If the employee plan is affordable but to pay for the family is not. Can the rest of the family get financial assistance?

When determining eligibility for Advanced Premium Tax Credits (APTC’s), the Marketplace only considers the employee-only cost of coverage. The cost of coverage for other family members does not determine whether the coverage offered …

When determining eligibility for Advanced Premium Tax Credits (APTC’s), the Marketplace only considers the employee-only cost of coverage. The cost of coverage for other family members does not determine whether the coverage offered is affordable for the family.

To be deemed affordable in 2017, the employee’s share of the annual premium for self-only coverage must not be more than 9.69% of annual household income. For plan years beginning in 2018, employee sponsored coverage will be considered affordable if the employee’s required contribution for self-only coverage does not exceed 9.56% of annual household income.

Posted in: Individuals