overview of 2015 small business health options program (shop) … · 2020-01-09 · hip link helps...
TRANSCRIPT
Marketplace EligibilityEnrollment Period
HIP
Lin
k P
rogra
m Individuals may enroll during special enrollment
period after becoming eligible for HIP Link as this is considered a qualifying event; Employer annual open enrollment period
SH
OP
Mar
ket
pla
ce Individuals may enroll during a special enrollment period for qualifying events;
Employer annual open enrollment period;
Employer may enroll during SHOP special enrollment period if
participation requirements are not met
Employers from any market segment may enroll in the program (small, large, self-
funded or union/PEO)
Individuals must be eligible for HIP and have access to
HIP Link qualified employer sponsored insurance
Insurance Agent or Broker
Employers with 50 or fewer full-time equivalent (FTE) employees, including non-
profit organizations
Insurance agent can offer information for health
insurance products in the commercial market
Insurance agent can offer information for health
insurance products in the commercial market;
Insurance agent may be able to assist the SHOP employer through the
healthcare.gov agent portal
Essential Health Bene�ts
Employer plans comply with the state’s essential
health benefit requirements; Additional benefits may be offered
Employer plans comply with the state’s essential
health benefit requirements
Small Business Healthcare Tax Credit
HIP Link does not offer employers a tax credit, but
becoming eligible for HIP Link does not prevent
them from accessing the small business
tax credit.
Employers with < 25 employees enrolled in the SHOP may be eligible for a
small business tax credit
Annual Renewal;Redetermination
Employer may renew coverage and offer benefits for the next benefit period; HIP Link employees must
meet the annual redetermination
requirements to stay enrolled in the program
Employer may renew coverage and offer
benefits for the next benefit period
ENROLLMENT
Overview of 2015 Small Business Health Options Program (SHOP) Marketplace and HIP Link
HIP Link helps employees to a�ord their employer’s health coverage. HIP Link is available to HIP-eligible employees and dependents who have access to HIP Link-approved employer-sponsored insurance plans. HIP Link provides a $4,000 account that reimburses
employees for premiums, less a monthly contribution equal to 2 percent of income. This account can be used to cover costs for covered health services like copayments, coinsurance and deductibles. Employer plans must meet minimum bene�t standards for employees to be eligible for HIP Link. All plans sold on the SHOP are bene�t eligible, and HIP Link can help low-income employees
a�ord the costs of enrolling in employer insurance.
For additional information about the SHOP Marketplace, please visit Healthcare.gov.
For additional information about the HIP Link program, please visit HIP.IN.gov or email [email protected]