ACA Affordability Threshold Increases for 2027
The ACA affordability percentage has increased again and reaches its highest level since the employer mandate took effect.
The DOL has proposed regulations that would modernize the options employers and group health plans have for providing required ERISA disclosures to participants.
The U.S. Department of Labor (DOL) has proposed regulations that would significantly modernize the options employers and group health plans have for providing required ERISA disclosures to participants. If finalized, the proposal would establish a new optional electronic disclosure safe harbor that allows employers to provide many required health plan notices through secure websites or employee benefit portals instead of relying primarily on paper distributions. The earliest the new safe harbor could become effective is January 1, 2027.
If finalized, the proposed safe harbor could help employers:
Under the proposed safe harbor, employers could post required health plan documents on a secure website, benefits portal, or mobile application and notify participants that the documents are available online.
The proposal would apply to a wide range of ERISA-required health plan disclosures, including:
Covered individuals would include employees, beneficiaries, and other individuals entitled to receive plan documents who provide an electronic address or are assigned a work email address. Adult dependent children who provide an electronic address could also receive electronic disclosures.
The proposed rule generally would not allow employers to simply email required documents to participants. Instead, employers would provide a Notice of Internet Availability (NOIA) directing participants to the secure website where the document is posted. The DOL cited privacy concerns involving protected health information (PHI) as the reason for requiring this approach.
Each NOIA would generally need to include:
To qualify for the safe harbor, employers would need to ensure that documents are:
The proposal preserves important participant protections. Before relying on the new safe harbor, employers generally would need to provide an initial paper notice explaining the electronic delivery process.
Participants would continue to have the right to request free paper copies of any covered document at any time. They could also opt out of electronic delivery and continue receiving paper notices.
The regulations are only proposed, so employers should not change their disclosure procedures yet. However, now is a good time to prepare by confirming employee and dependent electronic contact information.
If finalized, these regulations could significantly simplify electronic delivery of health plan notices while maintaining important protections for participants. Employers should monitor the progress of the proposed rule and be prepared to evaluate their current disclosure practices once final guidance is issued.
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This article is for informational purposes only and is not intended as legal, tax, or benefits advice. Readers should not rely on this information for taking (or not taking) any action relating to employment, compliance, or benefits. Always consult with a qualified professional before making decisions based on this content.