an application for coverage in the Marketplace, you will be asked to provide this information. This information is numbered to correspond to the Marketplace Application. 3. Employer Name Thomas College 4.Employer Identification Number (EIN) 5. Employer address 180West River Rd 6. Employer phone number (207) 859-1 240 7. City Watervill e 8. State ME 9. ZIP Code 04 901 10. Who Can we contact about employee health coverage at this job? Michelle Joler-Labbe 11. Phone Number (if different from above) 12. Email ad dres Michelle.joler.labbe@thomas.edu Here is some basic information about the health coverage offered: As your employer, we offer a health plan to employees who meet the following eligibility requirements: Employees who work a minimum of 3 0 hours per week. . With respect to dependents: We do offer coverage. Spouses, Domestic Partners and Dependent Children until age 26. The coverage we offer for 202 5 is intended to meet the minimum value standard, and the cost of this coverage is intended to meet ACA requirements for affordability. 3 ** Even though we intend your coverage to be affordable, you may still be eligible for a premium discount through the Marketplace. The Marketplace will use your household income, along with other factors, to determine whether you may be eligible for a premium discount. If, for example, your wages vary from week to week (perhaps you are an hourly employee or you work on a commission basis), if you are newly employed mid-year, or if you have other income losses, you may still qualify for a premium discount. Marketplace Employer Coverage Tool If you decide to shop for coverage in the Marketplace, HealthCare.gov will guide you through the process. Here's the employer information you'll enter when you visit HealthCare.gov to find out if you can get a tax credit to lower your monthly premiums. The information below corresponds to the Marketplace Employer Coverage Tool. Completing this section is optional for employers but will help ensure employees understand their coverage choices. 3 This is subject to future regulations and legal requirements, as well as employer decisions regarding health care coverage. In no way is this statement intended to act as an agreement or contract to offer health care coverage that meets the minimum value standard and is affordable (as defined under the health care law reform rules and regulations). IMPORTANT: The Accident and Critical Illness Policies are fixed indemnity policies, NOT health insurance This fixed indemnity policy may pay you a limited dollar amount if you're sick or hospitalized. You're still responsible for paying the cost of your care. 01--263385
The payment you get isn't based on the size of your medical bill. There might be a limit on how much this policy will pay each year. This policy isn't a substitute for comprehensive health insurance.
Since this policy isn't health insurance, it doesn't have to include most Federal consumer protections that apply to health insurance. Looking for comprehensive health insurance? Visit HealthCare.gov or call 1-800-318-2596 (TTY: 1-855-889-4325) to find health coverage options. To find out if you can get health insurance through your job, or a family member's job, contact the employer.
Questions about this policy?
For questions or complaints about this policy, contact your State Department of Insurance. Find their number on the National Association of Insurance Commissioners' website (naic.org) under "Insurance Departments." If you have this policy through your job, or a family member's job, contact the employer.
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