A
Guide for Artists Run Spaces and Businesses (this page was updated
12/8/08) * indicates updates
The
Massachusetts Health Care Reform Law has created new responsibilities
for non profits organizations, for profit arts organizations, and arts
related businesses. If
you are an all volunteer organization and do not pay anyone for their
services (i.e. you don't have a paid staff, contract staff, or paid
seasonal temporary staff) chances are your organization is not going
to have that many new responsibilities under this new law. It has yet
to be determined if you will have to file new state paper work stating
you do not have any employees.
There
is, however, some very basic information every employer should know
about. Most individuals, under the health care reform law's the
individual mandate
*,
will have to prove on their State income taxes that they have
health insurance coverage to avoid the financial penalties of the new
law. You should familiarize yourself with the Independent
Contractor 2004 law change, and what the new requirements are for
those employers
with part time employees, seasonal employees and/or temporary employees.
As an employer you need to know about the state's
Minimum Creditable Coverage Requirements*
for health
insurance.
If
you have employees, you need to know how to count your number of full-time-equivalent
employees to find out what, if anything, you are required
to do as an employer under the health care reform law. If you have 11
or more full-time-equivalent employees you will need to abide by several
key requirements and even if you don't have 11 full time equivalent
employees you will still have to file/collect some state forms.*
For more information on employer's requirements, see the
State's general information page.
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To
find out how to count your full-time-equivalent employees, see the Connector's
section "How
do I know if I have more 11 or more full-time-equivalent Employees?"
We
are creating a "How to count your full-time-equivalent workers"
information & FAQ page for you to reference.
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If
you don't have 11 or more full-time equivalent employees- you have to
do the following:*
"Some reporting employers were not required or able to file Employer
HIRD information via DUA's FSC/HIRD combined electronic filing in 2008.
These employers, though exempt from filing FSC (Fair Share Contribution)
information, are required to complete and submit the below Employer
HIRD form to DHCFP. For more information, please download and read the
following form and companion instructions:" quoted from the the
State's general information page
* Employer
HIRD 2008 for FSC-exempt Employers (PDF)
*
Instructions:
Employer HIRD Form 2008 for FSC-exempt Employers (PDF)
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If
you do have 11 or more full-time-equivalent employees you have many
new requirements:
1) You must offer a Section
125 cafeteria plan that meets Health Connector regulations. Section
125 Plans let employees save money through pre-tax payments for health
coverage. If
you don't offer a Section 125 cafeteria plan, you will pay the Free
Rider Surcharge if your employees or their dependents get medical
care that is paid by the state's Free Care Pool- now called the Health
Safety Net -for the uninsured.
From the Connector's website: "The amount of the Free Rider Surcharge
will vary from employer to employer. It will be based on the number
of employees, the amount of "free" or "safety net" care used, total
state-funded costs, and the percentage of employees enrolled in the
employer¹s health plan. Health care can be expensive. Offer a Section
125 Plan. If you don't, you may face large, unplanned charges when
your employers or their dependents use a large amount of state free
care. ... The Free Rider Surcharge applies to employers who: 1. Have
11 or more full-time-equivalent employees. 2. Do not offer a qualified
Section 125 Plan to their employees. 3. Have employees who use a total
of $50,000 of state-funded "Free Care" for themselves or their
dependents in a 12-month period. How do you know if you have 11 or more
full-time-equivalent employees for this rule? ..... The Free Rider Surcharge
does not apply to employers when: a) Certain collective bargaining agreements
are in place. b) Employees participate in the Massachusetts Insurance
Partnership."
2)
You must make a "fair and reasonable" contribution to your
employees'** health insurance or pay a Fair Share Contribution
or fine of up to $295 per full-time-equivalent
employee per year.
From
the Connector's website: "As of July 1, 2007...Employers with 11
or more full-time-equivalent employees will pay an annual Fair Share
Contribution of up to $295 per employee if they do not make a "fair
and reasonable" contribution to an employee health plan. The funds
will help pay for health plans for people who do not have the option
of employer-sponsored health insurance....
A
"fair and reasonable" contribution by an employer is:
(i) 25% of an employer's full-time employees* are participating in the
employer's group health plan.
OR
(ii)
an employer's contribution of at least 33% toward a health plan
premium for all full-time employees* who are employed more than 90 days.
