Filed Under:Health Insurance, Individual Health

How exactly might play-or-pay work?

"All full-time employees" could mean "95 percent."

The Internal Revenue Service (IRS) seems to be reading some Patient Protection and Affordable Care Act (PPACA) employer coverage mandate provisions in ways that could help employers.

Ed Fensholt, a health compliance analyst at Lockton Companies, has given that assessment in a commentary on IRS PPACA employer mandate regulations that were proposed earlier this month.

IRS officials said the preamble to the proposed regulations that they want to keep employers from gaming the 50 FTE employee limit by, for example, employing workers directly part of the week and employing workers through staffing agencies the rest of the week, or by counting employees' hours in strange ways.

But the IRS said it wants to let employers exclude hours worked overseas and, generally, disregard employees who are not common law employees, such as genuine leased workers, partners, sole proprietors and bona fide independent contractors, Fensholt said.

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Nichole Morford

Nichole Morford
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