Code Number: 406.5
Employees may be eligible for group benefits as determined by the Board and required by law. The Board will select the group benefits program(s) and the insurance company or third-party administrator who will provide or administer the program.
In accordance with the Patient Protection and Affordable Care Act (ACA), the Board will offer employees who work an average of at least thirty (30) hours per week or one hundred thirty (130) hours per month, based on the measurement method adopted by the Board, with minimum essential coverage that provides minimum value. The Board will have the authority and right to change or eliminate group benefit programs, other than the group health plan, for its employees.
Employees who work an average of at least thirty (30) hours per week or one hundred thirty (130) hours per month, based on the measurement method adopted by the board, are eligible to participate in the group health plan. Employers should maintain documents regarding eligible employee’s acceptance and rejection of coverage.
Regular part-time employees (i.e., employees who work less than 20-29 hours per week) who wish to purchase coverage may participate in group benefit programs by meeting the requirements of the applicable plan. Full-time and regular part-time employees who wish to purchase coverage for their spouse or dependents may do so by meeting the requirements of the applicable plan.
Employees and their spouse and dependents may be allowed to continue coverage of the District’s group health program if they cease employment with the District by meeting the requirements of the plan.
- First Adoption:
- 2018-09-10
- Reviewed Dates:
- August 22, 2018
- Legal Reference:
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Iowa Code §§ 20.9; 85; 85B; 279.12, .27; 509; 509A; 509B
Internal Revenue Code § 4980H(c)(4); Treas. Reg. § 54.4980H-1(a)(21)(ii).
Shared Responsibility for Employers Regarding Health Coverage, 26 CFR Parts 1,
54 and 301, 78 Fed. Reg. 217, (Jan. 2, 2013).
Shared Responsibility for Employers Regarding Health Coverage, 26 CFR Parts 1,
54 and 301, 79 Fed. Reg. 8543, (Feb. 12, 2014).