When key parts of the health care law took effect back in 2014, new ways to buy health insurance where introduced through the Health Insurance Marketplace. To assist you as you evaluate options for you and your family, this notice provides some basic information about the new Marketplace and employment based health coverage offered by your employer.
- What is the Health Insurance Marketplace?
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The Marketplace is designed to help you find health insurance that meets your needs and fits your budget. The Marketplace offers "one-stop shopping" to find and compare private health insurance options. You may also be eligible for a new kind of tax credit that lowers your monthly premium right away. Open enrollment for health insurance coverage through the Marketplace begins in November for coverage starting as early as January 1 of the following year.
- Can I Save Money on my Health Insurance Premiums in the Marketplace?
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You may qualify to save money and lower your monthly premium, but only if your employer does not offer coverage, or offers coverage that doesn't meet certain standards. The savings on your premium that you are eligible for depends on your household income.
- Does Employer Health Coverage Affect Eligibility for Premium Savings through the Marketplace?
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Yes. If you have an offer of health coverage from your employer that meets certain standards, you will not be eligible for a tax credit through the Marketplace and may wish to enroll in your employer's health plan. However, you may be eligible for a tax credit that lowers your monthly premium or a reduction in certain cost-sharing if your employer does not offer coverage to you at all or does not offer coverage that meets certain standards. If the cost of a plan from your employer that would cover you (and not any other members of your family) is more than 9.5% of your household income for the year, or if the coverage your employer provides does not meet the "minimum value" standard set by the Affordable Care Act, you may be eligible for a tax credit.*
Note: If you purchase a health plan through the Marketplace instead of accepting health coverage offered by your employer, (i.e., declining PEBP coverage) you will lose your employer contribution for your employer-offered coverage. Also, this employer contribution as well as your employee contribution to employer-offered coverage is often excluded from income for Federal and State income tax purposes. Your payments for coverage through the Marketplace are made on an after-tax basis.
- How Can I Get More Information?
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For more information about coverage offered by your employer, check the PEBP Master Plan Document or the HMO Summary of Plan Description or contact the Public Employees' Benefits Program at 775-684-7000 or 800-326-5496.
The Marketplace can help you evaluate your coverage options, including your eligibility for coverage through the Marketplace and its cost. Please visit or for more information including an online application for health insurance coverage or contact the Nevada Health Link at 855-768-5464.
* An employer-sponsored health plan meets the "minimum value standard" if the plan's share of the total allowed benefit costs covered by the plan is no less than 60 percent of such costs.