(Note there is no requirement to offer a family plan or to contribute
to a family plan offered)*
An
employer who meets either (i) OR (ii) will not be subject to
the Fair Share Contribution of up to $295 per full-time-equivalent
employee
3)
You must complete an Employer
Health Insurance Responsibility Disclosure (HIRD) Form/Report which
must be filed on-line, to report if you offer a Section 125 Plan that
complies with Health Connector regulations.
4)
You must collect an HIRD
Employee Form*
from employees who decline your employer sponsored health insurance
and/or your employer sponsored Section 125 Plan. The Employee HIRD form
is also available in Spanish*
and Portuguese*.
For general information on the HIRD forms see the
State's general information page. You will need to keep these
forms on file for at least three years.*
*A
full-time employee is: Someone who works 35 hours or more per week at
a Massachusetts location (even if they live in another state). A full-time
employee is not: 1) Independent contractors 2) Seasonal employees. 3)
Temporary employees are not considered full-time employees. 4) Workers
from temp agencies (they are the temp agency¹s employees)."
**If
you now need to offer health insurance to your employees because of
this new law and need help navigating how to do so, we have some suggestions:
1) First contact the Insurance Partnership (see below), they can direct
you to a broker and/or association or membership organization. 2) You
can also purchase insurance from the Connector and/or set up a Section
125 Plan through the Connector:
www.mahealthconnector.org 3) A third option is to join your local
chamber of commerce, the Massachusetts Business Association, the Small
Business Association, or another trade group as most offer ways to purchase
health insurance plans and Section 125 Plans (note the expense to set
up a Section 125 Plan should be Free or at a very low cost)
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If
you own a small business and have 50 full time employees or
less (note there is no limit on how many part time employees you
can have), are a sole proprietor, or are self employed, you may be eligible
for the Insurance
Partnership Program which is a program that helps small businesses
and the self-employed pay for health insurance. Your small business
may also be eligible to purchase insurance through the Connector via
Commonwealth Choice Plans. We are awaiting clarification if the self-employed
and if businesses and their employees will be able to purchase Commonwealth
Choice Plans through the Insurance Partnership. Please note if you
are self-employed, we strongly suggest you first see if you are eligible
for Commonwealth Care- the State's Subsidized Health Insurance plan-BEFORE
you enroll into to the Insurance Partnership- see our Guide
for Artists*
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The
Connector has posted a FAQ's
for businesses on the Health Care Reform Law.
On their site they list what the new Employer
Obligations are under the new law. They have a basic
information section on the Health Care Reform Law that is worth
looking at. They have an
employer handbook on their site. On their website is specific
information for businesses on how to create
Section 125 plans for full-time employees, and for part-time and
contract employees. The Connector has also posted a Section
125 handbook for employers. If you now need to offer health insurance
to your employees because of this new law and need help navigating how
to do so- we have some suggestions. First contact the Insurance Partnership
www.insurancepartnership.org, they can direct you to a broker and/or
association or membership organization. You can also purchase insurance
from the Connector and/or set up a Section 125 Plan through the Connector:
www.mahealthconnector.org
A
third option is to join your local chamber of commerce, the Massachusetts
Business Association, the Small Business Association or another trade
group to purchase health insurance.
The
Connector has set up a public information unit. The contact information
for the unit: 617-933-3140 email: connector@state.ma.us As soon as we
have a contact person's name and direct phone number we will post it.
Healthcare
for Artists has also launched a 125 Cafeteria Plan Watch: If you are
a business owner and have been contacted by someone who tried to charge
you a large amount of money to set up a 125 Cafeteria plan ($500 or
more as the cost can be as little as FREE to set it up), please contact
us by email. We are keeping track to make sure no one is being unfairly
taken advantage by predatory sales people. The AF is in contact with
the Attorney General's Office on this matter. All
correspondence is kept confidential. Please
email us: feedback@healthcareforartists.org
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Also
we need your help: ALL MASSACHUSETTS ARTISTS WORKING IN ALL DISCIPLINES
NEED TO STAND UP AND BE COUNTED! The
Artists Foundation has collaborated to create on-line tool, Stand Up
and Be Counted, to better determine how many artists of all disciplines
are living and working in Massachusetts. Your answers will also help
us and others to better advocate for our population. Go to the
OnLine Questionnaire. Help us make the invisible- VISIBLE! Help
us spread the word on this on-line tool!