2021 City of Hutchinson Benefit Guide FINAL - 11-20-20

46 PART B: Information About Health Coverage Offered by Your Employer This section contains informa tion about any health coverage offered by your employe r. If you decide to complete an applica tion for coverage in the Marke tplac e, you will be asked to provide this informat ion. This informa t ion is numbe red to correspond to the Marke tplace applica t ion . Here is some basic informa tion about health coverage offered by this employe r: • As your employe r, we offer a health plan to: All employee s. Eligible employe e s are: Some employee s. Eligible employe e s are: • With respec t to dependen ts: We do offer coverage. Eligible dependents are: We do not offer coverage . If checked, this coverage meets the minimum value standa rd*, and the cost of this coverage to you is intended to be affordable, based on employe e wage s. ** Even if your employe r intends your coverage to be affordable , you may still be eligible for a premium discou n t through the Marketplac e. The Marke tplac e will use your household income , along with other factors, to determine whether you may be eligible for a premium discou n t. If, for example, your wages vary from week to week (perhaps you are an hourly employe e or you work on a commission basis) , if you are newly employed mid-yea r, or if you have other income losse s, you may still qualify for a premium discou nt. If you decide to shop for coverage in the Marke tplac e, HealthC are. gov will guide you through the process. Here's the employer informa t ion you'll enter when you visit HealthCa re. gov to find out if you can get a tax credit to lower your month ly premium s. • An employer - sponsored health plan meets the "minimum value standard" if the plan's share of the total allowed benefit costs covered by the plan is no less than 60 percent of such costs (Section 36 B(c)(2)(C)(ii) of the Internal Revenue Code of 1986) 3. Employer name City of Hutchinson 4. Employer Identification Number (EIN) 48-6015517 4. Employer address 125 E. Ave B., PO Box 1567 6. Employer phone number 620-694-2620 7. City Hutchinson 8. State KS 9. ZIP code 67504-1567 10. Who can we contact about employee health coverage at this job? Tom Sanders, Director of Human Resources 11. Phone number (if different from above) 12. Email address [email protected] X X X Full time employees working 30 or more hours per week Legally married spouses and eligible children to age 26.