Common use of Employer Mandate Clause in Contracts

Employer Mandate. What is the total count of full-time employees including full-time equivalent employees? NOTE: If the answer to this Question is LESS THAN 50 and the client does NOT want to comply early, then nothing further is required to be answered in this section. How are you determining your standard hours for full-time? 30 hours per week or 130 hours per month? Are seasonal employees eligible for coverage if they meet the full-time employee status? Yes No What is the employee payroll period? Weekly Bi-weekly Semi-monthly Other: Select which methodology is used in determining the hours of service credited. Measurement Period begins with the first day of the pay period that includes the first day of the Measurement Period and ends with the last day of the last pay period that ends on or before the last day of that Measurement Period. OR Measurement Period begins with the first day of the pay period that follows the first day of the Measurement Period and ends with the last day of the last pay period that includes the last day of that Measurement Period. In determining eligibility for full-time and full-time equivalent employee status, are you using a measurement period (also referred to as a look-back period)? If yes, the next 2 questions must be answered Yes No For determining full-time employee status for ongoing employees, the length for all three periods must be defined. Standard Measurement Period: Standard Stability Period: Administrative Period: For determining full-time employee status for new variable hour, seasonal or part-time employees, the length of all three periods must be defined. Initial Measurement Period: Initial Stability Period: Administrative Period:

Employer Mandate. What is the total count of full-time employees including full-time equivalent employees? NOTE: If the answer to this Question question is LESS THAN 50 and the client does FTEs your are NOT want to comply early, then nothing further is required to be answered in complete the remainder of this section. How are you determining your standard hours for full-time? 30 hours per week or 130 hours per month? Are seasonal employees eligible for coverage if they meet the full-time employee status? Yes No What is the employee payroll period? Weekly Bi-weekly Semi-monthly Other: Select which methodology is used in determining the hours of service credited. Measurement Period begins with the first day of the pay period that includes the first day of the Measurement Period and ends with the last day of the last pay period that ends on or before the last day of that Measurement Period. OR Measurement Period begins with the first day of the pay period that follows the first day of the Measurement Period and ends with the last day of the last pay period that includes the last day of that Measurement Period. In determining eligibility for full-time and full-time equivalent employee status, are you using a measurement period (also referred to as a look-back period)? If yes, the next 2 questions must be answered Yes No For determining full-time employee status for ongoing employees, the length for all three periods must be defined. Standard Measurement Period: Standard Stability Period: Administrative Period: For determining full-time employee status for new variable hour, seasonal or part-time employees, the length of all three periods must be defined. Initial Measurement Period: Initial Stability Period: Administrative Period:

Employer Mandate. What is the total count of full-time employees including full-time equivalent employees? NOTE: If the answer to this Question question is LESS THAN 50 and the client does FTEs your are NOT want to comply early, then nothing further is required to be answered in complete the remainder of this section. How are you determining your standard hours for full-time? 30 hours per week or 130 hours per month? Are seasonal employees eligible for coverage if they meet the full-time employee status? Yes No What is the employee payroll period? Weekly Bi-weekly Semi-monthly Other: Select which methodology is used in determining the hours of service credited. Measurement Period begins with the first day of the pay period that includes the first day of the Measurement Period and ends with the last day of the last pay period that ends on or before the last day of that Measurement Period. OR Measurement Period begins with the first day of the pay period that follows the first day of the Measurement Period and ends with the last day of the last pay period that includes the last day of that Measurement Period. In determining eligibility for full-time and full-time equivalent employee status, are you using a measurement period (also referred to as a look-back period)? If yes, the next 2 questions must be answered Yes No For determining full-time employee status for ongoing employees, the length for all three periods must be defined. Standard Measurement Period: Standard Stability Period: Administrative Period: For determining full-time employee status for new variable hour, seasonal or part-time employees, the length of all three periods must be defined. Initial Measurement Period: Initial Stability Period: Administrative Period:: SPEerEF20210524