ACA Limits, Penalties and Fees – 2014-2019

Posted June 14, 2019 by Megan DiMartino in Uncategorized | 0 comments

Employer Shared Responsibility (Employer Mandate)

Plan Years 2019 2018 2017 2016 2015 2014
Affordability Safe Harbor Percentage 9.86% 9.56% 9.69% 9.66% 9.56% 9.50%

Employer Mandate Penalties – Calendar Year

Penalties 2019 2018 2017 2016 2015 2014
Tier One: Failure to offer coverage or to offer to 95% of employees (70% for 2015) $2,500 $2,320 $2,260 $2,160 $2,080 $2,000
Tier Two: Failure to offer coverage that is affordable and meets minimum value $3,750 $3,480 $3,390 $3,240 $3,120 $3,000

Market Rules

Account Limits 2019 2018 2017 2016 2015 2014
Health Care Flexible Spending Account (FSA) $2,700 $2,650 $2,600 $2,550 $2,550 $2,500
Dependent Care Flexible Spending Account (FSA) $5,000 $5,000 $5,000 $5,000 $5,000 $5,000
Health Spending Accounts (HSA)
High Deductible Health Plan Annual Deductible Minimums (Self-Only/Family) $1,350
$2,700
$1,350
$2,700
$1,300
$2,600
$1,300
$2,600
$1,300
$2,600
$1,250
$2,500
Annual Out-of-Pocket Maximums (Self-Only/Family) $6,750
$13,500
$6,650
$13,300
$6,550
$13,100
$6,550
$13,100
$6,450
$12,900
$6,350
$12,700
Maximum Contribution (Self-Only/Family) $3,500
$7,000
$3,450
$6,850/$6,900
$3,400
$6,750
$3,350
$6,750
$3,350
$6,650
$3,300
$6,550
Transportation
Parking (per month) $265 $260 $255 $255 $250 $250
Mass Transit (per month) $265 $260 $255 $255 $250 $130

Fees – Paid by Health Plan (per Covered Life)

Fees 2019 2018 2017 2016 2015 2014
Transitional Reinsurance Fee N/A N/A $0 $27.00 $44.00 $63.00
Patient-Centered Outcomes Research (PCORI)
Plan Years Ending 1/1 – 9/30 $2.45 $2.39 $2.26 $2.17 $2.08 $2.00
Plan Years Ending 10/1 – 12/31 N/A $2.45 $2.39 $2.26 $2.17 $2.08

 

2020 HSA Limits were made available on May 28, 2019.  Please see those details here:  https://www.apbenefitadvisors.com/2019/05/28/irs-releases-2020-limits-for-hsas/

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