You are always free to decline your employer's health plan and purchase an individual policy through the Health Insurance Marketplace or directly from an insurer. However, if your employer's offered coverage meets the government's standards for affordability and coverage, on the Marketplace. This usually makes private plans much more expensive. 🔍 Key Factors to Consider 1. The Affordability Test
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Is your employer's plan , or does it just have poor coverage ? You are always free to decline your employer's
Ask HR for a "Summary of Benefits and Coverage" and a "Employer Coverage Tool" form. 🔍 Key Factors to Consider 1
You lose the employer's contribution to your premium. No Subsidies: You likely pay 100% of the sticker price.
Calculate your annual premiums plus potential out-of-pocket costs for both options.
There is no longer a federal tax penalty for opting out of employer coverage.