What is the ACA affordability threshold for 2025?
Asked by: Charlie Jones | Last update: September 29, 2025Score: 4.9/5 (33 votes)
What is the ACA affordability rate 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 test for 2025?
The IRS adjusts the affordability percentage each year and for 2025 the cost of single coverage must be less than 9.02% of an employee's household income in order to be affordable.
What is the minimum income to qualify for Obamacare 2025?
Premium tax credits are available to people who buy Marketplace coverage and whose income is at least as high as the federal poverty level. For an individual, that means an income of at least $15,060 in 2025. For a family of four, that means an income of at least $31,200 in 2025.
What is the maximum deductible for ACA 2025?
For the 2025 plan year: The out-of-pocket limit for a Marketplace plan can't be more than $9,200 for an individual and $18,400 for a family.
IRS 2024 ACA Affordability Threshold Announcement
What is the IRS limit for 2025?
Highlights of changes for 2025. The annual contribution limit for employees who participate in 401(k), 403(b), governmental 457 plans, and the federal government's Thrift Savings Plan is increased to $23,500, up from $23,000. The limit on annual contributions to an IRA remains $7,000.
What is the ACA affordability threshold?
2025 ACA Affordability Percentage Increases to 9.02%: The IRS has announced that the ACA affordability percentage used to determine compliance with the employer mandate will increase from 8.39% (2024) to 9.02% (2025) of the employee's household income, as determined under one of the three safe harbor approaches ...
Is there a cliff on ACA subsidies for 2025?
For now, the subsidy enhancements will remain in place through the end of 2025. "If people are signing up now during open enrollment, their coverage will take effect in January, and it will cover them for the whole year. Their premiums won't change — they're good for 2025," Norris said.
How can I avoid paying back my premium tax credit?
Report any changes in your income during the year to the Marketplace, so your credit can be adjusted and you can avoid any significant repayments at the end of the year.
What is the safe harbor for the ACA affordability test?
Safe harbors are ways for employers to demonstrate that their healthcare plans are affordable under the standards of the Affordable Care Act (ACA). There are three safe harbors: W2 Box 1 Wages, Rate of Pay, and Federal Poverty Line (FPL). Each has advantages and disadvantages for different employers.
How to calculate affordability?
Using a percentage of your income can help determine how much house you can afford. For example, the 28/36 rule suggests your housing costs should be limited to 28 percent of your total monthly gross income and 36 percent of your total debt.
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 safe harbor threshold?
Estimated tax payment safe harbor details
The IRS will not charge you an underpayment penalty if: You pay at least 90% of the tax you owe for the current year, or 100% of the tax you owed for the previous tax year, or. You owe less than $1,000 in tax after subtracting withholdings and credits.
What is considered income for marketplace insurance?
Your total (or “gross”) income for the tax year, minus certain adjustments you're allowed to take. Adjustments include deductions for conventional IRA contributions, student loan interest, and more.
How much is Obamacare a month for a single person?
Monthly premiums for Affordable Care Act (ACA) Marketplace plans vary by state and can be reduced by premium tax credits. The average national monthly health insurance cost for one person on an Affordable Care Act (ACA) plan without premium tax credits in 2024 is $477.
What is the ACA threshold for 2025?
The IRS updated its affordability threshold for the 2025 tax year to 9.02%.
Is $50000 a year poverty?
An annual salary of $50,000 is considered a middle-class income, and can be a comfortable wage for a recent graduate or a person starting a new career. A single person may not be able to live large in some areas of the country, but that doesn't mean they can't live comfortably elsewhere.
What is the highest income to qualify for ACA?
In 2025, you'll typically be eligible for ACA subsidies if you earn between $15,060 and $60,240 as a single person. A family of four is eligible with a household income between $31,200 and $124,800.
What are the ACA changes for 2026?
Strengthening the Marketplace's Impact on Consumers
For the 2026 benefit year, CMS is finalizing an FFM user fee rate of 2.5% of monthly premiums, and a State-based Marketplace on the Federal platform (SBM-FP) user fee rate to 2.0%of monthly premiums.
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.
What is the 9.5% rule for ACA?
The federal poverty line safe harbor generally treats coverage as affordable for a month if the employee required contribution for the month does not exceed 9.5 percent, adjusted annually, of the federal poverty line for a single individual for the applicable calendar year, divided by 12.
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 ACA affordability safe harbor for 2024?
Federal poverty level (FPL) safe harbor
Employers with calendar plan years of January through June who elect to use the 2023 FPL in 2024, can charge up to $101.94 per month before July 1, 2024.