Page 46 - 2020 Benefits Guide
P. 46

Notice of Health Insurance

    Marketplace Coverage Options



     (as Required by the Affordable Care Act)   coverage.  Also,  this  employer  contribution  –  as  well
     Why am I receiving this Notice?      as  your  employee  contribution  to  employer-offered
     Key parts of the Affordable Care Act became effective  coverage – is often excluded from income for federal
     in 2014, including the launch of the Health Insurance  and  state  income  tax  purposes.  Your  payments  for
     Marketplace  (the  “Marketplace”).  The  Marketplace  coverage  through  the  Marketplace  are  made  on  an
     provides a new way to buy health insurance, separate  after-tax basis.
     from  health  coverage  that  may  be  offered  to  you
     through your employment with Builders FirstSource  Information  about  health  coverage  available
     and its family of companies. The purpose of this notice  through Builders FirstSource
     is to provide you some basic information regarding  If you decide to complete an application for coverage
     the Marketplace. Detailed information regarding the  in the Marketplace, you will be asked to provide
     Marketplace is available at Healthcare.gov.  this information. The information provided below
                                          is numbered to correspond to the Marketplace
     What is the Health Insurance Marketplace?  application.
     The Marketplace is designed to help you find health
     insurance  that  may  meet  your  needs  and  fit  into   3. Employer Name*  4. Employer
     your  budget. The  Marketplace  is  designed  to  offer   (BFS Company Description)  Identification
     “one-stop  shopping”  to  find  and  compare  private              Number
     health insurance options. Open enrollment for health               (EIN)
     insurance coverage through the Marketplace begins   Builders FirstSource – Dallas (Corporate)  75-2794867
     on  November  1,  2019  and  ends  December  15,
     2019 for coverage starting on January 1, 2020. The   Builders FirstSource – Atlantic  52-2080519
     Marketplace  is  separate  from  health  coverage  that
     may be available to you through Builders FirstSource.  Builders FirstSource – Florida  52-2172981
     The Marketplace can help you evaluate your coverage   Builders FirstSource – Raleigh    56-1454419
     options, including your eligibility for coverage through   Builders FirstSource – Southeast  57-0618425
     the Marketplace and its cost. Visit Healthcare.gov for
     more information, including an online application for   Builders FirstSource – South Texas   75-2916346
     coverage or call 1-800-318-2596.
                                           Builders FirstSource – Arlington/Lewis-  75-2831224
     Can  I  save  money  on  my  health  insurance   ville/Jarrell/Sherman
     premiums in the Marketplace?
     You  may  qualify  to  save  money  and  lower  your   Builders FirstSource–Texas Installed   75-2896780
     monthly  premium,  but  only  if  Builders  FirstSource   Sales, LP
     does  not  offer  coverage,  or  offers  coverage  that
     doesn’t meet certain standards. The savings on your   ProBuild LLC  20-4011397
     premium  that  you’re  eligible  for  depends  on  your   ProBuild (Spenards Builders Supply Inc)   92-0018778
     household income.
                                           ProBuild (Dixieline Fund Control Inc)  57-1168729
     Does employer health coverage affect eligibility   *If  you  are  unsure  which  Builders  FirstSource  company  you
     for premium savings through the Marketplace?  work  for,  please  refer  to  your  paycheck  or  contact  Human
     Yes.  If  you  have  an  offer  of  health  coverage  from   Resources.
     Builders  FirstSource  that  meets  certain  standards,   5.Employer Address: Builders FirstSource, 2001 Bryan
     you will not be eligible for a tax credit through the   St, Ste 1600
     Marketplace  and  may  wish  to  enroll  in  coverage   6.Employer phone number:  1-844-216-9320
     through  Builders  FirstSource.  However,  you  may   7.City:  Dallas 8.State:  Texas   9.Zip code:  75201
     be eligible for a tax credit that lowers your monthly   10.Who  can  we  contact  about  employee  health
     premium,  or  a  reduction  in  certain  cost-sharing  if   coverage at this job?
     Builders  FirstSource  does  not  offer  coverage  to   Corporate Benefits Department
     you  at  all  or  does  not  offer  coverage  that  meets   11. Phone number:  1-844-216-9320
     certain standards. If the cost of a plan from Builders   12. Email address:  benefits@bldr.com
     FirstSource  that  would  cover  you  (and  not  any   Here is some basic information about health coverage
     members of your family) is more than 9.5 percent of   offered through Builders FirstSource:
     your household income (as defined by the IRS) for the   • As your employer, we offer a health plan to full-time
     year, or if the coverage Builders FirstSource provides   employees  expected  to  work  at  least  30  hours  per
     does not meet the “minimum value” standard set by   week after a 60-day waiting period.
     the Affordable Care Act, you may be eligible for a tax   • With  respect  to  dependents,  we  offer  coverage  to
     credit.                               verifiable spouses and children of eligible employees.
     Note:    If  you  purchase  a  health  plan  through  the   • The cost of the employee’s coverage is intended to be
     Marketplace  instead  of  accepting  health  coverage   affordable, based on employee earnings.**
     offered  by  your  employer,  then  you  will  lose  the
     employer  contribution  to  the  employer-offered   14.Does Builders FirstSource offer a health plan that
                                          meets minimum value standards?  Yes
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