6 Tips to Swap Employee ACA Confusion With Health Benefits Appreciation

Are your employees upset and confused about Affordable Care Act (ACA) individual marketplace headlines? In the past month they may have heard about large increases in ACA individual exchange premiums, health insurers pulling out of certain U.S. counties, reductions in mandatory coverage of contraceptives and, most recently, the government ending marketplace cost-sharing reduction payments, likely leading to even higher premiums in the ACA marketplace.

Do your workers think this directly affects their own employer-sponsored coverage? Put on your marketing hat, and use this as an opportunity to replace employee confusion about the ACA marketplace with a better understanding of and appreciation for health coverage you provide as an employee benefit.

 6 Tips to Swap Employee ACA Marketplace Confusion With Health Benefits Appreciation

An August 2017 Kaiser Family Foundation (KFF) poll found most people are unaware that ACA marketplace issues only affect those who purchase their own insurance.

KFF reported that benchmark premiums in the non-group health insurance market, which includes the ACA individual exchange market, increased 20% in 2017. KFF and the Health Research & Educational Trust found the total cost of employer-provided family coverage increased 3% on average in 2017.

Source: (1) Non-Group Market: 2014-2017 Marketplace Average Benchmark Premiums: Kaiser Family Foundation (2) Employee Provided Coverage, 2014, 2015, 2016, 2017 Employer Health Benefits Survey: Kaiser Family Foundation

Do your employees think the 20% increase applies to them?

Show employees that their premium rate increase this year is relatively small. Help them understand that as long as they are employed by you, they won’t need to worry about ACA marketplace instability because they get their health insurance through you as part of their employee benefits package.

Related: 8 Questions Employees Are Still Asking About ACA 1095s]

Here are six tips, plus an example, for communicating the value of employer-sponsored health benefits.


  • Emphasize the value of health plan coverage in a positive way.
  • Calm fears by replacing confusion with knowledge.
  • Put things simply.


  • Make it too long.
  • Use jargon.
  • Patronize or talk down to your employees. Employees know health insurance isn’t a gift from the employer; it’s part of their compensation and benefits earned in exchange for their time and labor.

You can use this sample communication language as a starting point. Modify as needed for your organization.

At ABC Company, we don’t want our employees worrying about budget-breaking health care costs if something goes wrong. We also want our employees to be able to afford routine care like physicals, breast and colon cancer screenings, vision care and immunizations.

This year, the health insurance premium you pay increased by 3% to $____ per month. ABC Company pays the rest of your premium, which is $_____ each month.

Besides your monthly premium payments, the most you would have to pay in one year out of your own pocket for health care from doctors and health caregivers in your plan’s network is $_______.  

Providing affordable health care coverage to our employees is a win-win situation. Armed with tools to take care of their health affordably, our employees win by easing health and money worries. ABC Company wins too, because healthier, happier employees tend to perform their jobs better than sick or stressed employees.

Take advantage of your ABC health care benefits. You worked for them.

Lois Gleason, CEBS
Manager, Reference/Research Services at the International Foundation

Lois Gleason, CEBS

Manager, Reference/Research Services at the International Foundation

Favorite Foundation service/product: The Employee Benefits Survey (conducted every few years; it is very comprehensive)

Benefits-related topic top picks: Affordable Care Act, multiemployer pension plans

Favorite Foundation conference moment: Working the bookstore/information center at the Employee Benefit Symposium and meeting our members

Personal Insight: Lois loves reading, especially literary classics like Jane Eyre and North and South. A Tale of Two Cities isn’t bad either. Every morning at breakfast she reads the daily newspapers…. yes, she still gets the paper versions because it’s not a big deal if a little coffee spills on them.

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