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The Affordable Care Act (ACA)’s penalty for not
having health coverage (known as the
individual mandate) has been
eliminated. However, if you are a taxpayer in
California, Massachusetts, New Jersey,
FSSI plans are partially arranged by FSSI and governed by its Vermont or the District of Columbia, you will
plan rules and documents. Various state and federal laws be required to have health coverage (unless
require that employers provide disclosure and annual you qualify for an exemption) or pay a penalty
notices to their plan participants. FSSI distributes annual for the 2020 tax year – these states have an
notices to new-hires and each year during open enrollment. individual mandate requirement.
You may also request a copy by contacting the Human
Resources Department or logging into http://fssi.bswift.com. You may consider these options below to
satisfy this requirement:
The following are a list of Annual Notices: • Enroll in a medical plan offered by FSSI or
• Medicare Part D Notice of Creditable Coverage: Plans another group medical plan meeting the
are required to provide each covered participant and requirements for minimum essential
dependent a Certificate of Creditable Coverage to qualify coverage;
for enrollment in Medicare Part D prescription drug • Purchase coverage through a health
coverage when qualified without a penalty. insurance marketplace;
• HIPAA Notice of Privacy Practices: This notice is • Enroll in coverage through a government-
intended to inform employees of the privacy practices sponsored program if eligible.
followed by FSSI’s group health plan. It also explains the
federal privacy rights afforded to you and the members If you choose to purchase coverage through
of your family as plan participants covered under a the marketplace, because FSSI’s medical plans
group plan. are considered affordable and meet minimum
• Women's Health and Cancer Rights Act (WHCRA): This value under the Affordable Care Act, you may
act contains important protections for breast cancer not be eligible for a subsidy, and you may not
patients who choose breast reconstruction with a see lower premiums or out-of-pocket costs
mastectomy. through the marketplace. In addition,
• Newborns’ and Mothers’ Health Protection Act: This employer contributions to your medical
act affects the amount of time a mother and her benefits will be lost, and your portion of
newborn child are covered for a hospital stay following medical premiums will no longer be paid via
childbirth. payroll deductions on a pre-tax basis.
• Special Enrollment Rights: Plan participants are
entitled to certain special enrollment rights outside of
FSSI’s open enrollment period. This notice provides
information on special enrollment periods for loss of
prior coverage or the addition of a new dependent. For More Information
• Medicaid & Children’s Health Insurance Program: Go to www.healthcare.gov.
Some states offer premium assistance programs for
those who are eligible for health coverage from their
employers, but are unable to afford the premiums. This
notice provides information on how to determine if your
state offers a premium assistance program.
• Summary of Benefits and Coverage (SBC): Health
insurance issuers and group health plans are required to
provide you with an easy-to-understand summary about
your health plan’s benefits and coverage.
