Before recent changes, a family’s eligibility for subsidized health plans was determined by the affordability of an employer’s individual health plan—regardless of the cost for a family plan.

Regulations were changed for the 2023 Open Enrollment Period to allow more access to federally-subsidized healthcare for families with high-premium employer plans. The new regulations allow an employee’s family to be enrolled in a subsidized marketplace plan when the employer-sponsored family plan costs more than 9.12% of the gross household income.

With many employer family plans costing as much as 20% of the household’s income, your clients may qualify for more affordable options that meet their needs.