FAQ:
November 2022

New Rule Eliminates the “Family Glitch”

A new Treasury regulation finalized in October 2022 changes the rules used to determine whether an offer of employer-sponsored coverage is affordable to the spouse and dependents of an employee. These changes make many more people eligible for the premium tax credit (PTC), which can be used to purchase coverage through the marketplace.

This FAQ explains the changes for how affordability is assessed for offers of employer-sponsored coverage.

Additional Resources

Webinar OE10: Premium Tax Credits

Reference: Yearly Guidelines and Thresholds | Coverage Year 2023 (PDF)

Guide: Employer Coverage & PTC Eligibility

Key Facts:

OE10 Webinar Series (Coverage Year 2023)

Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their health coverage.

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Beyondthebasics@cbpp.org

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Support for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

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