E

Emergency Medical Treatment and Labor Act

Federal law requiring hospitals that participate in Medicare to screen and stabilize patients needing emergency care, regardless of their insurance status or ability to pay.

Employee Assistance Program

Benefit offered to employees that provides short term counseling and advice regarding personal or health problems but does not provide health care.

Employee Retirement Income Security Act of 1974 (ERISA)

Legislation enacted in 1947 that protects workers from losing benefits that are provided through the workplace. The Act does not require employers to establish a benefit plan for employees but does include requirements for the plan when one is in place.

Employer Contribution

The portion of an insurance plan's costs that are paid by a policy holder's employer.

Employer Health Care Tax Credit

A method of creating an incentive for employers to offer health insurance to their employees. The credit allows employers to deduct a percentage of premiums paid from their federal taxes.

Employer Mandate

A provision in the Affordable Care Act that requires all employers to offer a defined standard of health benefits and pay a set portion of the cost of those benefits for their employees. Imposes a fee on employers with more than 50 employees who fall into certain categories. Fee structure: $2,000/full time employee (after the first 30) for companies that do not offer healthcare and have at least 1 full time employee receiving a premium tax credit; $2,000/full time employee (after the first 30) or $3,000/full time employee receiving a premium tax credit, whichever is less, for companies with more than 50 employees that offer health care. Also known as the Employer Shared Responsibility Requirement.

Employer Pay-or Play

Requires employers to extend and pay for health benefits for their employees. It could also mean the employer pays a certain dollar amount of the pay roll into a public fund. This fund would then continue as financing for coverage for those who do not have employment-based coverage.

Employer Retiree Coverage Subsidies

Eliminates the tax-deduction for employers who receive Medicare Part D retiree drug subsidy payments.

Employer Shared Responsibility Requirements

A provision in the Affordable Care Act that requires all employers to offer a defined standard of health benefits and pay a set portion of the cost of those benefits for their employees.: Imposes a fee on employers with more than 50 employees who fall into certain categories. Fee structure: $2,000/full time employee (after the first 30) for companies that do not offer healthcare and have at least 1 full time employee receiving a premium tax credit; $2,000/full time employee (after the first 30) or $3,000/full time employee receiving a premium tax credit, whichever is less, for companies with more than 50 employees that offer healthcare. Also known as the Employer Mandate.

Employer-Sponsored Insurance (ESI)

Health coverage for employees and often for dependents that is provided by employers. A type of Group Health Insurance.

Episode of Care

Refers to a period of illness, a hospital stay, or the duration of treatment for one condition.