Are there certain types of employer-sponsored coverage that are excluded?
Yes. Employee contributions to health FSAs, life insurance or disability insurance, long-term care coverage, and stand-alone dental and vision insured plans are excluded from reporting. Workers’ compensation insurance is also excluded and, if paid for with employee after-tax dollars, hospital indemnity or other fixed indemnity insurance, as well as coverage only for a specific disease or illness.
Related Questions
- Certain conditions have limited maximum benefits; see What services/conditions are limited or excluded from coverage? Refer to your coverage document for specific terms and conditions.
- Can an employer have two different types of coverage so all employees have access to all plans but a certain (large) group of employees have higher employer contribution?
- What types of vehicles are excluded from coverage by the regulation?
