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The Patient Protection and Affordable Care Act


On March, 23, 2010 the Patient Protection and Affordable Care Act commonly referred to as ACA was signed into law.

The Affordable Care Act…

  • was designed to increase the quality and affordability of health care coverage, reduce the number of uninsured citizens by requiring coverage, and reduce healthcare costs for individuals and the government.
  • created an individual mandate that requires all individuals not covered by an employer sponsored health plan, Medicaid, Medicare, or other public insurance program, to maintain health care coverage or pay a penalty.
  • includes an employer mandate to penalize large employers who do not offer ACA compliant health care coverage at an affordable price to full-time employees.

Frequently Asked Questions

Information for Individuals

The Health Insurance Marketplace Coverage Options and State of Illinois Health Coverage Notice contains information concerning the Illinois Health Insurance Marketplace.

As a state of Illinois public university, SIUE offers insurance through the State Employee Group Insurance Plan (State Insurance).

Illinois Central Management Services (CMS) is the administrator for all State Insurance plans.

CMS offers healthcare plans that satisfy ACA requirements to State Insurance eligible employees.

Employee classifications eligible for State Insurance coverage through CMS

  • With a continous 50% or greater appointment:
    • Civil Service Employees
    • Administrative Staff
    • Professional Staff
    • Tenure Track Faculty
  • With a term contract of at least 9 months and a 50% or greater appointment or at least 412 months and a 100% appointment:
    • Civil Service Employees
    • Administrative Staff
    • Professional Staff
    • Tenure Track Faculty
    • Lecturers

Employees eligible for state insurance coverage are contacted by Benefits staff upon hire to begin the insurance enrollment process. Please contact Benefits staff at benefitshr@siue.edu with benefits questions.

If an employee is not eligible for a state health insurance plan and does not have coverage, the following options for coverage are available:

If health coverage needs to be obtained outside of the open enrollment period, some individuals qualify for immediate enrollment in a Health Insurance Marketplace Plan.

New Tax Documents/Filing Implications

Beginning in 2016, employees who work on average 30 hours or more a week, will receive a new document (Form 1095-C) in addition to their annual W2 tax form.

  • Form 1095-C (click link to view an example of the form) will provide insurance coverage information for employees and their dependents (if applicable) on a monthly basis. The IRS will also receive this same information to ensure that employees have coverage during the tax year.
    Dependents will only be included if they received coverage.

The government website: HealthCare.gov contains information about how the ACA affects tax returns and individual rights and protections.

For any questions regarding ACA please call HR at (618) 650-2190.

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