The IRS recently issued Revenue Procedure 2025-25, establishing the 2026 affordability threshold at 9.96% of annual household income. This is a nearly 1% increase from the 2025 threshold of 9.02%. The rate is used to determine the affordability of employer-sponsored health coverage and eligibility for a premium tax credit (PTC) through Healthcare.gov.
YEAR | AFFORDABILITY % | MAXIMUM PREMIUM CONTRIBUTIONS* | FEDERAL POVERTY LEVEL (FPL) |
2026 | 9.96% | $129.89 | $15,650 |
2025 | 9.02% | $113.20 | $15,060 |
2024 | 8.39% | $101.94 | $14,580 |
The affordability rate applies on a plan-year basis. Non-calendar year plans should continue using the 9.02% rate until their 2026 plan renewal. The affordability percentage is adjusted annually based on health plan premium growth relative to income growth reported by the Centers for Medicare & Medicaid Services.
Employers who fail to provide a benefit-eligible employee with affordable coverage can incur a shared responsibility penalty under the ACA.
For more information, contact your Bukaty benefits consultant at 913.345.0440.