calculators header
On this page you’ll find a number of calculator tools and charts relevant to the individual, small group, and large group markets. We’ve developed many of the calculators ourselves but have also linked to several external tools developed by the federal government and other organizations. Some of these tools (ours and others) are a bit out of date but are included because they may still help to explain some difficult concepts. We’re in the process of updating all of our health reform calculators and they should be posted soon.

Actuarial and Minimum Value

The health reform law requires all individual and small group plans to provide “minimum value,” which means that the plan, on average, pays at least 60% of the cost of services. In the large group market, plans that do not provide minimum value are subject to shared responsibility penalties for those employees who receive a premium tax credit epic games fortnite kostenlos herunterladen. Any plan that does provide minimum value is categorized based on its actuarial value – the percentage of claims the plan pays for a standard population. Plans are grouped into metallic tiers based on their actuarial value: Platinum (90% AV), Gold (80% AV), Silver (70% AV), and Bronze (60% AV).

Actuarial Value Calculator
(Health and Human Services)
This calculator tool will determine the actuarial value of a health plan and confirm its metallic tier (bronze, silver, gold, or platinum).
Minimum Value Calculator
(Health and Human Services)
This calculator tool will determine whether a health plan provides minimum value or not. Note that even if a plan pays 60% of the costs, if hospitalization is not covered the plan does not meet the minimum value requirements.

 

Age Compression

The health reform law allows for a maximum 3 to 1 rate spread based on age in the individual and small group markets. This means that the rate for a 64-year-old individual or employee could be three times as much as a 21-year-old’s rates.

HHS Standard Age Curve
(ComedyCE.com)
This chart shows the factors insurance companies will use when determining the per-member rates in the individual and small group markets beginning in 2014 google play hörbücher downloaden.

 

Cadillac Tax

Beginning in 2018, premiums in excess of a certain amount will be subject to a tax of 40%. While this is a tax on the health insurance issuer, the cost will likely be passed on to group and individual policyholders. This tax on high valued health plans is frequently referred to as the “Cadillac Tax.”

Cadillac Tax Calculator
(The Alliance)
This calculator helps employers understand how the health benefits excise tax on high valued health plans could impact their company.

 

Composite Rates

In the small group market, plans have the option of charging composite or member-level rates. Because HHS has specified that carriers use two-tiered composite rates, most insurance companies have decided to switch to a member-level rating methodology. Some employers, though, prefer to manually composite rate, charging each employee the same amount and simply paying the difference.

Composite Rate Calculator
(ComedyCE.com)
This simple Excel tool converts member-level employee-only rates to a composite rate amazon gekaufte mp3en. This could be helpful for small employers who want to average the age-banded rates for their employees beginning in 2014 so they can charge each employee the same amount.

 

Employer Mandate

Beginning in 2015, applicable large employers are required to offer minimum essential coverage or face a penalty. This has caused many employers to conduct “play or pay” analyses to determine whether it’s better to sponsor a group health plan or pay the employer shared responsibility penalty.

Play or Pay Calculator
(ComedyCE.com)
This calculator tool will help large employers who are subject to the shared responsibility requirement in 2015 compare the amount they would pay in tax-deductible premiums if they offer coverage with the amount they will pay in after-tax penalties if they don’t.
Health Mandate Cost Calculator
(National Retail Federation)
This calculator tool will help a group determine how many full-time equivalent (FTE) employees it has and how much it will pay in penalties if it does not offer coverage beginning in 2015 Download 4 blocks staffel 2.
Play or Pay Calculator
(Unum)
This short quiz can help applicable large employers decide whether to play or pay. Those who do not offer group health coverage will be subject to a shared responsibility penalty.
Employer Mandate Calculator
(Sterling Healthworks)
This detailed calculator helps employers determine whether they are subject to the employer mandate, if their plan is affordable and provides minimum value, and compare their play or pay options.
Employer Mandate Penalty Calculator
(U.S. Chamber of Commerce)
This simple-to-use calculator developed by the U.S. Chamber of Commerce helps employer determine the number of FTEs they have and calculate any potential penalty but does not account for the 2015 transition relief.

 

Federal Poverty Level

The Affordable Care Act creates advanceable, refundable premium tax credits to individuals and families with incomes up to 400% of the Federal Poverty Level and cost-sharing subsidies for people earning less than 250% of the Federal Poverty Level capture. The FPL numbers are announced every January by HHS.

Federal Poverty Level Chart (2015)
(ComedyCE.com)
This chart shows the annual income for households with 1 to 8 family members at 100%, 133%, 200%, 250%, 300%, and 400% of the Federal Poverty Level in 2015 for the 48 contiguous states and the Disctrict of Columbia. The FPL is higher in Alaska and Hawaii.

