People may have several possible paths to health coverage, including employer-sponsored insurance and individual coverage through the Marketplace. The cost, benefits, network, and enrollment rules vary. An offer of employer coverage can also affect eligibility for Marketplace financial assistance under the rules for the relevant coverage year.
Do not compare premiums alone
Review employee contributions, deductible, copays, network, prescription coverage, and family coverage costs. For Marketplace plans, compare the actual premium after any assistance shown through the official application, as well as the deductible and annual out-of-pocket limit.
Affordability and minimum value rules
Federal rules may consider whether employer coverage is affordable and provides minimum value when evaluating eligibility for Marketplace premium tax credits. These tests and figures can change, so a general article cannot decide your case.
Where to check
Visit HealthCare.gov: job-based coverage and read the current official rules. Use the employer plan's official documents for accurate costs, and make sure you understand effective dates before declining or ending coverage.