Blue Access for Employers

Health Insurance Marketplace

Starting in 2014, individuals — and small employers — are being introduced to a new way of buying health insurance.

Who

What

Individual

Get Covered Illinois, the Official Health Marketplace for Illinois

Small Employers

Small Business Health Options Program (SHOP)


Small Business Health Options Program (SHOP)

Small employers can buy 2014 group health care coverage by selecting a SHOP Marketplace plan on behalf of their employees. Or, pass and keep buying like they do now with a group contract.

Beginning in 2015, you'll have a few options for offering group health plan coverage based on your state.


Small Employer Tax Credits

If you have 25 or fewer full-time equivalent employees and buy your group health care through SHOP, you may get a tax credit. This credit will pay up to 50% of your total cost for the first two years you offer SHOP coverage.

Small employers can claim their tax credit by sending in Form 8941, Credit for Small Employer Health Insurance Premiums.

Individuals can apply for
coverage online, over the
phone or by mail.


Metallic Level Plans

Marketplace health plans will fall into one of four metallic levels. You'll find a variety of plans offered across the tiers, all covering essential health benefits (EHBs):

  • SHOP - Each level shows much you'll pay into the total cost of your employee's coverage

  • Marketplace - Each level shows a range for health coverage costs

Level

Plan Pays

You'll Pay

Cost
Details

Bronze

60%

40%

  • Lower monthly payments

  • Higher out-of-pocket costs when you receive medical care

Silver

70%

30%

  • Higher monthly payment than a Bronze plan

  • Lower out-of-pocket costs than a Bronze plan when you receive medical care

Note: Silver plans eligible for cost-sharing assistance
based on income.

Gold

80%

20%

  • Higher monthly payment than a Silver plan

  • Lower out-of-pocket costs than a Silver plan when you receive medical care

Platinum

90%

10%

  • Highest monthly payments

  • Lowest out-of-pocket costs when you receive medical care





Since this is an overview, detailed information on this
topic — and more — is available.