Difficulty verifying employer health plan minimum value standard
💸 moneysocial problemSingle report ●●●●●
An employee in New York is unable to determine if their employer's high-deductible health plan meets the government's minimum value standard, which is required for updating their state health marketplace application.
What people do today
- Asking the employer's HR department
- Reviewing the Summary of Benefits and Coverage document
- Contacting the insurance provider directly
🔧 Fix this
Ideas a builder, maker or community group could start on:
- A browser-based tool where users upload their Summary of Benefits and Coverage PDF to automatically calculate the actuarial value.
- A standardized template for employees to send to HR that forces the employer to provide the specific minimum value certification.
- A public database where employees can anonymously report if their employer's plan meets the minimum value standard to help others in the same company.
Real voices
“I'm not sure how to determine if it meets the value standard.”
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