ACA Affordability Rates for 2021

While you may be in the thick of navigating the coronavirus and what it means for your organization and employees, it’s important to remember that the Affordable Care Act (ACA) is still in place. One of the important provisions of the employer mandate is offering “affordable coverage” to employees. But, what does affordable even mean?

Watch the video or read on for FirstPerson’s Compliance Manager Kelly Eckman rundown on ACA affordability rates for 2021.

According to the ACA rule for 2021, coverage is affordable if the lowest cost employee-only premium does not exceed 9.83% of an employee’s wages. The wages can be calculated by using Box 1 on Form W-2 or by rate of pay. Regardless of how you calculate it, it cannot exceed 9.83%.

It’s important to remember that this rule is just based on the lowest cost employee-only premium. Even if you have an employee select a higher-tier plan (i.e., preferred provider organization plan over high deductible plan) or family coverage, the affordability aspect only applies to the employee-only coverage. As long as you’re meeting the 9.83% in 2021, you’ll be good to go!

At FirstPerson, we work with our clients year round to ensure they’re meeting these and other standards set by the Affordable Care Act. Contact us or reach out to Kelly to learn how we can help you stay on track with your health plan compliance.

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