HCTC INFORMATION AND ELIGIBILITY

The 13441A Form is used for both current and new enrollments

HCTC Program Information

We specialize in the establishment of the (3) Trusts that qualify for the “Health Coverage Tax Credit” Programs (HCTC) providing a 72.5% subsidy to Retirees between the ages of 55 and 65 (not yet eligible for Medicare) and their dependents that have had their pensions trusteed by the Pension Benefit Guaranty Corporation (PBGC) as well as Trade Adjustment Affected workers that have had their jobs outsourced to another country and qualify for the Trade Affected Assistance program.

WHAT IS HCTC?

The Health Coverage Tax Credit (HCTC) was established by Congress as part of the 2002 Trade Act and is a federal program authorized to pay a 72.5% Subsidy for the health insurance premiums for Retirees and TAA-ATAA workers that meet the requirements established by Congress.

 

It was established to help cover the cost of health care for:

  • Workers who lost their jobs due to foreign trade

  •  Retirees whose pensions have been trusteed/turned over to the Pension Benefit Guaranty Corporation (PBGC)

In February of 2009, with the passage by Congress, of the American Recovery and Reinvestment Act (ARRA), Retirees of bankrupt companies were allowed to immediately establish Insurance programs providing access to healthcare, for workers that had lost or had their healthcare benefits greatly reduced, in the bankruptcy process .  The formation of these vehicles to provide access to healthcare are called a Voluntary Employee Benefit Associations (VEBA’s ).  The immediate access to the contact information of a company allowed the workers the ability to make the former employees aware of the group healthcare options available to them that included a subsidy to help offset the cost of their healthcare insurance.

Two Groups are eligible for the HCTC Program

You may be eligible to elect the Health Coverage Tax Credit (HCTC) if you are one of the following:

-   An eligible Trade Adjustment Assistance recipient, Alternative TAA recipient or Reemployment TAA recipient.

-  An eligible Pension Benefit Guaranty Corporation (PBGC) payee between the ages of 55-65 and their dependents, or

-  The family member(s) of an eligible TAA, ATAA or RTAA recipient or family member of a divorced or deceased PBGC payee who meets the requirements.

Pension Benefit

Guaranty Corporation

TAA,

ATAA or RTAA

To qualify for the 72.5% HCTC benefit as a PBGC payee, recipients must have worked for a company whose defined-benefit pension plan was insured and then turned over to the PBGC.  The PBGC assumes control of the defined-benefit plans when it determines that the plans must be terminated to protect the interests of participants or when employers demonstrate they could not remain in business unless the plan were terminated.  The PBGC uses plan assets and its own insurance reserves to pay the pensions to the former workers and their survivors.  In the event of the recipients death, the dependent would either receive the benefit as the new recipient or would continue as a qualified family member and receive the benefit for 24 months after the recipients death.  If the deceased recipient had shared their pension with their surviving spouse, the surviving spouse would then take the place of the deceased recipient.  The new information and age of the recipient would be listed with the surviving spouses information.  Individuals who receive PBGC-paid pensions are eligible for the HCTC, provided they are between the ages of 55 and 64 years old  but not yet entitled to Medicare.

To qualify for the TAA, ATAA or RTAA, a group of workers who have lost their jobs due to plants closing or their jobs offshored due to international trade.  To qualify for TAA, a group or workers must petition the US Department of Labor to establish that their job loss was attributable to a qualified cause.  If a Department of Labor investigation confirms the workers' claim, the workers are certified as eligible for TAA benefits and services.

TAA-certified workers are eligible for the HCTC on the basis of receipt of certain TAA benefits.  They are eligible for the HCTC if the worker receives any of the following:  

1.)  Trade Re-adjustment Allowance

2.)  Re-employment Trade Adjustment       Assistance

3.)  Alternative Trade Adjustment Assistance

The worker must be receiving cash benefits to be eligible.  The worker qualifies for HCTC on the first day of a month if the worker received an eligible TAA benefit "for any day in that month or the prior month".

Click here for further details with the United States  Department of Labor Q&A forTAA, ATAA or RTAA groups.

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Eligibility Limitations

You may be eligible under the two groups described above, but still not qualify for the tax credit if you are enrolled in:

-  a health plan maintained by the individual's employer or former employer

-  if the employer or former employer pays more than 50% of the total premium;

-  the Federal Employees Health Benefits Program (FEHBP)

-  Medicare Part A and/or B

-  Medicaid; or

-  the State Children's Health Insurance Program (CHIP)

You are also not eligible for the HCTC Program if you are incarcerated or if you may be claimed as a dependent by another taxpayer.

Members and Qualifying Family Members

An eligible taxpayer may use the HCTC for health insurance that covers his or her spouse and any dependents who may be claimed on his or her tax return.  Children are considered dependents if under the age of 26.  A child with separated or divorced parents are considered dependents if the recipient is the custodial parent.

Family members or "dependents" are eligible as long as the retiree or TAA worker continues to meet the eligibility requirement to participate in the HCTC Program.   It is not necessary for the retiree or TAA worker to enroll in the HCTC Program in order for dependents to participate in the HCTC Program and receive a subsidy for their healthcare.  Each dependent is eligible to participate in the HCTC program as an individual if they choose (rules and qualifications of the member are kept with your file).

A qualified family member (QFM) is a dependent of a retiree that is limited to eligibility in the HCTC program for 24 months following a life event experience by the retiree or TAA worker, where the member loses eligibility for the HCTC program.

PAYMENT DOCUMENTS

Complete the 14095 Form to have the full out of pocket premiums paid during the time we were waiting on Congress to extend the HCTC Program for 2020.  If you submit the form to the IRS, you will be reimbursed within approximately 12 weeks.

PROGRAM ENROLLMENT

SAMPLE ENROLLMENT

SAMPLE 13441A FORMS

HCTC Participants must contact Benistar (800)236-4782 at least 30 days prior to discontinuing enrollment in the HCTC program. 1

If you are expecting/needing a refund for duplicate payments, go to irs.gov/HCTC mailbox address.  Someone from the IRS will answer your message within 24 hours.

Overnight/Express payments - use USPS express mail.  (NOT UPS or FedEx)

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