How to determine if an employer s insurance plan is considered unafforadable (California)?

  • by Writer's Block
  • Apr 07,2018
  • 7 answers

My husband switched jobs and lost his insurance. The insurance my work offers would be $390 per month on the lowest plan for both of us, which is just an HSA and not real coverage. For just me, it would be free. Would I only go by what it costs for me, or what it would cost for both of us ($390) to determine if it s affordable? I already have good insurance through my work, just trying to apply for covered CA. Thank you


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Insurance Answers (7)

Flower last month

CoveredCA is when you dont have employer insurance because thats always better. No annual deductible and lower premiums. Try and find a comparable plan from CoveredCA but there will be a deductible. Check all the metal plans. $390 a month for both if it is not an Obamacare full benefit plan seems high but you dont have any deductible, correct? With CoveredCA you still get a subsidy. Did you deduct that from the $390?

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mbrcatz last month

It goes by just you, and just health insurance (no life, dental or vision). If there's no cost for you, it's affordable.

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H. Marie last month

it is affordable if you can manage to pay it, if you can't it is not affordable

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A Hunch last month

An HSA is not a type of health insurance. It is a health savings plan.
You MUST have actual health insurance to have an HSA. To have a HSA, you must have a high deductible plan. The HSA is used to help pay the deductible of the plan.
- there is NOTHING WRONG with a HDHP plan with an HSA. In fact, it's the BEST OPTION for many people!!
Your employer only needs to offer "affordable" insurance for the employee, not the employee & dependents (spouse or children). To be "affordable", the single only coverage must be less than 9.5% of your income. If your cost is $0, then it's "affordable".
Your husband can purchase individual coverage from any insurance company that services your area. He doesn't need to be added on to your coverage, in fact it likely is about $100 or more less expensive per month, if you don't. Contact a health insurance broker in your area to help with the details. He only has 60 days from his loss of coverage to get new insurance.

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Insurance Pickle.com last month

You can't have an HSA without having a qualified health insurance plan. The qualified health insurance plan is REAL coverage. It's affordable because it's free. You can't get more affordable than that.

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amy lynn last month

If the price you will pay for coverage costs more than 9.5% of your annual income, then the plan if "unaffordable".
https://www.flexiblebenefit.com/blog/cal...
I have provided a link with details. If you can't find a plan that has an annual cost that will be at or lower than 9.5% of your total household income, then your husband would qualify for a waiver and not be fined for not having insurance.
At $390 per month, that is $4,680 per year for insurance. If you make $49,100 for the year, that plan would be considered affordable. Remember, that is based on total household income. So, even if your income alone isn't $49,100, if you add your spouses income and it does reach $49,100 or more, that plan would be considered affordable.
BTW, an account that qualifies for HSA is still "real insurance". It just has higher deductibles than other types of insurance policies. The HSA is a health savings account to help with those higher deductibles.

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StephenWeinstein last month

It's determined for each person separately. In determining whether HE is offered affordable insurance, you go by what it would cost for both him and you ($390). In determining whether YOU are offered affordable insurance, you go by what it would cost for only you alone, without him ($0).

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