Small Businesses

What is Health Connector for Business?

Health Connector for Business is employer-sponsored health benefits offered through the Health Connector helps small business owners provide medical and/or dental insurance to their employees. Some smaller employers qualify for a wellness rebate of 15% and/or tax credits if they enroll in insurance exclusively through the Health Connector. A small business can offer health and/or dental insurance to their employees if they: Have between 1 and 50 full-time equivalent (FTE) employees. Note: The business must have at least one full-time equivalent employee other than owners, partners, or their family members. Offer coverage to all full-time employees Enroll at least 70% of the employees offered insurance (with some exceptions) An employer chooses health coverage with a "One Plan" option, or a reference plan for an Employee Choice option, and sets a employer contribution amounts. If Employee Choice is selected, employees will need to select their plans. Small business owners can sign up for coverage through Health Connector for Business on their own or with the assistance of an insurance broker at any time of year.  

Who can shop as a business, and who needs to shop as an individual or family through the Health Connector?

The rules around shopping as a small business through the Health Connector have changed. If you are the owner of a business that has no eligible employees other than your tax dependents, you will need to shop as an individual or family, instead of as a small business. However, most of the health plans available to small businesses are the same as the health plans offered to individuals through the Health Connector. And, you may be able to qualify for help paying for your coverage through programs that are available only for individuals and families.

How will the employer-related policies in Massachusetts’ health reform law be reconciled with the implementation of national health reform?

ACA implementation in Massachusetts will result in the easing of some current regulatory requirements for our employers Small employers will no longer be subject to an assessment and filing requirements focused on whether or not they offer coverage to their employees (there is no federal “employer responsibility” assessment for employers with 50 or fewer employees, and the Commonwealth’s Fair Share assessment has been eliminated) Employers will be required to submit an Employer Health Insurance Responsibility Disclosure (HIRD) form only once a year (some currently submit quarterly). In addition the state has relieved businesses from responsibility for collecting Employee HIRD forms from their workers All employers will see a reduction in their current Unemployment Health Insurance contribution The ACA allows coverage with higher deductibles and out-of-pocket limits than are currently permissible for satisfying Massachusetts’ individual mandate (the Health Connector has conformed its Minimum Creditable Coverage rules to the federal approach).

How will the Shared Responsibility for Employers policy in the ACA mesh with the Fair Share Contribution policy in Massachusetts’ health reform law?

Massachusetts health reform (passed in 2006) included a policy that assessed employers with 11 or more full-time-equivalent employees that did not make a “fair and reasonable” contribution towards the health care costs of their workers. Given that national health reform includes its own incentives for employers to offer health insurance to workers, the Patrick Administration opted to streamline and reduce requirements of this nature for Massachusetts employers. As such, Governor Deval Patrick signed a provision in the Fiscal Year 2014 budget that eliminates the Fair Share Contribution policy. The repeal of Fair Share Contribution policy is not expected to affect employer offer rates here in Massachusetts, as employers have been key partners in the success of the Commonwealth’s landmark health reform law and have continued to offer coverage to workers at very high levels, even in the face of the national economic downturn. The repeal of Fair Share became effective on July 1, 2013. Here are some important updates for Massachusetts employers that may have questions about what this repeal means for any remaining filing or reporting responsibilities: Any employer who is sent an FSC Notice to File (NTF) for FSC Quarter 3 (April 1, 2013 – June 30, 2013) needs to complete this filing by the 8/15/13 due date Employers who have been sent FSC Notice to File (NTF) letters for prior periods and have not yet filed for any/all of those periods should do so immediately. Enforcement and collection of FSC liability for all periods prior to June [...]

Will there be new penalties for employers and how do they apply?

The federal law creates new employer penalties that started in 2015 and apply to employers with more than 50 workers only. This policy is referred to as the Shared Responsibility for Employers component of the ACA. There may be a penalty for some employers that do not offer affordable health insurance coverage to full-time employees. It can be up to be $2,000 per each full‐time worker. The penalty will be triggered should any full-time employee get subsidized insurance from a health insurance Marketplace, like the Health Connector. This happens when a full-time worker, whose household income is under 400 percent of the federal poverty level, is either not offered health insurance, or is offered self-only health insurance that is unaffordable because it would cost more than 9.5 percent of the household’s income, or is offered health insurance that does not meet a minimum value standard. This means that the plan is designed to pay less than 60 percent of the total health care costs of the benefits it covers Potential penalties are calculated differently depending on whether the employer offers their full-time workers no coverage, or unaffordable or substandard coverage. Employers that do not offer any coverage can be subject to a penalty of $2,000 per full-time worker. Employers that offer substandard or unaffordable coverage may be subject to a penalty that will be the lower of the following two options: $3,000 for any employee who receives a subsidy through an insurance Marketplace, like the Health Connector OR $2,000 multiplied by all [...]

How do I find out if my small business could be eligible for the small business tax credits created by national health reform?

The Affordable Care Act established new tax credits for certain small employers to make it more affordable to cover their employees. Eligible employers can achieve even greater savings by using these tax credits in tandem with participating in the Health Connector’s new ConnectWell program, which qualifies them for up to an additional 15 percent premium rebate. Employers can get up to a 50 percent federal tax credit when they buy health insurance through the Health Connector, if they: have 25 or fewer full-time employees, and pay average annual wages below $50,000, and pay at least half of the premiums for employee health insurance. The Health Connector also exclusively offers ConnectWell, a free program offered to eligible employers enrolled in a small business group health plan through the Health Connector. Employers who are not the sole owner and employee of a company and who have fewer than 25 employees total are eligible for the program. Eligible employers who participate may qualify for a ConnectWell rebate of up to 15 percent on their group’s health insurance premium contribution for coverage purchased through the Health Connector.

How does national health reform help Massachusetts small business owners?

The ACA provides additional tools for covering workers, which can help Massachusetts employers ensure that their workforces have the health insurance they need. For example: National health reform established new tax credits for certain small employers to make it more affordable to cover their employees (eligible employers can achieve even greater savings by using these tax credits in tandem with participating in the Health Connector’s ConnectWell program, which qualifies them for an additional 15 percent premium discount) Very low-income employees who cannot afford their employer’s coverage may be newly eligible for MassHealth (Massachusetts’ Medicaid program) without penalties for employers The ACA newly offers “one-stop” shopping for medical and dental coverage through the Health Connector The ACA invests in initiatives and innovations designed to improve the health care delivery system, which will create a healthier workforce and cost savings for Massachusetts’ employers In 2017, the Health Connector began offering small businesses new ways to offer health insurance to their employees, including options that allow the business to offer a number of plans to employees.

What does national health reform mean for employers?

National health reform includes new responsibilities and opportunities for employers. The law provides incentives to help make offering health insurance coverage to workers easier and, in some cases, more affordable. The ACA helps level the playing field for Massachusetts’ employers, setting nationwide standards for benefits and consumer protections that had already been required or commonplace in the Commonwealth.