UNAFFORDABLE EMPLOYER-

SPONSORED COVERAGE

If you or members of your family are enrolled in employer-sponsored health insurance that is considered unaffordable or are going without insurance because it is unaffordable, you may be eligible to enroll in coverage through Your Health Idaho and qualify for a tax credit.

For 2024, coverage is considered unaffordable if the annual premium is more than 8.39% of your total household income. Affordability is calculated for the employee and their families separately. If the employee’s coverage is affordable for themselves but not their family, their family may still qualify for a Special Enrollment Period and be eligible for a tax credit.  While this may mean that your family has a policy through a different carrier, everyone will be covered by affordable health insurance.

There are two times a year when you can enroll: during Your Health Idaho’s Open Enrollment, October 15 – December 15, or during your employer’s Open Enrollment period. We highly recommend confirming your employer-sponsored coverage is unaffordable before canceling your policy or opting out of enrollment. You can do this by completing the application; this does not commit you to enrollment through Your Health Idaho.

      VERIFICATION DOCUMENTS

      To qualify for a Special Enrollment Period during your employer’s Open Enrollment, you must provide the following:

      • Proof of qualifying coverage from employer or insurance carrier
      • Documentation of employer Open Enrollment demonstrating an offer of unaffordable coverage

      To qualify for a tax credit and enroll during Your Health Idaho’s Open Enrollment, you must provide the following:

      • Documentation of current employer-sponsored insurance demonstrating unaffordable coverage

      If you have questions or would like more information, contact Your Health Idaho at 855-944-3246 or visit the Find Help page to find a local certified agent whose assistance is at no cost.