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Final Notice of Benefit and Payment Parameters for 2020

June 3, 2019 at 9:45 AM
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Recently, the Department of Health and Human Services (HHS) released its final Notice of Benefit and Payment Parameters for 2020. This proposed rule describes benefit and payment parameters under the Affordable Care Act (ACA) that would be applicable for the 2020 benefit year. Standards included in the rule relate to:

  • Annual limitations on cost sharing
  • The individual mandate’s affordability exemption
  • Direct enrollment in the Exchanges
  • Special enrollment periods (SEP) in the Exchanges

HHS also sought comments on issues to address in the future, such as the practice of “silver loading,” the automatic re-enrollment process through the Exchanges and any additional measures that would reduce eligibility errors and potential government misspending. HHS noted that it intends to take the comments received in response to the proposed rule into consideration in future rulemaking.

Notable Changes for 2020
The out-of-pocket maximum (OOPM) will increase, and the ACA’s affordability exemption threshold will decrease for 2020.

  • OOPM:$8,150 for self-only coverage and $16,300 for family coverage
  • Affordability threshold: 8.24% of household income

The final rule also enhances direct enrollment through the Exchanges and establishes a new SEP for the Exchanges. For more information on other changes, contact us today.


Material posted on this website is for informational purposes only and does not constitute a legal opinion or medical advice. Contact your legal representative or medical professional for information specific to your needs.

Human Resource, Compliance and Employee Benefit Focused Events

Interested in sharpening your skills and potentially earning Continuing Education (CE) credits?
Join us for one of our upcoming events:
December

12/05 - Immigration Compliance Program Workshop - Orland Park, IL

12/10 - HealthJoy Demo- Webinar

12/11 - Peacefully Separations: Severance Agreements and Employee Releases - Webinar

12/18 - FLSA Increased Salary - Webinar

January

01/07 - OSHA 300 Log Recordkeeping & Reporting Training 2020 - Orland Park, IL

01/08 - OSHA 300 Log Recordkeeping & Reporting Training 2020 - Mishawaka, IN

01/09 - OSHA 300 Log Recordkeeping & Reporting Training 2020 - Oak Brook, IL

01/14 - The Horton Group Presents ThinkHR - Webinar

01/16 - FLSA Increased Salary January 2020 - Webinar

01/021 - OSHA 300 Log Recordkeeping & Reporting Training 2020 - Waukesaha, WI

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