Health Care Reform

The Affordable Care Act (ACA) requires most individuals in the United States (including children) to have some form of qualifying health insurance or pay a penalty in the form of a tax.

  • In 2016, the penalty will be $695 per person or 2.5% of income, whichever is higher ($347.50 per child under 18 years of age).

Employer-sponsored health insurance, such as the medical coverage offered by Lowe’s, satisfies ACA’s coverage requirement. Certain government-sponsored coverage, such as Medicare, Medicaid and the CHIP program (Children’s Health Insurance Program), as well as qualifying individual coverage, will also satisfy the requirement for those who are eligible.

State and Federal Marketplaces

Similar to Lowe’s, the state and federal marketplaces have an Annual Enrollment window. The next Annual Enrollment window will be November 1, 2016 through January 31, 2017. Outside of this annual enrollment window, the only time employees can enroll in the state or federal marketplace is with a healthcare.gov  qualified status change. Note qualified status changes for healthcare.gov are different from the qualified changes allowed by Lowe’s. Full-time employees will also not be eligible for a subsidy through state and federal marketplaces because Lowe’s offers medical coverage for full-time employees that meet the minimum value standard.

Should you choose to complete an application in the marketplace for individual health coverage, we have provided additional resources to assist you with information regarding the benefits offered by Lowe’s.

  • If you visited the Healthcare.gov website and received an Employer Coverage Tool to prepare for your marketplace application, please click here.  You will be directed to a list of completed forms based on your employment status and location. You can then select the form that applies to you and print a copy for your records.

 

Lowe’s Medical Coverage Options If a Lowe’s employee does not enroll in coverage through Lowe’s before the 2017 Annual Enrollment deadline, he or she will need a qualified status change to be eligible for Lowe’s coverage after Annual Enrollment ends.

Lowe’s also offers a Fixed Indemnity Plan. This plan provides cash benefits to help cover the cost of hospital admission, confinement, and intensive care unit (ICU).  However, this plan does not meet minimum essential coverage standards through the ACA. If a full-time employee enrolls in only the Fixed Indemnity Plan and has no other qualifying health coverage, they will be subject to the individual mandate penalty.

For Questions About: Contact:
Healthcare coverage through the MarketplaceHealthcare.gov or 1-800-318-2596
Health coverage and your taxesIRS.gov/aca
Consumer assistance for employeesAskebsa.dol.gov