State:
Free Special Resources
Get Your FREE Special Report. Download Any One Of These FREE Special Resources, Instantly!
Featured Special Report
Claim Your Free Cost Per Hire Calculator
This handy calculator lets you plug in your expenses for recruiting, benefits, salaries, and more.

Graphs automatically generate to show you your annual cost per hire and a breakdown of where you are spending the most money.

Download Now!
April 13, 2017
HHS Benefit and Payment Parameters Notice Clarifies Benefit Limits for 2018

Final regulations issued by the U.S. Department of Health and Human Services (HHS) made several changes to various Affordable Care Act (ACA) marketplace rules. Included in the rule were the 2018 out-of-pocket maximums (OOPMs) for nongrandfathered health plans.

For a Limited Time receive a FREE Compensation Market Analysis Report! Find out how much you should be paying to attract and retain the best applicants and employees, with customized information for your industry, location, and job. Get Your Report Now!

The OOPMs increased by 2.8% and are as follows:

Coverage Tier

2017

2018

Self-Only

$7,150

$7,350

Other than Self-Only (for example, Family)

$14,300

$14,700

Keep in mind that the HHS continues to enforce the embedded individual OOPM rule. That mandate requires nongrandfathered plans to have embedded individual OOPMs within the family OOPMs.

In other words, once any covered individual in the family coverage tier reaches the individual OOPM, that person’s expenses must be paid at 100%, even if the family coverage tier has a higher OOPM.

Recall also that if an employer offers a health savings account-eligible high deductible health plan (HDHP), those OOPMs are lower. The ACA OOPMs are indexed using a premium adjustment percentage; HDHP OOPMs are indexed using the Consumer Price Index.

For 2017, HDHPs have the following OOPMs:

Coverage Tier

2017

2018

Self-Only

$6,550

N/A

Other than Self-Only (for example, Family)

$13,100

N/A

Finally, as can be stated with any ACA-related regulations, this guidance is subject to change depending on legislation that might be passed this year that alters the ACA.

Featured Free Resource:
Cost Per Hire Calculator
   
   
 
 
Twitter  Facebook  Linked In
Follow Us
CT-WEB01
Copyright © 2017 Business & Legal Resources. All rights reserved. 800-727-5257
This document was published on http://Compensation.BLR.com
Document URL: http://compensation.blr.com/Compensation-news/Medical-Insurance/Healthcare-Benefits/HHS-Benefit-and-Payment-Parameters-Notice-Clarifie/