Tag: play or pay

Question: Under Play or Pay, how are the hours calculated for outside sales representatives who are commission-based employees? Can we determine if they are full-time or part-time by their sales volume at the end of the year? Answer: Under the Affordable Care Act’s Employer Shared Responsibility provision, (often referred to as Play or Pay), a full-time employee…

Question: When a 50-plus-employee company has both union and non-union workers and the union plan only provides one medical option and does not meet the affordability requirements, can the employer be subject to penalty under the Affordable Care Act? Answer: Employers who meet the number of full-time employees required to be defined as a large employer under…

Question: Does the play or pay penalty apply to a large group prior to their renewal date in 2014 if the plan is on a fiscal year (7/1/14)? Answer: For large employers, the DOL has issued special rules for plans not on a calendar year.  In January of 2013, the Department of Labor announced “transition…

Question: Will an employer group of less than 50 FTE employees that chooses to offer a PPACA-qualified health plan to their employees have to comply with requirement that employees working 30+ hours must be offered coverage? Answer: The short answer is NO.  The Affordable Care Act (federal health care reform) does not impose penalties on employers based…

Question: Can you provide us with the IRS or HHS rules relating to transition relief from the 2014 ACA “play or pay” rules if the plan operates on a fiscal year as opposed to a calendar year? Answer: An easy-to-read reference to that rule can be found in the Question and Answer document provided by the IRS…

Question: Is there any special guidance for temporary staffing agencies regarding the employer mandate under the Affordable Care Act and definitions of seasonal employees? Answer: The Affordable Care Act (federal health care reform) includes provisions for “employer shared responsibility” often referred to the employer mandate of “play or pay”. Briefly, beginning in 2014, a large…