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2021 ACA Out-of-Pocket Maximums, ESR Penalties, Other Changes Ahead (PDF)
Mercer Link to more items from this source
[Guidance Overview]
June 5, 2020

"The [Notice of Benefit and Payment Parameters for 2021] provides the adjustment factor that determines the 2021 ACA cost-sharing limits -- or out-of-pocket (OOP) maximums -- and employer shared-responsibility (ESR) assessments. The notice also clarifies the treatment of drug manufacturer coupons when tracking the ACA's OOP maximums and addresses health reimbursement arrangements (HRAs). Other changes to how insurers calculate medical loss ratios (MLRs) and how states report on essential health benefits (EHBs) could have some indirect effects on employer-sponsored plans."

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