The Affordable Care Act (ACA) will help small businesses by lowering premium cost growth and increasing access to quality, affordable health insurance. If you are small employer, the ACA information on this page may apply to you.
Please note that for 2014 coverage, the online application will not be available through the Small Business Health Options Program (SHOP). Small employers can still obtain insurance by using an agent, broker or insurance company that offers plans through SHOP. If you meet certain requirements, you may be eligible to claim a tax credit in 2014, but only if you enroll through SHOP. Information and plan comparisons are still available on the SHOP website.
Frequently Asked Questions
You may qualify for employer health care tax credits if you have fewer than 25 full-time equivalent employees making an average of about $50,000 a year or less. To qualify for the Small Business Health Care Tax Credit, you must pay at least 50% of your full-time employees’ premium costs. You don’t need to offer coverage to your part-time employees or to dependents. Starting in 2014, the tax credit is worth up to 50% of your contribution toward employees’ premium costs (up to 35% for tax-exempt employers). The credit is available only if you get coverage through the SHOP Marketplace.
The Small Business Health Options Program, or SHOP Marketplace, is a section of the new health insurance shopping website called the Health Insurance Market Place. The SHOP Marketplace is specifically built for small business owners and nonprofit organizations to easily find and provide health insurance for employees.
On the SHOP Marketplace, small business owners can compare plans side-by-side and buy health insurance for their employees.
If you are a small business owner or leader of a nonprofit organization, you may also qualify for a federal tax credit when you buy insurance through the SHOP Marketplace. This is called the Small Business Health Care Tax Credit. It can help you pay up to half of your employees' premiums, which is the amount that insurance costs each month.
If you are self-employed - meaning you run a business with no employees - you can use the Health Insurance Marketplace to buy insurance as an individual instead of going through the SHOP Marketplace. Depending on your income, you may also qualify for financial help to make insurance more affordable.
You can get to the SHOP Marketplace directly from HealthCare.gov, where you can view your options and see whether you are eligible for a federal tax credit to help cover premium costs, or the amount that insurance costs each month.
Contact your broker to find out if they are registered with the Marketplace. If your broker is registered, they are qualified to help you use the website to find the best health insurance option for your business and apply for the Small Business Health Care Tax Credit.
No, only 70 percent of your full-time employees have to take the health insurance you offer in order to use the SHOP Marketplace. This is called a Minimum Participation Requirement.
If you are a small business with fewer than 50 full-time employees, you are not required to provide health insurance for your employees or their families.
If you provide coverage to your employees, but not their families, your employees' families can still purchase insurance through the Health Insurance Marketplace.
For SHOP Marketplaces where employers may offer employees a choice of plans, you'll first select a plan category and select a plan within that category to serve as a reference plan. For SHOP Marketplaces that don't hap this option available in 2014, the plan that you select will be your reference plan.
You'll then define a percentage that you would like to contribute toward premiums for employee-only coverage. If you decide to offer dependent coverage, you'll also define a percentage that you'll contribute towards those premiums. These contribution percentages will be applied toward your reference plan and this amount will be used for the plan that your employees select.
Depending on state law, you can decide to have employees pay their premiums based on age, or have everyone pay the same premium regardless of age. Premiums could also be affected by the tobacco surcharge. Your premium contribution will be the same either way.
When employees pay the same premium amount regardless of age, the Marketplace calculates the average employee premium based on the age range of all employees signing up for coverage.
Participation rates in the SHOP Marketplace are calculated by dividing the number of employees enrolling by the number of employees eligible for coverage (those employees listed on your employee roster). Dependents of your employees are not included in this calculation. Employees who will be covered through another person's job, Medicare, Medicaid, or the Department of Veterans Affairs, Indian Health Service programs, and TRICARE are not included in this calculation. Employees with individual non-group private coverage (including coverage through the individual Marketplace) are included in the calculation.
For plan years starting in 2014, you’ll make premium payments directly to the insurance company. For plan years beginning on or after January 1, 2015, you’ll make your premium payments through the SHOP Marketplace. If your employees enroll in more than one plan, your premium payments will be combined for participating insurance companies.
Free guidance is available to help you compare, find and buy the right plan for your business.
Points of Contact For:
Employers or those assisting an employer should contact the Health Insurance Marketplace Small Employer Contact Center.
General Inquiries: 1-800-706-7893
Hours of operation: Monday – Friday, 9 AM – 7 PM EST
Employees and those assisting employees should contact the Health Insurance Marketplace Call Center.
General Inquiries: 1-800-318-2596
Hours of operation: 24 hours a day, 7 days a week
David W. Hass
Enroll DuPage Navigator
DuPage County Health Department
Phone: (630) 221-5373
Enroll DuPage Navigator
DuPage County Health Department
Phone: (630) 221-5379
Monday-Friday, 8:00 a.m. - 9:00 p.m & Saturday, 8:00 a.m. - 2:00 p.m.