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Beneit Resource
Guide
1. What is the Individual Mandate?—The provision of the law
requiring, in general, every individual have qualifying health
insurance or pay a penalty.
A. 2016—Greater of $695 per uninsured adult or 2.5% of
household income
2. Is the health insurance I get from Americare qualifying coverage so
I can avoid the penalty?—Yes
3. What are the “Exchanges/Marketplaces?”—The exchanges
are marketplaces to buy health insurance run by a state or the
federal government. You can go to www.healthcare.gov or visit
www.locktonmarketplace.com/stlouis for more options.
4. Do I have to get health insurance through Americare?—No, but
because Americare will offer plans that meet the requirements of
the law (affordability and qualifying coverage) there are several
things to consider if you purchase medical insurance through an
exchange:
A. You may not receive a subsidy
B. You will pay 100% of the cost in an exchange/marketplace
C. Your premium will be an after tax payment
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Guide
1. What is the Individual Mandate?—The provision of the law
requiring, in general, every individual have qualifying health
insurance or pay a penalty.
A. 2016—Greater of $695 per uninsured adult or 2.5% of
household income
2. Is the health insurance I get from Americare qualifying coverage so
I can avoid the penalty?—Yes
3. What are the “Exchanges/Marketplaces?”—The exchanges
are marketplaces to buy health insurance run by a state or the
federal government. You can go to www.healthcare.gov or visit
www.locktonmarketplace.com/stlouis for more options.
4. Do I have to get health insurance through Americare?—No, but
because Americare will offer plans that meet the requirements of
the law (affordability and qualifying coverage) there are several
things to consider if you purchase medical insurance through an
exchange:
A. You may not receive a subsidy
B. You will pay 100% of the cost in an exchange/marketplace
C. Your premium will be an after tax payment
32
