Benefits, Health Care Reform

2020 Benefits Limits & New Affordability Methodology

On April 18, 2019, the Department of Health & Human Services (HHS) released in an unpublished Notice of Benefits & Parameters for 2020. This Notice includes inflation-adjusted benefits limits & amounts, reflected in the table below. Additionally, the methodology for determining affordability has also been changed and is discussed at the end of this article.

Type of Limit

Tier

2018

2019

2020

HSA Contribution Limit Self-only $3,450 $3,500 Not yet released
Family $6,900 $ 7,000 Not yet released
HDHP Minimum Deductible Self-only $1,350 $1,350 Not yet released
Family $2,700 $2,700 Not yet released
HDHP Maximum Out-of-pocket Expense Limit (MOOP) *** Self-only $6,650 $6,750 $6,500
Family $13,300 $13,500 $13,000
Non-HDHP Maximum Out-of-pocket Expense Limit (MOOP) *** Self-only $7,350 $7,900 $8,150
Family $14,700 $15,800 $16,300
Health FSA maximum employee pre-tax salary reduction contribution Self-only or Family $2,650 $2,700 Not released yet
Employer Mandate Penalty A Penalty- Fail to Offer $2,500 per FT EE $2,590 per FT EE
B Penalty – Unaffordable $3,750  for each EE receiving subsidy $3,890 for each EE receiving subsidy

Changes to How ACA Affordability Percentages Calculated to Result in Increased Employer Share

Although the IRS has yet to release the 2020 affordability provisions, HHS has revised how these calculations will be made. Using the new methodology, we will see a 29% increase in this percentage between 2014 and 2019 – how long we’ve used such calculations in determining whether the employer plan is affordable. This means, the 2020 affordability percentage may be significantly higher – meaning the employee contribution must be lower in order to be deemed affordable. Be on the lookout for a Leavitt Group Alert on this in the future!

Additional Regulatory / HHS Guidance Resources

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