Coverage for Interns under the Affordable Care Act

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US-0540BG
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Description

Interns can be terrific additions to a nonprofit's capacity building journey, but it's important to clarify whether they are unpaid volunteers or paid employees. Companies should make sure they comply with U.S. Department of Labor requirements so that unpaid interns cannot claim entitlement to wages or make other claims against the employer. Companies should also be aware whether or not these employees are covered under the Affordable Care Act.

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FAQ

Unless all of the following criteria are met, the intern is legally an employee, who must be paid the minimum wage, earn overtime, and receive all of the other protections guaranteed by state and federal employment laws: Interns cannot displace regular employees.

The health care law requires the following organizations and some other parties to report that they provide health coverage to their employees: Certain employers, generally those with 50 or more full-time and full-time equivalent employees. Health insurance companies. Self-insuring employers of any size.

A Qualifying Offer is an offer that satisfies all of the following criteria: It is an offer of coverage that provides minimum value; The employee cost for employee-only coverage for each month does not exceed 9.5% (as adjusted) of the mainland single federal poverty line divided by 12; and.

A set of 10 categories of services health insurance plans must cover under the Affordable Care Act. These include doctors' services, inpatient and outpatient hospital care, prescription drug coverage, pregnancy and childbirth, mental health services, and more.

Affordable coverage under the ACA means that the employee's required contribution for self-only coverage (meaning the amount to acquire coverage for only oneself, and not the cost for dependents) does not exceed a certain percentage of their household income.

Interns May Be Considered Covered Employees If a paid intern works more than 30 hours per week, they may be considered an eligible employee whom the company must cover.Interns who have worked less than 30 hours a week on average for the last 12 months.

Job experience. Research experience. Access to a variety of tasks and departments. Mentorship. Help guide career goals. Create a professional network. Build a strong resume. Secure good references and recommendations.

29. What counts as an offer of coverage under the employer shared responsibility provisions? In general, an ALE makes an offer of coverage to an employee if it provides the employee an effective opportunity to enroll in the coverage (or to decline that coverage) at least once for each plan year.

Under the ACA, employers with 50 or more full-time equivalent employees are required to offer coverage to their employees and to their employees' children, but not to spouses although it's still relatively rare for companies to exclude spouses.

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Coverage for Interns under the Affordable Care Act