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On April 17, 2018, the Department of Health and Human Services (HHS), in conjunction with the Centers for Medicare & Medicaid Services (CMS), released the final rule for the Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2019. Because the final penalty amounts have not yet been released, we’re providing an estimated calculation of 2019 penalties based on the premium adjustment percentage and rounding rules for plan year risk planning purposes.
Estimated 2019 ACA Penalties
Penalty A: 95% Minimum Offer Requirement
Section 4980H(a) penalty amount = $2,500 annualized/ $208.33 monthly (less the first 30 FT employees)
(Increased from $2,320 in 2018)
Penalty B: Affordability and Minimum Value Requirement
2019 Section 4980H(b) penalty amount = $3,750 annualized/ $312.50 monthly
(Increased from $3,480 in 2018)