Question

A qualified health plan is any plan which provides coverage for the ______ Essential Health Benefits and provides a minimum actuarial value of 60%.

Answer 1

Answer: 9.5% or 9.56%

Explanation:

Under the Health Care Reform, a qualified health plan is any plan which provides affordable coverage for the MINIMUM VALUE of 9.5 or 9.56% Essential Health Benefits and that is if it also provides a minimum actuarial value of 60%.

Affordable coverage is accepted to provide "minimum value" on the condition that the plan covers at least, on average, 60% of an employee's medical expenses (and that is as determined by minimum-value calculations which is also referred to as "actuarial value.")

However, in Revenue Procedure 2014-62, that was issued in December 2014, the IRS had made an announcement that the affordability percentage for plan year 2016 will rise to 9.66%