Recent years in health insurance have been – simply put – expensive! At Dudek & Bock we strive to offer quality coverage at good price. Since the insurance coverage is offered here with employer contribution – keep in mind that if you choose to waive the coverage and decide to purchase something on the individual market (also known as through Obamacare or Marketplace) you may not be able to receive any tax-credits (also know as a subsidy).
It’s part of the Affordable Care Act that states: A job-based health plan is considered “affordable” if your share of the monthly premium in the lowest-cost plan offered by the employer is:
In 2026: less than 9.96% of your household income
If you’re the employee, affordability is based on only the premium you’d pay for self-only (individual) coverage.
For coverage starting January 1, if you’re offered job-based coverage through a household member’s job, affordability is based on the premium amount to cover everyone in the hholdouse.
Total household income includes incomes from everybody in the household who’s required to file a tax return.
If the premiums aren’t considered affordable for the employee and the household, they may qualify for savings in a Marketplace plan. But, if the premium is considered affordable for the employee, but not for other members of the household, then only the other household members may qualify for savings.
If you still take tax-credits and IRS later verifies the affordability – you will have to pay these credits back.
You can calculate affordability here: Family Glitch Calculator
Employee bi-weekly contributions:
