans may be subject to a $100-per-day excise tax per employee, levied on the employer.

Key Exceptions

Exceptions to the general rule above apply to:


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