For easy reference, here are some charts of useful limits, thresholds and other handy figures you may need for 2016.
Other years:
2015 |
2017
ACA Market Reforms |
Plan-year OOPM limit |
Individual |
$6,850 |
Family |
$13,700 |
Maximum fixed-dollar cost sharing increase from March 23, 2010 |
For changes effective January 1, 2016 |
31.591% |
PCORI fee due July 31 |
For plan years ending October 1, 2015 through December 31, 2015 |
$2.17/covered life |
For plan years ending January 1, 2015 through September 30, 2015 |
$2.08/covered life |
Transitional reinsurance fee due January & November |
For covered life count reported November 2015 |
$44/covered life |
Employer shared responsibility (pay-or-play) affordability threshold |
9.66% of household income |
Note: No one covered person with family coverage can be required to exceed the individual ACA OOPM limit. Also, OOPM limit is effective for plan year beginning on or after January 1 of the indicated year. |
Health Savings Accounts (HSA) |
Calendar-year contribution limit |
Individual |
$3,350 |
Family |
$6,750 |
Minimum HSA-qualified HDHP deductible |
Individual |
$1,300 |
Family |
$2,600 |
HSA-qualified HDHP OOPM limit |
Individual |
$6,550 |
Family |
$13,100 |
Note: HSA-qualified HDHP OOPM limit is different than a similar ACA market reforms OOPM limit. Also, HDHP deductible minimum and OOPM limit amounts apply to first plan year beginning on or after January 1 of the indicated year. |
Healthcare Flexible Spending Arrangements (FSA) |
Salary reduction limit |
$2,550 |
Dependent Care Assistance Programs (DCAP) |
Salary reduction/benefit limit for single or married, filing jointly |
$5,000 |
Salary reduction/benefit limit for married, filing separately |
$2,500 |
Nondiscrimination Testing |
Prior-year HCE compensation threshold |
Applies to 125 pre-tax premium, FSA, HSA, DCAP |
$120,000 |
Prior-year key employee officer compensation threshold |
Applies to 125 pre-tax premium, FSA, HSA, DCAP |
$170,000 |
Prior-year key employee more-than-1% owner compensation threshold |
Applies to 125 pre-tax premium, FSA, HSA, DCAP |
$150,000 |
Current-year HCI compensation threshold |
Applies to FSA, self-insured medical, HRA |
Top-paid 25% |
Note: HCIs also include more-than-10% owners and the top-paid 5 officers, but these individuals usually are also included in the top-paid 25%. |
Qualified Transportation Fringe Benefits |
Monthly limit for parking benefit |
$255 |
Monthly limit for transit passes and vanpooling expenses |
$255 |
Adoption Assistance |
Annual income exclusion limit |
$13,460 |
Annual tax credit limit |
$13,460 |
Income exclusion and tax credit phase-out range |
Phase-out begins at MAGI of $201,920; income exclusion and tax credit unavailable at $241,920 or higher |
what is OOOM and OOPM?