 

Full-Time Equivalents

Applicable large employers with 50 or more “Full-Time Equivalents” (FTEs) are subject to the employer shared responsibility requirement. FTEs are determined by counting each full-time employee working 30 hours or more per week as one and each part-time employee as a fraction of a full-time employee.

FTE Calculator
(ComedyCE.com)
This calculator tool will help a group determine how many full-time equivalent (FTE) employees it has. Those with 50 or more FTEs are required to offer group health insurance or pay a shared responsibility penalty, though groups with fewer than 100 FTEs may qualify for transition relief in 2015 google sketchup 7 download for free german.
FTE Calculator
(Sterling Healthworks)
This FTE calculator is similar to the one developed by ComedyCE.com. It’s very easy to use and calculates the total number of full-time employees including full-time equivalents.

 

Individual Mandate

Effective January 1, 2014, most Americans are required to have minimum essential coverage or pay a penalty. The penalty is the greater of a set dollar amount with a family cap or a percentage of applicable income capped at the average national cost of bronze-level coverage.

Individual Mandate Penalty Calculator
(Intuit)
This calculator, developed by the makers of TurboTax, shows the penalties individuals who did not have minimum essential coverage in 2014 will pay during this year’s tax filing season.
Individual Mandate Penalty Calculator
(HealthInsurance.org)
This calculator shows the penalties by year that a family will pay for not having health insurance herunterladen.

 

Premium Tax Credits

The Affordable Care Act creates advanceable, refundable premium tax credits to individuals and families with incomes up to 400% of the Federal Poverty Level. The tax credit amount is determined based on the premium for the benchmark plan (the second-lowest priced plan in the silver level of the individual marketplace), but, once determined, can be used to purchase any qualified plan in the marketplace.

Subsidized Monthly Premium Chart
(ComedyCE.com)
This chart, based on 2013 FPL numbers,  shows the subsidized premiums that families of different sizes and with different household incomes will pay for the benchmark plan.
Health Insurance Subsidy Calculator
(Kaiser Family Foundation)
This calculator tool shows the annual premium a family would pay when purchasing the benchmark plan after applying the applicable premium tax credit. It also shows the estimated annual premium as well as Medicaid and CHIP eligibility.
National Health Care Calculator
(UC Berkeley Labor Center)
This calculator tool shows the annual premium a family would pay when purchasing the benchmark plan after applying the applicable premium tax credit Download dark souls for free.
Health Insurance Subsidy Calculator
(Communicating for America)
This user-friendly calculator shows the total premium and subsidized amount for families of different sizes and income levels. It is location-specific (based on zip code).
Health insurance Subsidy Calculator
(Sterling Healthworks)
This calculator shows estimated premiums and subsidy amounts by state for different coverage tiers but only asks for the age of one family member.
Health Insurance Subsidy Calculator
(HealthInsurance.org)
This easy-to-use calculator asks for the age of each family member and the family’s zip code and provides the total subsidized premium and subsidy amount.
Health Insurance Subsidy Calculator
(HealthNetwork)
This calculator shows the total monthly premium, subsidy amount, and adjusted premium for families in different states.
Health Insurance Subsidy Calculator
(WebMD)
This subsidy calculator, developed by WebMD, has not yet been updated for 2015 despacito herunterladen.

 

Safe Harbor

Under section 4980H(B) of the tax code, employers pay a shared responsibility penalty of $3,000 for each of their full-time employees who receive a premium tax credit if single coverage under the company’s group health plan exceeds 9.56% of the employee’s household income. Unfortunately, most employers don’t know an employee’s household income amount, so the government offers three safe harbors that will allow an employer who offers group health coverage to avoid a penalty even if an employee accesses a tax credit.

Safe Harbor Contribution Calculator
(ComedyCE.com)
This calculator tool will help large employers who are subject to the shared responsibility requirement in 2015 determine if any of the safe harbor options available to them will help them avoid an affordability penalty.

 

Small Group Tax Credit

Employers with 25 or fewer full-time equivalent employees and $50,000 or less in average wages may be eligible for a tax credit of up to 50% of what the employer is paying for employee and dependent health coverage.

Small Group Tax Credit Calculator
(Small Business Majority)
This calculator is great icq deutsch kostenlos herunterladen. Very user-friendly and very informative. It will show the potential small employer tax credit for different group sizes, average incomes, and employer contribution amounts.
Small Group Tax Credit Calculator
(House.gov)
This calculator is technically accurate but not very useful and includes info from 2010 to 2013 as well as 2014 and beyond.