Insights

IRS Announces Update to Premium Tax Credit Eligibility


On May 4, 2017, the IRS released Rev. Proc. 2017-36 to announce the adjusted indexed applicable percentage table in
IRC Sec. 36B(b)(3)(A)(i). This table is used to calculate an individual’s premium tax credit for tax years beginning after calendar year 2017 (i.e., plan years beginning in 2018). The applicable percentage table for 2018 is as follows:

Household Income Percentage of Federal Poverty Line Initial Percentage Final Percentage
Less than 133% 2.01% 2.01%
At least 133% but less than 150% 3.02% 4.03%
At least 150% but less than 200% 4.03% 6.34%
At least 200% but less than 250% 6.34% 8.10%
At least 250% but less than 300% 8.10% 9.56%
At least 300% but not more than 400% 9.56% 9.56%

Rev. Proc. 2017-36 also updates the 2018 required contribution percentage, which is used to determine whether an individual is eligible for affordable employer-sponsored minimum essential coverage. The percentage decreases from 9.69 percent to 9.56 percent for plan years starting in 2018. In addition, the percentage used to determine if an individual is exempt from the individual shared responsibility payment due to lack of affordable minimum essential coverage decreases from 8.16 to 8.05 percent in 2018.

Rev. Proc. 2017-36 »