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An employee designated as “Full-time” must be offered health insurance coverage. Designation of an employee’s “Full-time” status may take place at the time of employment or after being employed during a full measurement period. This includes classified, unclassified, temporary and student employees.
For ACA purposes, “Full-time” is defined as working an average of at least 30 hours per week or 130 hours per month.
An employee that is designated as “Full-time” during either an Initial or Standard Measurement Period, must be offered ACA health coverage for the following 12-month stability period (Standard or Initial), regardless of the hours worked as long as they are still employed.
During the normal payroll cycle an employee’s FTE is converted into hours and recorded in Banner, which is EOU’s system of record. Therefore for ACA purposes, the hours recorded in Banner will be the measurement used when reviewing and determining an employee’s “Full-time Status”.
Is an employee whose hours are expected to fluctuate during employment and at the time of employment it cannot be reasonably determined if they will be working 30+ hours per week or 130+ hours per month.
Although an employee working 20-25 hours per week would not be considered “Full-time” under the ACA, the employee in these appointment types (CE, UW, UT) does meet the eligibility requirements under the PEBB ORS/OARs. Therefore, the FTE should be adjusted to reflect expected hours worked and the employee offered coverage under the PEBB eligibility requirements.
No, hours worked under the Federal Work-Study program are not counted when determining the “Full-time” status of student employees.
Yes, a student employee may qualify as “Full-time” under the ACA. Examples of how a student may qualify may include:
The ACA coverage is identical to the coverage offered to benefit eligible employees, except that ACA eligible employees may not enroll in short-term or long-term Disability insurance.
No, an employee is not required to enroll in the available ACA coverage and may decline the coverage. Important:
Yes, Ann will have coverage during the Stability Period regardless of hours worked. Department A will now need to cover the total employer cost for the health insurance coverage.
Yes. Because Ron was determined to be “Full-time”, he is eligible for ACA health insurance during the Stability Period (January – December) regardless of hours worked as long as he is still employed. Therefore, as long as Ron continues to pay his 5% premium share amount, the department is required to cover the employer contribution toward his health insurance coverage.
Please contact the Office of Human Resources with questions regarding the ACA at (541)962-3548 or ascott@eou.edu.
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Human Resources Eastern Oregon University One University Boulevard La Grande, OR 97850-2899 Phone: (541) 962-3548 E-Mail: hr@eou.edu