Healthcare Glossary & Links
Glossary of Terms
The following is a list of terms associated with the ACA:
- Affordable: A health insurance plan whose employee cost for premiums doesn’t rise above 9.5% of W-2 income.
- Cadillac Plans: Beginning in 2018, the law requires employees who are covered by the most expensive plans to pay a new 40% excise tax on the value of coverage that exceeds certain dollar thresholds.
- Dependant Coverage: A health insurance plan that offers coverage to employees’ dependents.
- Employer Mandate: Beginning in 2014, employers with 50 or more FTEs must offer affordable “minimum essential coverage” to all employees who average 30 or more hours a week in a given month, or face penalties. The specific definition of “minimum essential coverage” is being determined through the regulatory process.
- Full Time Equivalent (FTE) Employees: The number of full time employees when adding the number of full-time employees to the total number of part time employees, weighted for 30 hours per week.
- Full time Employee: An employee meeting the definition of working 30 hours or more per week.
- Individual Mandate: The law requires every person legally present in the U.S. to maintain "minimum essential healthcare coverage" beginning in 2014, or pay a penalty. The requirement may be satisfied by participating in an employer-sponsored plan, by purchasing individual policies, by obtaining coverage under a state insurance exchange, or by gaining coverage through Medicare, Medicaid or other governmental programs.
- Large Employer: An employer who employs 50 full time equivalent (FTE) employees or more.
- Minimum Value: A health insurance plan designed to meet the actuarial value of 60% of the legislated “Bronze” plan.
- Seasonal Employees: Those employees working less than 120 days in the year.
- Subsidy: The portion of the health insurance premium that will be paid for by the Federal Government.
| Oregon’s health insurance exchange
| State of Oregon’s Insurance Division
| Federal government website
| U.S. Department of Health & Human Services
| National Restaurant Association’s healthcare site