Search
Myth vs. Fact- Myth #1: All Businesses Will Be Required to Provide Health Insurance to All of Their Employees
by Meredith K. Olafson, Community Moderator
- Created: February 20, 2013, 4:00 pm
- Updated: February 20, 2013, 4:00 pm
As a business owner, it’s important to understand how the Affordable Care Act can affect your business. However, with so many misconceptions about how the Affordable Care Act works, this can be difficult. To clarify the myths versus facts, we’re launching a new blog series called “Myth vs. Fact: The Affordable Care Act and Small Business”.
This blog covers one of the most common myths we’ve seen out there: All businesses will be required to provide health insurance to all of their employees.
Fact: Employers are not required to provide coverage to their employees under the Affordable Care Act. However, starting in 2014, some businesses that do not offer health coverage to their full-time employees may be subject to a shared responsibility payment under the health care law.
How do I know if I may be subject to an Employer Shared Responsibility Payment?
Businesses with 50 or more full-time or full-time equivalent (FTE) employees that do not offer affordable health insurance that provides a minimum level of coverage to their full-time employees (and dependent children under the age of 26 starting in 2015) may be subject to a shared responsibility payment if at least one of their full-time employees receives a premium tax credit in an Affordable Insurance Exchange, or Marketplace. For the purposes of these provisions, a full-time employee is one who is employed an average of at least 30 hours per week.
Businesses will not be affected by these provisions if they already offer affordable health coverage that provides a minimum level of coverage to their full-time employees, which is the vast majority of these businesses.
Businesses with fewer than 50 full-time or FTE employees are generally not affected by these provisions. However, it’s important to know that if companies have a common owner or are otherwise related, their total combined number of employees is used to determine whether each separate company is subject to these provisions — even if none of the member companies individually employ 50 or more full-time or FTE employees.
How can I find out if I meet the threshold number of 50 or more full-time or FTE employees?
To assist employers, the IRS has developed a helpful set of Q&As on the Employer Shared Responsibility provisions. The IRS has also issued a set of proposed rules relating to the Employer Shared Responsibility provisions, and is accepting written or electronic comments by or before March 18, 2013.
About the Author
Meredith K. Olafson is Senior Policy Advisor for the U.S. Small Business Administration where she oversees the agency's education and outreach efforts around health care and the Affordable Care Act.Contributors
Top Rated Articles
Community Help
About This Blog
This blog is provided for informational purposes only and is not intended as legal or tax advice. Readers should consult their legal or tax professionals to discuss how these matters relate to their individual business circumstances.
Archive
- May 2013 (17)
- April 2013 (29)
- March 2013 (27)
- February 2013 (26)
- January 2013 (31)
- December 2012 (24)
- November 2012 (29)
- October 2012 (26)
- September 2012 (29)
- August 2012 (26)
- July 2012 (29)
- June 2012 (25)
- May 2012 (33)
- April 2012 (35)
- March 2012 (36)
- February 2012 (35)
- January 2012 (30)

Comments
LibertyPrince | Window Shopper | 3/5/2013 - 10:49 am
chophien | Window Shopper | 2/25/2013 - 9:30 pm
bambuvn | Window Shopper | 2/25/2013 - 9:14 pm
IT Staffing Agency | Window Shopper | 2/25/2013 - 6:29 pm
increasing reluctance for small business owners to hire full-time employees.
They will be more likely to hire part-workers and restrict their hours to (30
hours or less) in order not to be subject to the health care mandate. This is
a trend that will not bode well for business owners or their employees.
LGInsurance | Window Shopper | 2/25/2013 - 8:26 am
both small and large group employers. It is going to be interesting how the
small business owner handles the situation moving forward.
Patfan | Window Shopper | 2/25/2013 - 8:09 am
for our clients and was wondering how the Affordable Healthcare Act will
affect us? I haven't found any specific documentaion related directly to our
industry. We provide payroll services as well as WC and offer health
insurance to each of our clients. Some clients opt to waive health insurance
coverage and some will offer it to their employees. If we offer health
insurance and the employees decide to waive coverag, who is ultimately
responsible for fines etc. The client we provide payroll service for or our
organization? Our client base is over 1000 with more than 13000 employees.
kmurray | Community Moderator | 3/1/2013 - 6:22 am
Dr. Sunny Uzuh | Window Shopper | 2/25/2013 - 1:36 am
it. We have about 300 minimum wage employees and most of them also receive
govt. entitlements to include insurance for their dependents. We have not
conducted the survey yet but probably 50 percent of them work up to 30 hours
a week and the biggest nightmare is turnover. How would offering health care
coverage affect us? Would the coverage start from day one of employment or
wait till after probationary period of six months?
Thanks for your meaningful suggestions in advance.
kmurray | Community Moderator | 3/1/2013 - 6:23 am
atmaninsurance | Window Shopper | 2/25/2013 - 12:24 pm
the penalties. Given the wage level of your employees many would likely use
an exchange to get coverage which would activate the penalties. If turnover
is a problem for you, offering coverage to your full time workers (30+ hours
a week) with a six month wait period from eligibility (which you could do)
may help stabalize turnover. It may also entice more of your workers to full
time employment which means more expense in health coverage. The issue will
be the level of coverage you provide and how much you ask your employees to
contribute to it. If you ask the employee to contribute to the coverage you
must keep the contribution at or below 9.5% of the annual wage of the worker
in order to avoid facing the tax penalty. Until the insurers finalize the new
plans and pricing it will be difficult to evaluate the additional cost to
your business.
Leave a Comment
You must be logged in to leave comments. If you already have an SBA Community account, Log In to leave your comment.
New users, Register for a new account and join the conversation today!