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Health Insurance FAQs
Health Insurance FAQs

questions and answers about health insurance and employee benefits

What is the affordability percentage under the employer mandate?

March 27, 2025June 16, 2025

Under the ACA’s employer mandate, applicable large employers (ALEs) must offer full-time employees affordable, minimum value coverage or face potential penalties. For 2025, coverage is considered affordable if the employee’s required contribution for self-only coverage doesn’t exceed 9.02% of their income (up from 8.39% in 2024).

Since employers often don’t know household income, they can use one of three IRS-approved safe harbors:

  • W-2 wages

  • Rate of pay

  • Federal poverty level (FPL)

This percentage is adjusted annually by the IRS.

Compliance AffordabilityEmployer Mandate

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