Get Health Insurance Marketplace Employer Coverage Tool 2022-2025

The Health Insurance Marketplace Employer Coverage Tool is designed to assist users in gathering essential information about employers offering traditional health coverage. This guide provides a step-by-step approach to help you complete the form accurately and effectively, ensuring you have the necessary information for your Marketplace application.

Follow the steps to complete the Employer Coverage Tool

1. Press the ‘Get Form’ button to acquire the form and display it for editing.
2. Enter the employee information for the individual who has been offered job-based health coverage. This includes filling in their first, middle, and last name, as well as their Social Security number.
3. List the names of all individuals in the employee’s household and indicate whether they are eligible for health coverage through the employer. Only include those individuals the employee plans to claim on their federal income tax return.
4. In the employer information section, either ask the employer to assist in filling out these fields or provide the information as follows: the employer's name, contact person or department, employer address (where notices will be sent), city, state, ZIP code, contact phone number, email address, and employer identification number (EIN).
5. Review the health coverage details offered by the employer. Indicate whether the plans meet the minimum value standard. If they do, proceed to the next question. If they do not, stop and return the form to the employee.
6. If the plans meet the minimum value standard, enter the employee's cost for the lowest-cost plan that meets this standard, using either the premium amount or the frequency of payment (weekly, bi-weekly, etc.).
7. If there are other household members listed, indicate the employee's cost for the lowest-cost plan that covers them all, including any applicable discounts for wellness programs.
8. Once all sections are completed, make sure to save your changes. At this point, you can choose to download, print, or share the completed form as needed.

Complete your Health Insurance Marketplace Employer Coverage Tool online to ensure your application is thorough and accurate.