This section contains information about any health coverage offered by your employer. If you decide to complete an application for coverage in the Marketplace, you will be asked to provide this information. This information is numbered to correspond to the Marketplace application.
| 3. Employer name | 4. Employer Identification Number (EIN) | |
|---|---|---|
| Kentucky State University | 61-1099712 | |
| 5. Employer address | 6. Employer phone number | |
| 400 E Main Street | 502-597-6218 | |
| 7. City | 8. State | 9. ZIP code |
| Frankfort | KY | 40601 |
| 10. Who can we contact about employee health coverage at this job? | ||
| Delores Shirley | ||
As your employer, we offer a health plan to:
☐ All employees
Some employees. Eligible employees are:
Full-time equivalent employees working at least 100 hours per month.
With respect to dependents:
We do offer coverage. Eligible dependents are:
Lawful spouse of a subscriber. Dependent child under the age of 26 (newborn, stepchild, legally placed for adoption or legally adopted, child for whom legal guardianship has been awarded, or a child for whom the Subscriber has a legal obligation under a divorce decree or other court order).
☐ We do not offer coverage.
☑ It checked, this coverage meets the minimum value standard, and the cost of this coverage to you is intended to be affordable, based on employee wages. ** Even if your employer intends your coverage to be affordable, you may still be eligible for a premium discount through the Marketplace. The Marketplace will use your household income, along with other factors, to determine whether you may be eligible for a premium discount. If, for example, your wages vary from week to week (perhaps you are an hourly employee or you work on a commission basis), if you are newly employed mid-year, or if you have other income losses, you may still qualify for a premium discount.
Even if your employer intends your coverage to be affordable, you may still be eligible for a premium discount through the Marketplace. The Marketplace will use your household income, along with other factors, to determine whether you may be eligible for a premium discount. If, for example, your wages vary from week to week (perhaps you are an hourly employee or you work on a commission basis), if you are newly employed mid year, or if you have other income losses, you may still qualify for a premium discount.
If you decide to shop for coverage in the Marketplace, HealthCare.gov will guide you through the process. Here's the employer Information you'll enter when you visit HealthCare.gov to find out if you can get a tax credit to lower your monthly premiums.