Related to:
News

News New TPA Roles for Employer Medical Assistance Contribution Supplement: Action may be Required

Learn about the new roles needed to access Employer Medical Assistance Contribution Supplement information.
3/02/2018
  • Department of Unemployment Assistance

MASSACHUSETTS —  

 

Responsibilities

For those employers that will be responsible for paying the Employer Medical Assistance Contribution Supplement, the Q1 due date will align with the due date of unemployment insurance contributions April 30, 2018.  You may begin submitting your wage filings for Q1 2018 as of April 1, 2018.

The submission and payment process has not changed. However, your payment statement will now include a line item for EMAC Supplement balance if you are an employer with more than five employees in Massachusetts, whose non-disabled employees obtain health insurance either from MassHealth (excluding the premium assistance program) or subsidized coverage through the Massachusetts ConnectorCare program.

The Supplement only applies if the non-disabled employee was enrolled in Mass Health (excluding the premium assistance program) or subsidized coverage through the Massachusetts ConnectorCare program for more than eight weeks during the quarter. The contribution is 5% of annual wages for each non-disabled employee, up to the annual wage cap of $15,000, for a maximum of $750 per affected employee per year. The contribution does not apply to employees who earn less than $500 in wages per quarter. The contributions collected will help offset the Commonwealth’s cost of providing health insurance to your employees. This supplemental contribution only applies to those employees on state-subsidized coverage. 

Submissions and payments may be done as separate transactions. It may be in your best interest to submit wages early in order to determine if you have an EMAC Supplement balance.

Role Assignments

Third-Party Administrators (TPAs) who are currently assigned the payment role will be able to view the employer’s total liability, including the EMAC Supplement.  TPAs will also be able to see which employees triggered the Supplement, but only if they are assigned one of the new TPA roles. Effective immediately, employers will be able to assign one of the following roles:

  • EMAC Supplement View Only (view employee level detail, but can’t appeal)
  • EMAC Supplement Appeal Submission (view and appeal employee level detail)

To assign your TPA to one of these new roles, you must access your employer account and then go to:

  1. Employer Home
  2. Account Maintenance
  3. Third Party Administration Authorization
  4. Search for the TPA
  5. Select the TPA from the list
  6. Third Party Administrator Details, click modify

Third Party Administrators, please remember to assign these roles to your staff.

Additional Resources

Department of Unemployment Assistance 

DUA oversees the unemployment insurance (UI) program, which provides temporary income assistance to eligible workers in Massachusetts. DUA also determines and collects employer contributions to the UI program.

Feedback

Tell us what you think