Summary of Potential Employer Penalties Under the Patient Protection and Affordable Care Act (PPACA)

David Newman
Specialist in Health Care Financing

This report describes and illustrates the penalties, when applicable beginning in 2014, to employers under the new health insurance reform law—specifically, in Section 1513 and Section 10106 of the Patient Protection and Affordable Care Act (PPACA, P.L. 111-148), as amended by Section 1003 of the Health Care and Education Reconciliation Act of 2010 (P.L. 111-152). Hereinafter, PPACA will refer to PPACA as amended by the reconciliation act.

PPACA does not explicitly mandate an employer offer employees acceptable health insurance. However, certain employers with at least 50 full-time equivalent employees will face penalties, beginning in 2014, if one or more of their full-time employees obtains a premium credit through an exchange.1 As described in greater detail below, an individual may be eligible for a premium credit either because the employer does not offer coverage or the employer offers coverage that is either not “affordable” or does not provide “minimum value.”


Date of Report: August 9, 2011
Number of Pages: 9
Order Number: R41159
Price: $19.95

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