hi my name is Diana and i am the owner of insurance center helpline
i've helped many individuals families and small businesses in California find affordable
health insurance options for a while and today i would like to talk about the employer-sponsored
health insurance options and how it affects those who want to enroll in a cheaper plan
available via covered california in other words i will tell you if it's possible for someone who
currently has health insurance coverage through the employer to switch to covered california
instead well if you work for a company that offers health benefits such as group insurance
health reimbursement accounts also known as hras supplemental plans flexible spending accounts to
use with the health plan or cobra you may want to watch this video as it could help you make
sense of all this mumbo jumbo affordability test and avoid costly mistakes so
with all the variety of employee benefits options you might wonder if you should enroll in your
employer plan or shop with a covered california instead in most cases your employer offer is
your best bet in fact if your employer offer is considered affordable and minimum value by
federal standards you won't qualify for financial help with a covered california plan so
how do you determine if you qualify for a covered california plan or not
there are many methods used to calculate the affordability test
um but the thing it's you know the idea is quite simple employer-sponsored insurance is considered
affordable if the employee share of the premium for the lowest price plan available to cover
just the employee not their dependents is 9.83 or less of the household income for year 2021.
you can take a look at our specific examples on our website um that will help you determine
if you qualify to enroll in covered california and correctly opt out from the employer sponsored plan
if you if one or more family members is offered a health insurance plan through their job that is
considered affordable then no other household members or independents who are also offered
employer sponsored insurance through the same employer are eligible to receive financial help
if they purchase the insurance through covered california employer-sponsored insurance is
considered affordable if the employee's share of the premium for the lowest price plan available
to cover just the employee not the dependents is 9.83 or less of their household income for
2021. now very important if the employer provided insurance does not include spousal and dependent
coverage then this dependence can qualify for a subsidized covered california plan
their eligibility for subsidies would be based on the household size and income obviously
if you would like to see the income limits to qualify for the subsidies feel free to refer to
my website where i have the income limits table this is a very useful tool that i use every day
and it helps me tremendously to qualify to quickly answer people's questions um regarding
the eligibility based on the household size and annual adjusted gross income i have other good
stuff on my blog so feel free to explore and say some save some big bucks on your health insurance
if you have questions or need help enrolling in an individual health insurance plan or would like to
set up and employ benefits for your small business please feel free to reach out i would love to help
if you found this video helpful you know what to do
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i really appreciate this um thank you for watching and have a blessed day