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Prescription Drug Program Exclusions

Additionally, certain W-2 contract employees of participating State agencies will be deemed "ACA full-time employees." These employees will be eligible for coverage under the Base Plan option only. However, ACA full-time employees will be responsible for 100% of the cost of such coverage. ACA full-time employees are determined based upon the State's official Look-Back Stability Rule Policy for identifying full-time employees in accordance with Section 4980H of the Internal Revenue Code. To determine if you qualify as an ACA full-time employee under this policy please contact your State agency.

Eligibility under the Plan does not extend to the spouse of ACA full-time employees.