Compliance

Affordability Considerations

Written by Compliance | Aug 19, 2025 12:55:49 PM

For purposes of individual eligibility for tax subsidies through a public Exchange, and for 
compliance with the employer shared responsibility rules under §4980H, it is important to 
understand whether coverage offered under an employer-sponsored group health plan is 
“affordable.” When setting plan contribution rates, employers must consider IRS employer 
affordability safe harbors, the various elements that play into the determination of the 
employee contribution, and the penalties associated with failing to offer affordable 
coverage.