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ACA: Employee Information

What does it mean to be eligible for ACA medical coverage? 

  • This means an employee has met the ACA definition of full-time employment, and is eligible to elect medical plan coverage for oneself, and a spouse/same-sex domestic partner, and/or dependent children at the full-time benefit rates.

What are measurement periods? 

  • Measurement Period: A period of time that allows the University to look back at the hours worked and determine eligibility for medical coverage. For ongoing employees, this is a 12 month period, April 15 – April 14. For new hires, this is an 11 month period based on the hire date.
  • Administrative Period: A period of time that allows the University to perform administrative duties related to counting hours and offering coverage. This is usually about 4-6 weeks and will take place after April 14 each year.
  • Stability Period: A period of time, that if eligibility criteria are met, an employee is offered medical coverage. For ongoing employees, this is a 12 month period, July 1 – June 30. For a new hire, this is a 12 month period based on their hire date.

Notification Process

  • New Hire: If an employee meets the ACA definition of full-time employment (30 hours per week or 130 hours per month) upon hire, Human Resources will notify and offer healthcare coverage via email or certified mail when email access is not available.
  • Employment Change: If an employee meets the ACA definition of full-time employment (30 hours per week or 130 hours per month) due to an employment status change, Human Resources will notify and offer healthcare coverage via email or certified mail when email access is not available.
  • Measurement Period: If an employee meets the ACA definition of full-time employment (30 hours per week or 130 hours per month) during a prior measurement period, Human Resources will notify and offer healthcare coverage via certified mail.

If it is determined that an employee is eligible for ACA medical coverage, Human Resources will notify and offer healthcare coverage. The enrollment form must be completed and returned to Human Resources within 10 business days of receiving the notification, even if coverage is waived. The form may be returned by e-mail (AskHR@wfu.edu), mail (Wake Forest Human Resources 2598 Reynolda Road Winston Salem North Carolina 27109), fax (336.758.6127), or campus mail.

Medical coverage is contingent upon active employment and premium payments.