What is the ACA affordability for 2024?

Asked by: Stefanie Marks  |  Last update: August 17, 2025
Score: 4.8/5 (7 votes)

The Internal Revenue Service (IRS) recently announced that the affordability percentage used to determine whether coverage offered by employers is affordable for 2024 will be 8.39%.

What is the ACA affordability rate for 2024?

On September 6, 2024, the IRS issued Revenue Procedure 2024-35. It announced that the Affordable Care Act (ACA) affordability threshold is increased from 8.39% for 2024 to 9.02% for 2025.

What is the affordability standard for 2024?

The IRS updated its affordability threshold for the 2025 tax year to 9.02%. This is an increase from 8.39% in 2024, and employers should prepare accordingly.

How is affordability calculated in 2024?

The IRS announced that the 2024 health plan affordability threshold—which is used to determine if an employer's lowest-premium health plan meets the Affordable Care Act's (ACA's) affordability requirement—will be 8.39 percent of an employee's household income.

How to calculate ACA affordability 2024 pdf?

For a 2024 plan year, coverage is “affordable” for the employee if the employee's cost for self-only coverage does not exceed $109.07/month (($10 x 130 hours) x . 0839). This is measured based on the cost for self-only coverage in the lowest cost plan option that provides a minimum value offered to the employee.

How to Qualify For ACA Health Insurance Subsidies As An Early Retiree

24 related questions found

How do I calculate ACA affordability?

Take the employee's lowest hourly rate for the month and multiply the number by 130, the minimum total of hours a worker must provide to be classified as a full-time employee under the ACA. Take the product of that calculation and multiply it by 9.02% for 2025.

What is the ACA maximum out of pocket for 2024?

For the 2024 plan year: The out-of-pocket limit for a Marketplace plan can't be more than $9,450 for an individual and $18,900 for a family.

What is the ACA affordability percentage for 2025?

The IRS recently announced the 2025 ACA affordability percentage, increasing from 8.39% of an employee's household income in 2024 to 9.02% in 2025*.

What is the affordability formula?

While you may have heard of using the 28/36 rule to calculate affordability, the correct DTI ratio that lenders will use to assess how much house you can afford is 36/43.

What is the projected cost of living adjustment for 2024?

The latest COLA is 2.5 percent for Social Security benefits and SSI payments. Social Security benefits will increase by 2.5 percent beginning with the December 2024 benefits, which are payable in January 2025. Federal SSI payment levels will also increase by 2.5 percent effective for payments made for January 2025.

What is the ACA 9.5 affordability test?

Employer-provided coverage is considered affordable for an employee if the employee required contribution is no more than 9.5 percent (as adjusted) of that employee's household income.

What is the high income threshold for 2024?

The contractor high income threshold for the year starting 1 July 2024 is $175,000. This figure is adjusted annually on 1 July. The contractor high income threshold should not be confused with the high income threshold which applies to employees only.

What income is used to determine the Affordable Care Act?

Under the Affordable Care Act, eligibility for income-based Medicaid and subsidized health insurance through the Marketplaces is calculated using a household's Modified Adjusted Gross Income (MAGI).

What is the income limit for ACA subsidies in 2024?

In 2024, an individual in a one-person household is eligible for some degree of Covered California subsidies if they earn up to $33,975 Meanwhile, that limit rises to $69,375 for a household size of 4. These numbers refer to your Adjusted Gross Income (AGI) as found on line 11 of your Form 1040.

What is the Affordability Act 2024?

The Health Care Affordability Act of 2024 includes technical edits to ensure that no household pays above 8.5% of their incomes towards their health care premiums.

What is the safe harbor limit for 2024?

Safe Harbor contribution limits

In 2024, the basic employee deferral limits for a Safe Harbor plan are the same as any employer-sponsored 401(k): $23,000 per year for participants under age 50, and $30,500 when you include catch-up contributions for employees over age 50 or older.

How much house can I afford if I make $70,000 a year?

The house you can afford on a $70,000 income will likely be between $290,000 to $360,000. However, your home-buying budget depends on quite a few financial factors — not just your salary.

What is the 28 36 rule?

The 28/36 rule

It suggests limiting your mortgage costs to 28% of your gross monthly income and keeping your total debt payments, including your mortgage, car loans, student loans, credit card debt and any other debts, below 36%.

What is the affordability limit?

In general, the maximum income limit for an affordable home is 85.5% of the open market value of the home divided by 4. There are some exceptions to this rule which can be viewed here. Other eligibility criteria are: You are over 18 years of age.

What is the affordability rate for 2024?

The Internal Revenue Service (IRS) recently announced that the affordability percentage used to determine whether coverage offered by employers is affordable for 2024 will be 8.39%.

What is the safe harbor for ACA 2024?

Rate of pay safe harbor

For hourly employees, premiums may be no more than 8.39% of the monthly rate of pay (calculated using the lower of hourly rate of pay for the month or the hourly rate of pay at the beginning of the coverage period multiplied by 130 hours).

What is the current ACA affordability?

Household Income and Affordability

Using the adjusted percentage for 2025, if the required employee premium contribution does not exceed 9.02% of the employee's household income, then the coverage is affordable under the ACA.

What happens if I underestimate my income for Obamacare in 2024?

For the 2024 tax year, if you underestimated your income and received a larger tax credit than you were eligible for, you must repay the difference between the amount of premium tax credit you received and the amount you were eligible for.

Do prescriptions count towards out-of-pocket maximum?

The amounts you pay for prescription drugs covered by your plan would count towards your out-of-pocket maximum. If you purchase a prescription that is not covered by your plan for whatever reason (it's not on the plan's formulary, it's considered experimental, etc.), it would not count.

What is the maximum out-of-pocket for Medicare in 2024?

In contrast, traditional Medicare does not have an out-of-pocket limit for covered services. In 2024, the out-of-pocket limit for Medicare Advantage plans may not exceed $8,850 for in-network services and $13,300 for in-network and out-of-network services combined.