Print
Affordability Calculator - Step 1
next
next
The Affordability Calculator provides an employer with the ability to adjust contribution so that coverage is
less
than 9.5% of employee's salary.
Returning Customer ?
Returning Customer
User Name
Group Retrieval ID
Go
×
Save Group
contributeFormDate
User Name
Group Retrieval ID
Keep your User Name and Group Retrieval ID to retrieve your Group’s Affordability results when you return.
Go
×
Step A - Employer Contributions
Enter the percentage amount you will contribute toward:
For Employee
%
Step B - Premium Contribution Method
Select the “Pencil” to enter your criteria for Contribution
Edit
Of:
-
Carrier:
-
Metal Tier:
-
Plan Type:
-
Selected Plan(s)
Total Employee Only Rate
Employees
Results of "Affordability" of coverage for self-only employees based on the lowest cost plan offered by an employer as defined under the ACA beginning January 2014
First Name
Last Name
Annual Salary
Status
Affordability
Average Annual Full-time Employees:
-
Save
Back to Edit Employees
Premium Contribution Method
Select the criteria for Contribution:
Of
Any Plan
Lowest Cost Plan
Highest Cost Plan
Any Plan
Carrier
Metal Tier
Plan Type
Plans
Please Select a Sponsored Plan
Total Employee Only Rate
Save
×
Zip Code
Please enter your company zip code
County
Add Employee
Click on
Add Employee
to start entering your employees' information.
Add Employee
Employees
List of employees entered to calculate "Affordability"
First Name
Last Name
Date of Birth
Zip
Annual Salary
Status
Edit
Average Annual Full-time Employees:
-
Save
Proceed to Step 2
Affordability Calculator - Step 1
Add Employee
Basic Info
First Name
Date Of Birth
Last Name
Gender
Male
Female
Zip
County
Employment Info
Annual Salary
Full Time
57
24
Status:
Full-Time
Save
Delete Employee
×
