{"id":8491,"date":"2022-06-21T12:50:26","date_gmt":"2022-06-21T17:50:26","guid":{"rendered":"https:\/\/www.bbrown.com\/insight\/fixing-the-family-glitch-proposed-change-to-premium-tax-credits-for-families-and-how-it-impacts-employers\/"},"modified":"2022-06-21T12:50:26","modified_gmt":"2022-06-21T17:50:26","slug":"fixing-the-family-glitch-proposed-change-to-premium-tax-credits-for-families-and-how-it-impacts-employers","status":"publish","type":"insight","link":"https:\/\/www.bbrown.com\/ca\/insight\/fixing-the-family-glitch-proposed-change-to-premium-tax-credits-for-families-and-how-it-impacts-employers\/","title":{"rendered":"Fixing the Family Glitch: Proposed Change to Premium Tax Credits for Families and How It Impacts Employers"},"content":{"rendered":"

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Employee Benefits<\/p>\n

\n Fixing the Family Glitch: Proposed Change to Premium Tax Credits for Families and How It Impacts Employers\n <\/h1>\n\t\n <\/div>\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t<\/div>\n\n\t\n[\/vc_column][\/vc_row][vc_row][vc_column width=”2\/3″]\n
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\n Fixing the Family Glitch: Proposed Change to Premium Tax Credits for Families and How It Impacts Employers\n <\/h1>\n\t\n <\/div>[vc_column_text]In April 2022, the IRS released proposed regulations<\/a> aimed at fixing what has been referred to as the ACA\u2019s \u201cFamily Glitch.\u201d If finalized as currently written, the rules would expand the availability of marketplace premium tax credits for certain spouses and dependents of employees covered under, or eligible for, \u201caffordable\u201d employer-sponsored health coverage. As described below, this expansion will be achieved by changing the definition of \u201caffordable\u201d employer-sponsored coverage for family members of employees. In a White House fact<\/a> sheet accompanying the announcement of the proposed regulations, the Biden Administration estimates that the proposed change would make marketplace tax credits newly available to approximately 5 million Americans. The final rule is \u201cexpected to be finalized no later than the end of [2022],\u201d and the tax credits are expected to be available for the 2023 federal exchange open enrollment season.<\/p>\n

The Family Glitch<\/h3>\n

The \u201cFamily Glitch\u201d refers to the lack of premium tax credits for marketplace coverage available to spouses and dependents of employees. Under existing rules, the availability of tax credits for these individuals is tied to the affordability of employer-sponsored coverage for the employee. Under Internal Revenue Code Section 36B, individuals will not qualify for ACA marketplace premium tax credits if they have minimum essential coverage available to them through an employer unless that coverage is deemed not \u201caffordable\u201d or does not provide \u201cminimum value.\u201d<\/p>\n

Under the current regulations, whether employer-sponsored health coverage is \u201caffordable\u201d for purposes of the availability of a premium tax credit for individuals (including spouses and dependents of employees), is based on the cost of self-only coverage \u2013 i.e., the cost of family coverage is not considered. Accordingly, spouses and dependents of an employee will be ineligible for premium tax credits if an employer offers affordable self-only coverage even if family coverage is \u201cunaffordable.\u201d<\/p>\n

The Proposed Regulations<\/h3>\n

The proposed regulations, if adopted, would expand the tax credits by changing how affordability is determined for an employee\u2019s spouse and dependents. Specifically, the rules provide that an employer-sponsored plan will be considered \u201caffordable for related individuals if the portion of the annual premium the employee must pay for family coverage, that is, the employee\u2019s required contribution does not exceed 9.5 percent of household income [as indexed].\u201d Otherwise-eligible spouses and dependents that do not have access to affordable employer-sponsored coverage as determined under this new rule will be eligible for premium tax credits for coverage obtained through the marketplace.<\/p>\n

The proposed regulations do not change the definition of \u201caffordable\u201d as it relates to employees. Thus, if an employee has access to self-only coverage that is affordable based on the previous definition (i.e., the cost of self-only coverage under the lowest cost option providing minimum value does not exceed 9.5%, as indexed, of household income), the employee would not be eligible for premium subsidies as they are deemed to have access to \u201caffordable\u201d coverage. This will mean that in cases where a given employer offers affordable self-only coverage but \u201cunaffordable\u201d family coverage, only the spouse and dependents of a given employee will be eligible for marketplace premium subsidies.[\/vc_column_text]\t

\n\t\t\t\t\t\n\t\t\t\tContinue Reading<\/span>\n\t\t\t<\/a>\n\t\t\t<\/div>\n[\/vc_column][vc_column width=”1\/3″][vc_single_image image=”1390″ alignment=”center” style=”vc_box_circle_2″][vc_separator border_width=”2″ el_width=”60″][vc_column_text]<\/p>\n
Regulatory & Legislative Strategy Group<\/h6>\n

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\n\t\t\t\t\t\n\t\t\t\tConnect Now<\/span>\n\t\t\t<\/a>\n\t\t\t<\/div>\n[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

[vc_row row_style=”page-hero” full_width=”stretch_row_content”][vc_column][\/vc_column][\/vc_row][vc_row][vc_column width=”2\/3″][vc_column_text]In April 2022, the IRS released proposed regulations aimed at fixing what has been referred to as the ACA\u2019s \u201cFamily Glitch.\u201d If finalized as currently written, the […]<\/p>\n","protected":false},"author":66,"featured_media":8492,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"insight_category":[31,73],"class_list":["post-8491","insight","type-insight","status-publish","has-post-thumbnail","hentry","insight_category-employee-benefits","insight_category-regulatory-and-legislative-strategy"],"acf":[],"yoast_head":"\nFixing the Family Glitch: Proposed Change to Premium Tax Credits for Families and How It Impacts Employers - Brown & Brown<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.bbrown.com\/ca\/insight\/fixing-the-family-glitch-proposed-change-to-premium-tax-credits-for-families-and-how-it-impacts-employers\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fixing the Family Glitch: Proposed Change to Premium Tax Credits for Families and How It Impacts Employers\" \/>\n<meta property=\"og:description\" content=\"[vc_row row_style=”page-hero” full_width=”stretch_row_content”][vc_column][\/vc_column][\/vc_row][vc_row][vc_column width=”2\/3″][vc_column_text]In April 2022, the IRS released proposed regulations aimed at fixing what has been referred to as the ACA\u2019s \u201cFamily Glitch.\u201d If finalized as currently written, the […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.bbrown.com\/ca\/insight\/fixing-the-family-glitch-proposed-change-to-premium-tax-credits-for-families-and-how-it-impacts-employers\/\" \/>\n<meta property=\"og:site_name\" content=\"Brown & Brown\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.bbrown.com\\\/ca\\\/insight\\\/fixing-the-family-glitch-proposed-change-to-premium-tax-credits-for-families-and-how-it-impacts-employers\\\/\",\"url\":\"https:\\\/\\\/www.bbrown.com\\\/ca\\\/insight\\\/fixing-the-family-glitch-proposed-change-to-premium-tax-credits-for-families-and-how-it-impacts-employers\\\/\",\"name\":\"Fixing the Family Glitch: Proposed Change to Premium Tax Credits for Families and How It Impacts Employers - 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