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ACA: The Individual Mandate

A key provision of this law, commonly referred to as the Individual Mandate, took effect January 1, 2014, and requires all U.S. citizens to have health insurance by January 2014 or pay a tax penalty.

Penalties:

  • 2014: 1% or$95, whichever is higher
  • 2015: 2% or $325, whichever is higher
  • 2016: 2.5% or $695, whichever is higher

Coverage available through:

  • Employer sponsored health plans
  • Government sponsored programs: Medicare, Medicaid, SHIP, and Tricare
  • Marketplace Exchange (both state and federal)

Federal government regulations require plan sponsors, including Wake Forest University, to provide a notice of the Marketplace Coverage Options to all employees.   The Marketplace is where individuals and smaller employers may go to purchase health insurance coverage. Open enrollment for health insurance coverage through the Marketplace begins October 1 for coverage starting January 1.  While the Marketplace gives individuals more options, it is anticipated that most individuals will continue to obtain coverage through their employer.

The University will continue to offer our health plan. Please note that the Employee Only Value Plan, meets the minimum essential value and affordability requirements according to ACA standards. For this reason, the majority of our employees will not be eligible for subsidies through the Marketplace.  The “New Health Insurance Marketplace Coverage Options and Your Health Coverage” notice provides basic information about the Marketplace and about health insurance offered by Wake Forest University.  To obtain or request a copy, you may contact Human Resources by e-mailing AskHR@wfu.edu or calling 336-758-4700.