Medical Plan Opt-Out Policy

Medical Expenses are at an all time high for employers. If an employee can obtain coverage through their Spouse’s medical insurance plan, the Company will compensate the employee $ 100 each month as regular income for staying on the spouse’s medical plan. This only applies to medical; not dental, vision or other plans.

To qualify for this opt-out payment, the employee must provide the Company, at least annually, reasonable evidence (such as a signed attestation) that the employee and the employee’s tax family have or will have minimum essential coverage under the spouse’s (or another) group health plan for the period covered. Opt-out payments not conditioned on proof of other coverage can be counted against the Company’s health plan under the ACA's affordability rules; Human Resources should confirm this arrangement continues to satisfy IRS requirements for an eligible opt-out arrangement.

General information, not legal advice. Treat this as a drafting starting point, not a finished policy — employment law varies by jurisdiction and changes often, so have a licensed attorney tailor it to your situation before you rely on it.

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