Compliance News | November 11, 2024

ACA Dollar Amounts and Percentages

Many ACA provisions contain numbers or percentages that are indexed to various measures of inflation, and the federal government announces new numbers throughout the year.

To help you stay on top of all of the ACA amounts you need to know for your group health plan, we’ve got handy summary charts that we update whenever new numbers come out.

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ACA Percentages and Dollar Amounts Download Now

What's New?

We added the 2025 percentage for the test applied by the Exchange or a Marketplace when determining if offered coverage is affordable. Coverage is deemed to be not affordable if the cost of employee-only coverage exceeds 9.02 percent of household income, which is an increase from the percentage that applies in 2024: 8.39 percent.

We also added:

  • The Federal Poverty Level safe harbor available to employers seeking to minimize the employer penalty for plan years beginning January 1, 2025
  • The 2026 out-of-pocket limits for individual and family coverage provided by non-grandfathered plans

What questions do you have about ACA requirements?

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We’ll update the ACA percentages and dollar amounts chart as new information comes out of the government.

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This page is for informational purposes only and does not constitute legal, tax or investment advice. You are encouraged to discuss the issues raised here with your legal, tax and other advisors before determining how the issues apply to your specific situations.