Benico, Ltd. Announces the Development of the Pay or Play Estimator Consultative Tool

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The Affordable Care Act’s “pay or play” mandate will require employers to provide health insurance or pay a penalty.

Beginning in 2014, the Affordable Care Act’s “pay or play” / employer responsibility mandate will require employers with 50 or more employees to provide health insurance coverage to employees that meets certain quality and affordability standards or pay a penalty (see

The penalty will apply if a full time employee is certified to the employer as having enrolled in coverage through a public Exchange for which a federal premium or cost sharing subsidy is received.

Employers have attempted to quantify the economic impact of paying one of the mandate’s two possible tax penalties instead of offering coverage that meets the quality and affordability standards.

-Penalty #1: Applicable to employers that do not offer any health insurance coverage
-Penalty #2: Applicable to employers that offer coverage failing to meet the law’s Quality and Affordability standards

This is where Benico, Ltd.’s Pay or Play Estimator© can help.

Benico, Ltd., a Chicago area employee benefits consulting firm, is pleased to announce the availability of a consultative tool for helping employers grasp the impacts of the Affordable Care Act on their businesses / organizations.

We have developed a Pay or Play Estimator© that takes into account data from your current plans and workforce demographics. This tool then allows one to make any number of assumptions around future benefit costs, compensation increases, taxes, State Medicaid eligibility, and employee turnover to estimate the mandate’s impact in 2014 on both the employer and its employees. The bottom line is that the Pay or Play Estimator© helps employers to more fully understand their options and the associated costs.

The purpose of the Pay or Play Estimator© is to provide a framework for one’s strategic planning around the pay or play decision. The financial outcome of the Estimator is certainly a very key component; however, by going through the analysis one will also touch upon critical issues such as:

-Workforce Realignment
-Reporting Requirements

Responsible parties who are interested in learning more about Benico, Ltd.’s Pay or Play Estimator© are encouraged to contact John Garven, President of the firm, at 888-669-4883, ext. 202. Also, for a current executive summary / overview of this law, be sure to check out our Affordable Care Act 101 presentation at

About Benico, Ltd.:

Founded in 1983, the firm provides private companies, public entities, and not-for-profit organizations of all sizes, with an emphasis on small and mid-market groups, with strategic advice around the design, risk management, communication, and enrollment of their health and welfare, both core and voluntary, and their qualified retirement plans. The firm also assists with the design, implementation, and ongoing monitoring of employer-sponsored wellness programs, and offers significant assistance around compliance with laws (federal and state) that affect employee benefits. For more information about Benico please visit its website at

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John Garven
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