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What Is The Family Glitch? All You Need To Know

Jan 2, 2023 | Employee Benefits

As healthcare costs continue to rise, more and more people are turning to insurance to help cover the expenses associated with medical care. However, navigating the complex world of insurance can be daunting, and there are many terms and concepts that can be confusing, including the “family glitch.”

What is the family glitch?

The family glitch is a provision in the Affordable Care Act (ACA) that has caused confusion and frustration for many families who are trying to get health insurance coverage. Essentially, the glitch occurs when an employer offers health insurance coverage to an employee, but that coverage is deemed “affordable” by the government’s standards, even if the cost of covering the entire family is not affordable.

Under the ACA, if an employer offers “affordable” coverage to an employee, that employee and their dependents are not eligible for tax credits to help them purchase insurance on the individual marketplaces. However, the definition of “affordable” only applies to the cost of covering the employee, not the cost of covering the employee’s entire family. This means that if the cost of covering the whole family is too expensive, the family may not be eligible for tax credits even if they cannot afford the employer-provided coverage.

How does the family glitch impact families?

The family glitch can have significant financial implications for families. If a family is not eligible for tax credits to help them purchase insurance on the individual marketplaces, they may be forced to choose between paying for expensive employer-provided coverage or going without insurance altogether. This can put families in a difficult position, especially if they have children or other dependents who need medical care.

What can families do to address the family glitch?

While the family glitch can be frustrating, there are some steps that families can take to address the issue. First and foremost, it is important to talk to your employer about the cost of covering your entire family under the employer-provided plan. If the cost is too high, you may be able to negotiate with your employer or ask if they offer a plan that is more affordable for families.

Another option is to look into purchasing insurance on the individual marketplaces. While you may not be eligible for tax credits, there are still a variety of plans available that may be more affordable than employer-provided coverage. It is important to shop around and compare plans to find one that fits your family’s needs and budget.

Finally, it may be helpful to work with an insurance agent who can help you navigate the complex world of insurance and find the best plan for your family’s needs. An agent can help you understand the benefits and drawbacks of different plans, and can help you determine which plan is the best fit for your family.

In conclusion, the family glitch can be a frustrating issue for families who are trying to navigate the world of health insurance. However, by working with your employer, shopping around for plans, and working with an insurance agent, you can find a plan that fits your family’s needs and budget. If you have any questions about the family glitch or need help finding insurance, don’t hesitate to reach out to an insurance agent for assistance.

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