Employers Smoker or Vaping Surcharges Investigation
By Steve Levine
This investigation focuses on whether employees who smoke or vape were charged additional health insurance fees, sometimes called smoker surcharges or nicotine surcharges, and whether those charges complied with applicable laws and plan rules.
You currently work or previously worked for a U.S. employer in the last six years, you smoked or vaped during employment, and you received employer sponsored health insurance. Eligibility can vary by plan terms and state law.
Possible reimbursement of certain surcharges or related out of pocket costs if rules were violated. No results are guaranteed. Each submission is reviewed on its own facts.
Use the form below to share your details. You can submit without documents now. If available, upload pay stubs or benefits statements that show a smoker or nicotine surcharge.
This investigation is open. There is no court approved claim deadline at this time. If a lawsuit or settlement is announced, timelines may change.
Yes, under federal law employers can charge higher health insurance premiums for employees who use tobacco, but only within certain limits. The Affordable Care Act allows insurers to apply up to a 50% surcharge on tobacco users, though some states have stricter rules or bans.
Smoker surcharges are legal under federal law if they comply with the Affordable Care Act wellness program provisions. Employers must offer a reasonable alternative program to help employees quit smoking, such as counseling or nicotine replacement therapy, for the surcharge to be valid.
Yes, many employer wellness programs use nicotine or cotinine testing to verify whether an employee uses tobacco products. If a plan charges a smoker surcharge or offers a non-smoker discount, employees must be given a chance to qualify by completing a reasonable alternative program.
Several states restrict or prohibit smoker surcharges on health insurance, including California, New York, New Jersey, Massachusetts, Vermont, Rhode Island, and the District of Columbia. In these states, employers and insurers cannot impose higher premiums based solely on tobacco use.
Check your pay stubs, health plan enrollment forms, or benefits statements for a line item such as “tobacco surcharge” or “nicotine surcharge.” Sometimes these charges appear as higher monthly health insurance premiums compared to non-smokers. HR or benefits emails may also explain when and why the surcharge was applied.
• Affordable Care Act Implementation FAQs
• State Policies Limiting Premium Surcharges for Tobacco — NCBI/PMC
• American Lung Association — Tobacco Cessation Treatment: What Is Covered?
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