ESR Basics
ESR is a provision of this federal law.
What is the Affordable Care Act (ACA)?
This type of coverage must be offered to at least 95% of full-time employees and dependents.
What is Minimum Essential Coverage (MEC)?
An employer with an average of at least 50 full-time and full-time equivalent employees.
What is an Applicable Large Employer (ALE)?
ALEs must offer Minimum Essential Coverage to at least this percentage of full-time employees and their dependents.
What is 95%?
The two choices ALEs must make under the employer mandate.
What are "play" or "pay"?
Minimum Essential Coverage includes this number of essential health benefit categories.
What is 10?
The four things employers must determine under ESR.
What are ALE status, identifying full-time employees, ensuring coverage is adequate and affordable, and completing IRS reporting?
This standard requires a health plan to cover at least 60% of total allowed benefit costs.
What is Minimum Actuarial Value (MAV)?
All member entities in these groups are considered when determining ALE status.
What are controlled groups and affiliated service groups?
A full-time employee receiving this may trigger a potential ESR assessment.
What is a premium tax credit?