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IRS increases ACA affordability rate for 2025 plan year

Authored by Bukaty Companies on September 23, 2024

The IRS recently issued Revenue Procedure 2024-53, establishing the 2025 affordability threshold at 9.02% of annual household income. This is a 0.63% increase from the 2024 threshold of 8.39%. 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 MONTHLY PREMIUM CONTRIBUTIONS* FEDERAL POVERTY LEVEL (FPL)
 2025  9.02%  $113.20  $15,060
 2024  8.39%   $101.94  $14,580
  2023  9.12%  $103.28  $13,590
*Maximum an employee could pay for employer-sponsored, self only coverage using the FPL affordability safe harbor. Employers may also adopt the rate-of-pay or W-2 affordability safe harbors.

The affordability rate applies on a plan-year basis. Non-calendar year plans should continue using the 8.39% rate until their 2025 plan renewal. The 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 additional information, contact your Bukaty benefits consultant at 913.345.0440.

 

Blog Category: Health Care Reform