Page 50 - 2021 Team Member Benefit Guide - English

Notice of Health Insurance

Marketplace Coverage Options

(as Required by the Affordable Care Act) excluded from income for federal and state income
Why am I receiving this Notice? tax purposes. Your payments for coverage through the
Key parts of the Affordable Care Act became effective Marketplace are made on an after-tax basis.
in 2014, including the launch of the Health Insurance
Marketplace (the “Marketplace”). The Marketplace Information about health coverage available through
provides a new way to buy health insurance, separate Builders FirstSource
from health coverage that may be offered to you If you decide to complete an application for coverage
through your employment with Builders FirstSource in the Marketplace, you will be asked to provide this
and its family of companies. The purpose of this notice information. The information provided below is numbered
is to provide you some basic information regarding to correspond to the Marketplace application.
the Marketplace. Detailed information regarding the
Marketplace is available at Healthcare.gov. 3. Employer Name* 4. Employer
(BFS Company Description) Identification
What is the Health Insurance Marketplace? Number (EIN)
The Marketplace is designed to help you find health Builders FirstSource – Dallas (Corporate) 75-2794867
insurance that may meet your needs and fit into your
budget. The Marketplace is designed to offer “one-stop Builders FirstSource – Atlantic 52-2080519
shopping” to find and compare private health insurance
options. Open enrollment for health insurance coverage Builders FirstSource – Florida 52-2172981
through the Marketplace begins on November 1, 2020
and ends December 15, 2020 for coverage starting on Builders FirstSource – Raleigh 56-1454419
January 1, 2021. The Marketplace is separate from health Builders FirstSource – Southeast 57-0618425
coverage that may be available to you through Builders
FirstSource. Builders FirstSource – South Texas 75-2916346
The Marketplace can help you evaluate your coverage Builders FirstSource – Arlington/Lewisville/ 75-2831224
options, including your eligibility for coverage through Jarrell/Sherman
the Marketplace and its cost. Visit Healthcare.gov for
more information, including an online application for Builders FirstSource–Texas Installed 75-2896780
coverage or call 1-800-318-2596. Sales, LP
Can I save money on my health insurance premiums ProBuild LLC 20-4011397
in the Marketplace? ProBuild (Spenards Builders Supply Inc) 92-0018778
You may qualify to save money and lower your monthly
premium, but only if Builders FirstSource does not offer ProBuild (Dixieline Fund Control Inc) 57-1168729
coverage, or offers coverage that doesn’t meet certain
standards. The savings on your premium that you’re *If you are unsure which Builders FirstSource company you work for,
eligible for depends on your household income. please refer to your paycheck or contact Human Resources.
Does employer health coverage affect eligibility for 5.Employer Address: Builders FirstSource, 2001 Bryan St,
premium savings through the Marketplace? Ste 1600
Yes. If you have an offer of health coverage from Builders
FirstSource that meets certain standards, you will not 6.Employer phone number: 1-844-216-9320
be eligible for a tax credit through the Marketplace 7.City: Dallas 8.State: Texas 9.Zip code: 75201
and may wish to enroll in coverage through Builders
FirstSource. However, you may be eligible for a tax 10.Who can we contact about employee health coverage at
credit that lowers your monthly premium, or a reduction this job?
in certain cost-sharing if Builders FirstSource does not Corporate Benefits Department
offer coverage to you at all or does not offer coverage 11. Phone number: 1-844-216-9320
that meets certain standards. If the cost of a plan from 12. Email address: benefits@bldr.com
Builders 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 week
does not meet the “minimum value” standard set by the after a 60-day waiting period.
Affordable Care Act, you may be eligible for a tax credit. • With respect to dependents, we offer coverage to verifiable
Note: If you purchase a health plan through the spouses and children of eligible employees.
Marketplace instead of accepting health coverage • The cost of the employee’s coverage is intended to be
offered by your employer, then you will lose the employer affordable, based on employee earnings.**
contribution to the employer-offered coverage. Also,
this employer contribution – as well as your employee 14.Does Builders FirstSource offer a health plan that meets
contribution to employer-offered coverage – is often minimum value standards? Yes

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