Additional Resources
Reference Guide: Yearly Guidelines and Thresholds Coverage Year 2024
Reference Chart: Minimum Essential Coverage
Guide: Employer Coverage & PTC Eligibility
Key Facts:
Open Enrollment Series:
In this Beyond the Basics webinar presented on September 14, 2023, Jenny Sullivan, Director of Health Coverage Access, provided an in-depth review of eligibility rules for premium tax credits as well as how premium tax credits are calculated.
Webinar Resources
Jump To:
Premium Tax Credit Eligibility
- Overview of the 2024 Coverage Landscape
- What is the Premium Tax Credit?
- PTC Eligibility and Income Requirements
- Eligible Tax Filing Status
- Exceptions to the Joint Filing Requirement
- Special Rule for Certain Immigrants
- Ineligible for Other MEC
- Types of Minimum Essential Coverage
- Government-Sponsored Coverage Options
Eligibility for Employer-Sponsored Insurance (ESI)
- Eligible Employer-Sponsored Plans
- ESI Affordability
- ESI Affordability Application Question
- Adding Up the Cost of Coverage
- Minimum Value of ESI
- Examples
- Other Employer Coverage: HRAs
- Reconciliation of Overlapping Coverage
Calculation of the Premium Tax Credit
- How is the PTC Calculated?
- How Much Will a Household Pay in 2024?
- Expected Contributions at Certain Income Levels (2024)
- What Is a Benchmark Plan?
- Rating Factors Affect the Cost of an Enrollee’s Benchmark Plan
- Factors Affecting Premiums (But Not the Benchmark)
- Examples
- Report Changes that Affect the APTC