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406.5 LICENSED EMPLOYEE GROUP INSURANCE BENEFITS

Licensed employees may be eligible for group benefits as determined by the board and required by law.   The Wapello Board of Directors shall select a group insurance program and the insurance company or third party administrator which will provide or administer the program.

 

In accordance with the Patient Protection and Affordable Care Act (ACA), the board will offer licensed 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 is both affordable and 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 licensed employees.

 

Licensed 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 30 hours per week or 130 hours per month for health benefit purposes 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 licensed employees who wish to purchase coverage for their spouse or dependents may do so by meeting the requirements of the applicable plan.

 

Licensed employees and their spouse and dependents may be allowed to continue coverage of the school district's group health insurance program if they cease employment with the school district by meeting the requirements of the insurer.

 

The requirements stated in the Master Contract between employees in the certified collective-bargaining unit and the board regarding the group insurance benefits of such employees shall be followed.

 

Legal Reference:         Iowa Code 20.9; 85; 85B; 279.12; 509; 509A; 509B (2013).

Internal Revenue Code 4980HC(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, 70 Fed. Reg. 8543 (Feb 12, 2014)

 

 

Approved: 6/12/1995

Reviewed: 12/10/1998; 02/14/2008; 10/12/11; 1/11/17; 12/8/21

Revised: 3/14/1996; 3/11/2015