Get Employer Coverage Tool Application - Healthcare.gov - Healthcare

The Employer Coverage Tool Application is a vital document used to provide information about your eligibility for employer health coverage when applying for Marketplace insurance. This guide will walk you through each section of the application, ensuring you understand how to fill it out effectively and accurately.

Follow the steps to complete the Employer Coverage Tool Application effectively.

1. Press the ‘Get Form’ button to access the Employer Coverage Tool Application and open it in your preferred document editor.
2. Fill out the employee information by providing your full name and Social Security number in boxes 1 and 2.
3. Request your employer to complete the employer information section, which includes fields for the employer name, Employer Identification Number (EIN), employer address, and employer phone number.
4. In the employer contact section, indicate the name and contact details of the person responsible for employee health coverage at the job.
5. Respond to the eligibility question regarding current or future eligibility for health coverage. If currently eligible, proceed to the next question. If not, stop and return the form.
6. Specify whether the employer offers a health plan that covers spouses or dependents and list their names if applicable.
7. Indicate if the employer's plan meets the minimum value standard for health coverage. If yes, continue; if no, stop and return the form.
8. For the lowest-cost plan that meets the minimum value standard, state the employee premium amount that would apply after any applicable wellness discounts and specify the payment frequency.
9. If applicable, answer questions about any changes in the health coverage for the upcoming plan year, including premium changes and dates.
10. Once all sections have been filled out, save your changes, and consider downloading, printing, or sharing the completed form as needed.

Complete your Employer Coverage Tool Application online today for a smoother healthcare coverage experience.