SYSTEM AND METHOD FOR CALCULATING EMPLOYEE ELIGIBILITY OF HEALTH CARE BENEFITS

摘要

A system and method for assisting companies and employers in complying with various laws, rules and regulations regarding employee health care benefits and insurance plans, specifically including the Affordable Care Act. In one embodiment, web-based software is programmed to receive data from an employer on a regular basis, and then uses the data to make certain determinations regarding employee eligibility for health care benefits, to provide alerts to employers, and to generate reports. The software is programmed to notify the employer regarding crucial deadlines, changes in status of employees that may trigger health care plan eligibility, and alert the employer when steps must be taken for the employer to maintain compliance with such laws, rules and regulations.

主权项

1. A method for tracking a workforce and calculating eligibility of employees for health care benefits, said method comprising the steps of:
providing a computer and software programmed on said computer; entering information into said software, said information including names of employees who form a workforce, and for each said employee, identifying whether said employee works on an hourly or salary basis, number of hours worked per week, number of days worked in a week, and amount of pay; categorizing each employee within said software as either Full-Time salary, Full-Time hourly, Part-Time, seasonal, or employee missing from payroll; using said software to identify employees who are not enrolled in a benefits plan but who are eligible for a benefits plan, and to identify when said employees are eligible for such benefits; using said software to compare monthly income of each said employee to a cost of minimum benefit plan being offered to determine whether said benefits plan being offered complies with current legislation; using said software to track which employees are currently enrolled in a benefits plan and which employees have declined to enroll in a benefits plan; and using said software to generate an alert if additional action is required in order to comply with current legislation.