ACA and Employer Reimbursed Premiums

Discussion in 'Health Insurance Exchange Forum' started by jmarkk1, Feb 10, 2015.

  1. jmarkk1
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    jmarkk1 Well-Known Member

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    Just found out that we are no longer allowed to have benefit reimbursements deducted from our income.
    So, what can be done to lower premiums?
    I have client that makes $40k/year and family of 5. He's $900 away from qualifying for medicaid.
    His employer has paid for benefits via list bill with Assurant. Renewal rates are too high.
    We decided to check for exchange plans and get subsidy, but now we have to count employer reimbursement. Rates jump from $700 (at a $40k income ) to $1100 (at a $48k income factoring in employer reimbursed premiums )
    What can be done?
    This seems extremely unfair.
     
  2. kgmom219
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    kgmom219 Well-Known Member

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    Are you an agent? FFM certified?
     
  3. jmarkk1
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    jmarkk1 Well-Known Member

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    I am agent and FFM certified
     
  4. kgmom219
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    kgmom219 Well-Known Member

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    Hmmm....you might want to check the rule book. Employers cannot pay/reimburse for indy health insurance. The fines are quite hefty.
     
  5. jmarkk1
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    jmarkk1 Well-Known Member

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    The employer doesn't technically pay. In years past employer could separate salary and benefits and employee was not taxed on benefits.
    Last year there was no worries. This year accountant says employer is not allowed to do this.
     
  6. kgmom219
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    kgmom219 Well-Known Member

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    Uhhh...no, employer cannot pay.

    It is what it is. Put the numbers in, sherpa spits them out. Pick a plan and NEXT.
     
  7. VT33
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    VT33 Member

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    Employer can't "reimburse". I don't see how anything can be done if an employer drops the group plan and gives everyone a raise.

    But to the OP's point, this raise will impact income and subsidies.
     
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