State of Employer-Sponsored Health Insurance in Tennessee Part 1 of report to the Tennessee Dept of 2025

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California. Covered California is your states Marketplace. Colorado. Connect for Health Colorado is your states Marketplace. Connecticut. Access Health CT is your states Marketplace. District of Columbia. DC Health Link is your states Marketplace. Idaho. Massachusetts. Nevada. New Mexico.
Department of Insurance of Tennessee - Commerce and Insurance.
The U.S. Department of Labor (DOL) almost exclusively regulates private self-insured employer-sponsored plans. The Center for Medicare and Medicaid Services (CMS) directly enforces federal protections against state and local government self-insured employer plans (although states can do so too).
The Affordable Care Act requires employers to report the cost of coverage under an employer-sponsored group health plan on an employees Form W-2, Wage and Tax Statement, in Box 12, using Code DD.
In California, then, there are essentially three relevant regulatory frameworks for health insurance state regulation of health plans by DMHC, state regulation of insurers by CDI, and regulation of self-insured employee health benefit plans by the federal Department of Labor.
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Fully insured health benefit plans (e.g., group and individual plans) are regulated by state law. Therefore, state government action can establish baseline benefits in these plan types. This is usually accomplished by passing a bill.
Overview. The Federal Employees Health Benefits (FEHB) Program is the largest employer sponsored health benefits program of its kind. Established by an Act of Congress in 1959, the FEHB Program began covering employees on July 1, 1960.
If you have more than 50 employees in Tennessee, the Affordable Care Act (ACA) requires that you provide health insurance to your staff. Because this may be accomplished in a variety of ways, weve divided it out for both small businesses (1-50 workers) and large employers (51+).

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