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Affordable Care Act FAQs

Listed below are FAQs about the Affordable Care Act and the Health Insurance Marketplaces. If you have additional questions or need assistance, contact the Equity-League Benefit Funds Health Department at (212) 869-9380 (New York City) or (800) 344-5220, and a representative will assist you.

The Affordable Care Act and the Health Insurance Marketplaces

Does the Affordable Care Act affect my current coverage?

No. You don’t need to do anything if you have Equity-League coverage earned through employment, or our Medicare Supplemental coverage.

Can I drop Equity-League Benefit Funds health coverage for a plan offered by one of the ACA's Marketplaces?

You can choose to purchase coverage from the Marketplace for your area at any time. However, if you qualify for our coverage, you will not be eligible for a subsidy to purchase coverage from the Marketplace.

I used to qualify for Equity-League Benefit Funds coverage, but now I don't. How do I know if I qualify for the subsidy to assist with Marketplace coverage?

When you apply for Marketplace coverage, you must estimate your annual household income. If your estimated income is less than four times the Federal Poverty Level based upon the size of your household, you may qualify for the federal subsidy.

If you do qualify and receive the subsidy, the government will pay the subsidy directly to your insurer. And remember, if you do qualify for Equity-League Benefit Funds coverage again in the future, you will not be eligible for the subsidy.

If I qualify for the federal subsidy, can I use it to pay for premiums for Equity-League Benefit Funds coverage?

No. The subsidy may only be applied toward premiums for coverage purchased through the Marketplaces.

When can I enroll in Marketplace coverage?

The Health Insurance Marketplace holds its open enrollment period each fall, visit the HealthCare.gov Blog for actual dates.