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2021 ACA Payment Notice: Implications for Employer-Sponsored Plans
HUB International
[Guidance Overview] June 12, 2020 "For 2021, the ACA out-of-pocket maximum (OOPM) limits will be $8,550 for self-only coverage and $17,100 for family coverage ... This is up about 4.9% from the 2020 limits of $8,150 and $16,300.... For 2021, HHS is giving plans the choice to count, or not count, drug manufacturer subsidies toward the OOPM if a medically-appropriate generic is available. However, any treatment must be consistent with state law.... Based on the number in the final rule, [the authors] predict that the 2021 employer mandate penalties will be $2,700 for the (a) penalty and $4,060 for the (b) penalty." MORE >> |
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