If the premiums for the lowest cost coverage in your employer’s plan is 8.39 percent or more of your household income in 2024 or fails to meet a "minimum value" threshold, you may be eligible for a premium tax credit for coverage in your state’s health insurance Marketplace. Minimum value means that the plan covers at least 60 percent of the average costs of covered services, including hospitalization and physician services. The application for coverage in a health insurance Marketplace includes questions you or your employer can answer to help determine whether your health benefits qualify you for a premium tax credit. Subsidies are calculated based on the price of available plans and household income. (26 C.F.R. 1.36B-6; 26 U.S.C. §36B; IRS Revenue Procedure 2023-29).
On Private Health Insurance Coverage & The Health Insurance Marketplace