What is the minimum value for ACA?
Asked by: Archibald Zieme PhD | Last update: March 12, 2025Score: 4.2/5 (25 votes)
What is the minimum affordability for the ACA 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 minimum income for ACA 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 are the ACA minimum requirements?
An employer-sponsored plan provides minimum value if it covers at least 60 percent of the total allowed cost of benefits that are expected to be incurred under the plan.
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.
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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.
How to calculate the ACA affordability for 2025?
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 are the ACA requirements for employers in 2024?
Employers must report employee insurance information with the California Franchise Tax Board (FTB) once per year. Information should be submitted to the state using federal Forms 1094-C, 1095-C, and 1095-B. Organizations must also distribute copies to employees.
Who is not eligible for Obamacare?
Must live in the United States. Must be a U.S. citizen or national (or be lawfully present). Learn about eligible immigration statuses. Cannot be incarcerated in prison or jail.
What income is used to calculate ACA?
The Marketplace uses a measure of income called Modified Adjusted Gross Income (MAGI). It isn't a line on your tax return. Your total household MAGI amount includes countable income for each person listed on your federal income tax return for the year you're getting help paying for coverage.
What is the minimum value coverage?
To qualify as providing “minimum value,” a health plan needs to cover a minimum of 60% of the overall plan costs and include a broad range of medical services, including inpatient and outpatient surgery, maternity care, and emergency and urgent care.
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 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.
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 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 penalty for the ACA 2025?
Section 4980H(a) penalty: ALEs must pay a monthly penalty of $241.67 or an annual penalty of $2,900 per employee. This penalty applies if they fail to offer MEC to 95% of their full-time employees and their dependents.
Can you make too little for Obamacare?
If your income is below 138% of the federal poverty level (FPL) and your state has expanded Medicaid coverage, you may qualify for Medicaid based on your income. If your income falls below the FPL, you may not qualify for subsidies, but you are more likely to qualify for Medicaid.
What happens to my Obamacare when I turn 65?
Your Marketplace coverage will not be cancelled automatically by your plan when you turn 65 and sign up for Medicare, but if you receive premium tax credits to help you pay for your Marketplace plan premium, your eligibility for these tax credits will end when your Medicare Part A coverage starts (people with Medicare ...
What disqualifies you from the premium tax credit?
For tax years other than 2021 and 2022, if your household income on your tax return is more than 400 percent of the federal poverty line for your family size, you are not allowed a premium tax credit and will have to repay all of the advance credit payments made on behalf of you and your tax family members.
What is the minimum income for the premium tax credit in 2024?
2024 filing requirements for most taxpayers: Gross income of at least $14,600 (individuals) or $29,000 (married filing jointly). Different thresholds apply for dependents, people 65 and older, and those who use other tax filing statuses (like married filing separately). Refer to glossary for more details.
What happens if I don't report my 1095-A?
You can use Form 1095-A to reconcile any advance premium tax credits you received during the year with the amount of credits you were eligible to receive. If you fail to file a tax return reconciling those payments, you will not be eligible for premium tax subsidies in the next year.
What is a tax clawback?
A tax clawback agreement is an arrangement whereby the tax benefits received from a given venture are reinvested into that venture to cover cash shortages. A tax clawback is just one of many similar arrangements that cover various distributions such as profits, dividends, or even stock distributions.