#health-insurance
Health Insurance
Track health insurance costs and employee benefits
ICHRA Explained: How Small Employers Are Ditching Group Health Plans for Custom Reimbursements in 2026
An ICHRA lets employers reimburse employees tax-free for individual health insurance instead of buying a group plan. Covers the 2026 affordability threshold of 9.96%, QSEHRA vs ICHRA rules, the 11 allowable employee classes, required notices, and how to book reimbursements without losing the tax advantage.
The ACA Subsidy Cliff Returns in 2026: How Self-Employed Filers Near $63,840 Use a SEP IRA to Keep the Premium Tax Credit
The enhanced ACA subsidies expired December 31, 2025, so in 2026 a single filer one dollar above roughly $63,840 in MAGI loses the entire premium tax credit while Marketplace rates rise a median 18%. Deductible SEP IRA, solo 401(k), traditional IRA and HSA contributions are above-the-line, so they lower the MAGI the credit uses — and the repayment cap on excess advance credits is gone for tax years after 2025, making every dollar of the excess repayable.
Small-Group Health Insurance Is Up 11% for 2026: What KFF's 318-Insurer Survey Means for Your Renewal Budget
KFF's review of 318 insurers found ACA small-group premiums rising a median 11% for 2026. Learn the five drivers behind the increase, why the smallest employers feel it most, and how to budget your renewal without dropping coverage.
HRA Council 2026: ICHRA Adoption Up 34% at Large Employers and 52% at Small — Family Premiums Hit $26,993
HRA Council: ALE ICHRA adoption up 34%, small employer up 52%, ~1M covered lives, $26,993 family premium strain — what 2026 means for defined contribution.
Level-Funded Health Plans: Why 40% of Small Employers Are Switching from Traditional Insurance
Level-funded health plans have become the choice of 40% of small employers seeking transparency, refunds, and predictable costs. Learn how the claims-fund-plus-stop-loss model works, accounting implications, and who should consider switching from fully-insured plans.
The Self-Employed Health Insurance Deduction in 2026: Navigating the Return of the ACA Subsidy Cliff
The enhanced ACA premium tax credits expired January 1, 2026, restoring the 400% FPL subsidy cliff — about $60,240 for a single filer — and roughly doubling net premiums for the average subsidized enrollee. Here's how self-employed workers can use the 100% above-the-line health insurance deduction, Form 7206, HSA contributions ($4,400 individual / $8,750 family), and MAGI timing strategies to soften the hit.
PBM Reform 2026: What Rebate Pass-Through Means for Small Employer Health Plans
Congress's February 2026 PBM reform mandates 100% rebate pass-through, bans spread pricing, and requires transparency reporting by August 2028. In West Virginia, an early rebate pass-through approach cut average 2026 group plan rate increases to 12.6% versus 19.5% under the old system. Here's what small employers should do before the 2029 enforcement date.
Small Business Health Insurance in 2026: Why Premiums Are Up 11% and What Your Options Are
Small-group health insurance premiums are rising a median 11% for 2026, with single coverage averaging $703 a month and family coverage near $2,000 per employee. Here's why costs are spiking, how level-funded plans, QSEHRA, and ICHRA compare to traditional group coverage, and a five-question framework for deciding before your renewal deadline.
2027 ACA Premium Tax Credit Percentages: What Rev. Proc. 2026-26 Means for the Self-Employed and Small Employers
IRS Revenue Procedure 2026-26 sets the 2027 ACA employer affordability threshold at 10.22% and updates the premium tax credit applicable percentage table (2.15%–10.22% of household income by federal poverty line bracket). Here is how the new numbers — and a quiet premium-growth methodology change — affect self-employed marketplace buyers and small employers.
IRS Announces 2027 HSA and HDHP Limits: What Small Business Owners and the Self-Employed Should Plan For Now
Revenue Procedure 2026-24 raises 2027 HSA contribution limits to $4,500 self-only and $9,000 family, with HDHP minimum deductibles of $1,750/$3,500 and out-of-pocket maximums of $8,700/$17,400. Here's what the new numbers mean for self-employed owners — including why the HSA deduction doesn't reduce self-employment tax, the April 15 contribution deadline that extensions don't move, and the over-contribution traps around employer contributions and the Last-Month Rule.
New Jersey's Medicaid Employer Assessment (A5324): What the First-in-the-Nation Law Means for Your Payroll
New Jersey's A5324, effective July 1, 2026, bills employers $325–$725 per year for each Medicaid-enrolled employee or dependent once 50 or more are enrolled — matched by the state, not self-reported. Here is how the tiered fees work, which workers are exempt now and in 2027, and how to prepare your books for a bill you didn't calculate.
Colorado's New NICU Leave Benefit: What Small Employers Need to Know About FAMLI in 2026
Colorado's FAMLI program now offers up to 12 weeks of paid Neonatal Care Leave for NICU stays, separate from the existing 12 weeks of bonding leave, funded by a 2026 payroll premium of 0.88% of wages split between employer and employee for businesses with 10 or more workers.