2022/2023 ACA & Part-Time Coverage

ACA Medical Eligibility

If you are a part-time employee who becomes eligible for medical coverage under the Affordable Care Act (ACA), you will receive an email from Penn State Employee Benefits, along with a Workday Inbox message, alerting you to your eligibility. This information will be delivered to you before or by the start of the ACA Open Enrollment period for the next plan year. You will remain eligible for the plan year in which you qualify provided you remain an active employee with the University. Please see the 2022/2023 ACA Eligible Employee Contributions Per Pay chart below.

Grandfathered Part-Time Medical Eligibility (discontinued Policy HR05)

Individuals who became eligible on or before December 31, 2014 for the part-time health care plan will continue to be eligible for such provisions, based on the below guidance:

  1. There is no involuntary or voluntary separation from University employment; for example if the employee leaves University employment for any period of time;
  2. The employee continues enrollment in the part-time health care plan, with applicable payment of health care plan premiums via payroll deduction or billing process when a payroll deduction cannot occur;
  3. Or, eligibility for the part-time health care plan ceases should the employee transfer into a full-time benefits eligible position.

See Policy HR103 Employment Conditions for Part-Time Employees for established criteria for those grandfathered under discontinued Policy HR05 prior to December 31, 2014.

As previously communicated with the discontinuation of Policy HR05, there will no longer be an open enrollment period for part-time employees covered under this grandfathered plan. Changes may only be made with a qualifying life status change (marriage, divorce, birth, adoption, etc.).

Please see the 2022/2023 Grandfathered Part-Time Eligible Employee Contributions Per Pay.

2022/2023 Premiums for ACA & Part-Time Coverage

2022/2023 ACA Eligible Employee Contributions Per Pay
Tier Level Monthly lion advantage Bi-Weekly lion advantage Monthly lion traditional Bi-Weekly lion traditional
Individual $22.75 $10.50 $44.04 $20.33
Employee + Spouse $55.13 $25.44 $107.33 $49.54
Employee + Child(ren) $51.04 $23.56 $99.46 $45.90
Family $70.29 $32.44 $136.79 $63.13
2022/2023 Grandfathered Part-Time Eligible Employee Contributions Per Pay
Tier Level Monthly Lion Traditional Bi-Weekly Lion Traditional
Individual $44.04 $20.33
Employee + Spouse $107.33 $49.54
Employee + Child(ren) $99.46 $45.90
Family $136.79 $63.13