Who is eligible for CSR?

Asked by: Miss Anika Walsh  |  Last update: February 27, 2025
Score: 4.7/5 (31 votes)

Typically, individuals and families with household incomes between 100 and 250 percent of the FPL may be eligible to receive CSRs. There are also non-income-based CSRs available to members of federally recognized tribes.

Who qualifies for CSR?

Who's eligible for cost-sharing reductions? Cost-sharing reductions are available to eligible enrollees who select Silver plans in the marketplace and have household incomes up to 250% of the federal poverty level (FPL).

How do I know if I qualify for CSR?

If you make under 250% of the Federal Poverty Level (under $64,505 for a family of four), you may qualify for cost sharing reduction (CSR). This means better benefits for you at the same monthly premium. For example, instead of paying a $45 doctor visit, cost sharing may lower your doctor visit copayment down to $5.

Who is eligible for cost-sharing reductions?

Who Qualifies For Cost-Sharing Reductions? To qualify for CSRs, individuals and families must meet the following criteria: Enrollment in a Silver plan: CSRs are only available to individuals and families enrolled in a Silver plan. CSRs are not available for those enrolled in Bronze, Gold, or Platinum plans.

Who is mandatory for CSR?

The provisions of CSR applies to every company fulfiing any of the following conditions in the preceding financial year: Net worth of more than Rs.500 crore. Turnover of more than Rs.1000 crore.

What Is Corporate Social Responsibility (CSR)? | Business: Explained

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What is CSR requirements?

The CSR applies to companies that meet any of the following financial thresholds: A net worth of at least 500 crore rupees. Annual turnover surpassing 1000 crore rupees. Net profits exceeding 5 crore rupees.

Is CSR mandatory in the US?

India has made CSR mandatory through law subject to certain qualifications. The US has no particular hard law mandating CSR performance by the businesses.

What is not considered cost sharing?

This term generally includes deductibles, coinsurance, and copayments, or similar charges, but it doesn't include premiums, balance billing amounts for non-network providers, or the cost of non-covered services.

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.

Who is responsible for cost reduction?

However, cost reduction is not solely the responsibility of Finance or Operations. To truly get costs out, leadership and engagement across all functions is required. Identified savings are not booked savings. The real work begins as the organization works to realize actual savings.

How do I claim CSR?

Certifications and Registrations: Ensure you have the necessary certifications like the 80G certificate for tax deductions, 12A registration for income tax exemption, and FCRA registration for receiving foreign funds. These certifications make your organization more attractive to donors.

What determines CSR?

CSR can help improve society and promote a positive brand image for companies. CSR includes four categories: environmental impacts, ethical responsibility, philanthropic endeavors, and financial responsibilities.

What consumers are eligible to enroll in a CSR plan?

Who is eligible for cost-sharing reductions? Individuals and families with incomes up to 250 percent of the poverty line are eligible for cost-sharing reductions if they are eligible for a premium tax credit and purchase a silver plan through the ACA marketplace in their state.

What falls under CSR?

The four main types of CSR are environmental responsibility, ethical responsibility, philanthropic responsibility and economic responsibility. However, companies can also consider different forms of CSR, such as diversity and inclusion, governance, well-being and employee engagement.

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 does a 73 cost-sharing reduction mean?

A 73% cost sharing reduction means that your insurance company will pay an average of 73% of your health care costs while you'll pay the remaining 27%. This is a better deal than a regular Silver plan where you'll pay 30% of your medical costs.

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.

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 are the pros and cons of the Affordable Care Act?

The pros of the ACA include prohibiting insurance companies from denying coverage based on health history and providing subsidies to reduce premiums and out-of-pocket costs. The cons of the ACA include small business challenges and limited provider options in some regions.

Who qualifies for cost sharing reductions?

If your income is between 200% and 250% of the federal poverty level (between $30,120 and $37,650 for a household of one in 2025), the cost-sharing reductions will be more modest. At this income level, your annual out-of-pocket limit will be reduced to no more than $7,350.

What is the maximum out-of-pocket for the Affordable Care Act?

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. 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.

What is CSR with an example?

Common examples of CSR programs include donating cash and in-kind goods to nonprofits, providing grants for employee volunteer hours, implementing grant programs, changing production or purchasing processes to benefit environmental or social justice causes, committing to diverse hiring practices, and more.

What happens if there is no CSR?

Yes, there are risks associated with not practicing corporate social responsibility (CSR). Some of these risks include: Damage to a company's reputation and brand image, which can lead to loss of customers and revenue. Increased regulatory scrutiny and potential legal penalties.

What is the main purpose of CSR?

CSR addresses various issues like human rights, education, health, and safety. It also covers corporate governance, working conditions, environmental sustainability, and more. Along with economic development, CSR also focuses on social and environmental development (the triple bottom line).