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Issue Background

Employer Issues

Issue Resources

Letter to the administration | NAHU joined other industry groups to ask HHS Secretary Burwell for a two-year transition for the small group definition change to 100 employees.

Employers for Flexibility (“E-Flex”) in Health Care Coalition“E-FLEX” is a coalition of leading trade associations and businesses in the retail, restaurant, hospitality, construction, temporary staffing, supermarket, and other service-related industries, as well as employer-sponsored health plans insuring millions of American workers that strives to preserve employer-sponsored coverage under PPACA.

Coalition Statement | Preserving Employer Sponsored Health Coverage under the ACA

Employers are the backbone of both the nation's economy and the national private healthcare delivery system. For the majority of Americans under the age of 65, employer-sponsored health insurance is a dependable and cost-effective method for attaining high quality health insurance coverage. NAHU believes that the current health reform requirements imposed by the ACA are limiting employers' ability to continue offering health insurance coverage to their employees due to increased costs. Furthermore, many of the provisions of this law are actually contributing to our nation’s current economic uncertainty and limited job growth. Erosion of the employer-based health insurance system will make health coverage more expensive for millions of Americans and limit their reliable and efficient access to high-quality health coverage.

While employers are currently faced with a wide range of health reform implementation issues, NAHU has focused two of the most prominent employer issues, the change in the definition of a full-time employee for the purposes of a health insurance coverage offer that affects many American employers and the new requirements for employers to report health plan details to the IRS each year to help enforce the law’s individual and employer mandates.

Under the health reform law, employers with 50 or more full time equivalent employees must provide all employees who work an average of 30 hours or more a week with either a health coverage offer or face a financial penalty. Employers large and small are finding it difficult to comply with this change to the traditional definition of a full-time employee, and the extensive tracking of employee hours it requires. NAHU supports legislation to restore the definition of a full time employee from 30 hours to 40 hours.

The planned expansion of the small employer marketplace to 1-100 employees in 2016 will cause significant price increases for the majority of small and mid-sized employer group health plans. NAHU joined other organizations asking the administration asking the administration for a two-year transition period for employers to work through the new employer mandate requirements as the law's original implementaiton timeline allowed. Further, NAHU is a leading advocate in the 50-100 Coalition in promoting bipartisan legislation to give states the ability to define their small group markets.

The new employer reporting requirements are costly, confusing and pose some significant privacy concerns. NAHU supports legislation that would ease the reporting requirements on the nation's employers. In this effort, NAHU supports bipartisan legislation to streamline the employer reporting process and strengthen the eligibility verification process for the health care premium tax credit and cost-sharing subsidy.