Is it time to start work on your 2025 employee health plan budget – or are you wondering about the 2025 Affordable Care Act (ACA) health plan’s limitations and affordability percentages? MedBen can help.

Our Compliance team has compiled “ACA by the Numbers,” a downloadable summary of the key financial components under the Affordable Care Act for 2025. 

Of interest this year:

  • The standard (non-HDHP) in-network out-of-pocket maximum amount has decreased from 2024 levels. If your plan includes the maximum out-of-pocket allowed, note that this may need to be reduced as of the first day of your 2025 plan year.
  • This decrease in deductibles and out-of-pocket maximums doesn’t apply to high-deductible health plans with qualified HSAs.
  • The affordability safe harbor percentage has increased from 8.39% to 9.02%.

The complete “2025 ACA by the Numbers” can be found at MedBen.com.

As always, MedBen is available to assist clients with their ACA compliance questions. Contact Director of Compliance & Human Resources Erin Kelly at 740-522-7368 or ekelly@medben.com.