Question: Can i enroll in the ca health benefit exchange if my spouse has employer coverage.
Answer: The ACA states that when “the premium being charged to the employee exceeds 9.5% of the employee’s household income” the employee (and or spouse and dependents) may enroll in coverage through Covered California. For example, many employers make a contribution of 50% or more to the employees’ premium, but nothing toward spouse and dependents. In that case, the premium cost for a family of 4 will often exceed 9.5% of household income. In the coming months, Covered California will define how it will handle the eligibility of individuals within families who qualify for different programs, like Medi-Cal, Covered California premium-subsidized private coverage, and group coverage.