Paper Trails

Upcoming webinar - HR compliance challenges for employers? Register here!

Maine Small Business Health Insurance Premium Support Program

As part of the Maine Jobs and Recovery Plan, Maine small businesses will be eligible to participate in a health insurance premium support program starting November 1st, 2021, through at least April 30th, 2023.  Here is what you need to know:

What is the plan?

Maine small businesses that are enrolled in a fully insured, community-rated small group comprehensive health plan will be eligible for credit on their monthly premium.

Who is eligible to participate in the plan?

  • Businesses enrolled in a fully insured, community-rated small group comprehensive health plan with the following insurers:

Aetna, Anthem, CHO (Community Health Options), Harvard Pilgrim, and United Healthcare

    • There must be fewer than 50 employees enrolled in the health plan.
    • Employees hired within the plan window are also eligible to receive a credit if they are enrolled in the employer sponsored plan.
    • Other types of plans such as self-insured plans, dental or vision plans are not included in the program.

How much are monthly credits for?

      • The expected credit amount will be $50 per adult and $30 per child (for the health plans that include coverage for a child).

The credit structure is as follows:

Employee (Adult) $50
Two Adults $100
Adult + Child $80
Two Adults + Child $130

Note: adult and child plans provide the same credit per plan, regardless of how many children.  Children can also be considered a dependent on the plan up until the age of 26.

How is the money shared between employer and employee?

      • Employers are required to pass credit amounts to employees in the same proportion as the current premium contributions made by each party.

For Example:

Monthly employee premium = $500

Employer contributes $250 (50%) and Employee covers $250 (50%) of premium

Amount of the credit should be split in the same 50% proportion or $25 for the employer and $25 for the employee

      • Employer may pass along an additional amount (more than 50%) to the employee if desired.

What do businesses need to do?

    • Businesses do not need to sign up.
    • Credits will be automatically applied to your invoice directly from the insurance company.
    • Businesses will need to update deduction amounts on payroll to ensure that these credits are being applied to employees proportionally.
    • Business owners must provide an informational letter that they will receive from their carrier to their employees and post information about the plan in the workplace.
    • Employers should contact their insurance providers with any questions that they have.