Perhaps the most obvious reason is that the average, marketplace enrollee tends to be less healthy and thus more costly than other types of enrollees.
With the 2017 Open Enrollment for Obamacare approaching quickly, officially known as the Marketplace Insurance Exchanges, there’s a great deal of speculation on how the rates will be affected this year.
Under the Medicare Modernization Act (MMA), written disclosure should be provided by employers who have policies that are inclusive of prescription drug coverage. This written disclosure requirement is a means to notify Medicare of whether or not the prescription coverage is creditable coverage.
Reminder: 1095 Reporting Deadlines Coming Soon...
The Affordable Care Act requirements for reporting employees and the respective benefit information still apply to all employers with 50 or more full-time or equivalent employees for the preceding calendar year.