406.5 LICENSED EMPLOYEE GROUP BENEFITS

Licensed employees shall be eligible for group benefits.  The board as determined by the board and required by law. The board shall select the group benefit 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 (130) hours per month, based on the measurement method adopted by the board, with the 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 participate in the group health plan. Licensed employees who work 30 hours per week are eligible to participate in other group plans that the district offers. Employers should maintain documents regarding eligible employee’s acceptance and rejection of coverage. 

Regular part-time employees who work less than 30 hours per week or 130 hours per month for health benefit purposes or employees who work less than 30 hours per week 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 spouses and dependents may be allowed to continue coverage of the school district’s group health program if they cease employment with the district by meeting the  requirements of the plan.

This policy statement does not guarantee a certain level of benefits. The board shall have the authority and right to change or eliminate group insurance programs for its licensed employees.

 

Legal Reference:    Iowa Code §§ 20.9; 85; 85B; 279.12, .27; 509; 509A; 509B 

    Internal Revenue Service § 4980H(c)(4); Treas. Reg. §54.4980H-1(a)(21)(ii)

    Shared Responsibility for Employers Regarding Health Coverage, 26 CFR Part

    1, 54 and 301, 78 Reg. 21`7, (Jan 2, 2013)

    Shared Responsibility for Employers Regarding Health Coverage, 26 CFR Part

    1, 54 and 301, 79 Reg. 8543 (Feb 12, 2014)

Cross Reference:    405.1    Licensed Employee Defined

    706.2    Payroll Deductions

Approved      9-16-2020                Reviewed    9-16-2020             Revised       8-16-17