What about a State Exchange

The exchanges in more than half the US will be Federally Facilitated Exchanges (FFE), but there will be 18 state exchanges.  How do the rules work on a State Exchange?

How do employers use exchanges?

There is rolling enrollment for employers, but, upon enrollment, the employer is locked into the plan for one-year periods. The plan premiums are also locked in for the same amount of time. Once the employer enrolls in a state exchange:

  • The employer must offer Exchange coverage to all employees.
  • The Exchange must provide an aggregate bill to the employer for all employees.
  • Employers must notify the Exchange about any employee change of status, for example, adding dependents or terminating employment.
  • Employers with multiple worksites can offer access to a single Exchange or to state Exchanges where employees are located.