If an employee is eligible for an employer-sponsored plan, but declines coverage, can the employee and family enroll in a Covered California plan? Can they receive subsidies?

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Home »Frequently Asked Questions »If an employee is eligible for an employer-sponsored plan, but declines coverage, can the employee and family enroll in a Covered California plan? Can they receive subsidies?Covered CA

If an employee is eligible for an employer-sponsored plan, but declines coverage, can the employee and family enroll in a Covered California plan? Can they receive subsidies?

The employee and family can enroll in a Covered California plan at full cost. If the employer-sponsored coverage is of minimum value, and is affordable to the employee, then the employee will not be eligible for subsidies. If the dependents are eligible for the employer coverage, and the coverage is of minimum value, and is affordable to the employee, then the dependents will not be eligible for subsidies.

There may be a more recent answer to this question. Contact Claremont for an update.