Webinar OE6: The Premium Tax Credit
In this Health Reform: Beyond the Basics webinar presented on September 13, 2018, Tara Straw, Senior Policy Analyst, provides a detailed discussion of eligibility for the premium tax credit—including how offers of employer-sponsored insurance can affect eligibility—as well as how the credit is calculated.
This is Part I is a four-part series on core elements of eligibility and enrollment.
Presentation Slides
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Overview
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Open enrollment 6 for coverage year 2019
Overview of the coverage landscape
Premium Tax Credit Eligibility
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Definition of the premium tax credit
Income requirements (video section, slides)
Ineligible for other minimum essential coverage (video section, slides)
- Offers of employer-sponsored coverage
Eligible filing status (video section, slides)
- Exceptions to the joint filing requirement
Calculation of the Premium Tax Credit
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How is the amount of PTC calculated?
- Cost of benchmark plan
- Expected premium contribution
Examples:
- Impact of benchmark plan cost on PTC calculation
- Impact of expected contribution on PTC calculation
- Impact of age on PTC calculation
- Impact of plan choice on premiums
- Impact of “silver loading” on premiums
Reconciliation of the Premium Tax Credit
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Reconciliation of the PTC and repayment limits
Potential issues:
- Failure to pay premiums
- Only Column A of Form 1095-A is completed
Overlapping coverage
Q&A
Additional Resources
Resources | View resources links
Reference Guide: Yearly Guidelines and Thresholds
Key Facts:
Reference Chart: Minimum Essential Coverage
Guide: Health Assister’s Guide to Tax Rules
Webinar OE6: Determining Households and Income for PTC and Medicaid
Beyond the Basics Webinar Series | View all webinars
Key Facts About Health Reform | View all key facts
Tools and Resources | View all tools and resources
Frequently Asked Questions | View FAQs
