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Webinar

Affordability for Medical Coverage

Thursday, May 22nd | 2PM CST










Each person who plans to attend the webinar should complete this registration form.

Whether an employer offers affordable medical coverage impacts eligibility for premium tax credits toward individual Marketplace coverage. In addition, applicable large employers must offer affordable medical coverage if they want to avoid employer shared responsibility rules under §4980H. Therefore, it is important for employers to understand and communicate whether coverage offered under an employer-sponsored group health plan is “affordable.”

We’ll dive into the details of how to calculate a medical plan’s affordability for employees and their family members to help employers when setting plan contribution rates. In addition, for applicable large employers, we’ll address how to use the affordability safe harbors and how to report offers of coverage to avoid §4980H(b) penalties.

May 22, 2025

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2:00 PM

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VIRTUAL

What You'll Learn

Calculation Methodologies: Step-by-step guidance on determining if your medical plan meets affordability thresholds for both employees and family members


Strategic Contribution Planning: How to establish plan contribution rates that balance affordability compliance with budget considerations


Safe Harbor Utilization: Proper implementation of W-2, Rate of Pay, and Federal Poverty Line safe harbors to protect your organization


Reporting Requirements: Essential Form 1095-C reporting procedures to document compliance and avoid penalties


Real-World Examples: Practical scenarios demonstrating how changes in employee status impact affordability calculations

Brought to you by our Partners at Assurex

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