An employer-sponsored plan is considered “affordable” based upon the percentage the employee is required to contribute to the premiums for self-only coverage (by salary reduction or otherwise). The self-only coverage premium standard applies, even if the employer offers the coverage to other family members. In order to be considered affordable, the employee should not have to contribute more than a certain “contribution percentage” of their total household Modified Adjusted Gross Income. For 2016, that contribution percentage is 9.66 percent (Note: This percentage will likely increase annually). Futhermore, your employer-sponsored plan must provide minimum value. For more information about minimum value, please consult a Certified Broker or Health Coverage Guide. If the coverage your employer offers is not affordable or does not meet the standard of minimum value, you may be eligible to purchase a Qualified Health Plan through Connect for Health Colorado’s Marketplace and see if you are eligible for the tax credit and Cost Sharing Reductions. To see if your employer-sponsored plan is affordable and adequate, complete our Employer Coverage Tool. Note: Whether or not your employer-sponsored plan is affordable does not affect your eligibility for Health First Colorado (Colorado’s Medicaid Program) or Child Health Plan Plus.
Am I eligible for subsidies (financial assistance) to help pay for health insurance?
How does eligibility for and/or enrollment in other coverage affect my eligibility?
What is Minimum Essential Coverage?