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Confirm ACA compliance requirements

Confirm health plans meet ACA standards for value, coverage, and affordability, while consulting your benefits team for compliance.

Updated over a month ago

If your company is subject to the Affordable Care Act (ACA) requirements, you need to ensure that the health plans you offer comply with ACA standards.

This section will guide you through confirming whether a selected health plan meets key ACA criteria, such as minimum value, essential coverage, and affordability.

⚠️ Confirming this in the system is a helpful step, but it doesn't guarantee full ACA compliance. Consult with your benefits team or legal advisor to ensure the plan meets all necessary requirements.

  1. Access benefits

    1. Go to Admin View, then Benefits.

    2. Select View next to the tax entity you want to manage.

    3. Select See details next to the plan you need to review for ACA compliance.

      Viewing benefit detail

  2. Confirm ACA compliance requirements

    1. Select Confirm ACA Details.

    2. Select the checkboxes that apply to confirm the plan meets ACA standards:

      • Plan provides Minimum Value → The plan pays at least 60% of the total allowed cost of benefits

      • Plan provides Minimum Essential Coverage → The plan meets ACA’s basic coverage requirements (e.g., doctor visits, hospitalization)

      • Plan is deemed Low Cost under ACA terms → The employee’s share of the premium is affordable based on ACA guidelines

      • Spouse Coverage Excluded → If spouses cannot enroll under this plan

      • Dependent Coverage Excluded → If dependents are not eligible for coverage

      Confirm ACA Details

    3. Select Save to confirm your selections.

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