#health-insurance
Track health insurance costs and employee benefits
KFF's review of 318 insurers found ACA small-group premiums rising a median 11% for 2026. Learn the five drivers behind the increase, why the smallest employers feel it most, and how to budget your renewal without dropping coverage.
HRA Council: ALE ICHRA adoption up 34%, small employer up 52%, ~1M covered lives, $26,993 family premium strain — what 2026 means for defined contribution.
Level-funded health plans have become the choice of 40% of small employers seeking transparency, refunds, and predictable costs. Learn how the claims-fund-plus-stop-loss model works, accounting implications, and who should consider switching from fully-insured plans.
The enhanced ACA premium tax credits expired January 1, 2026, restoring the 400% FPL subsidy cliff — about $60,240 for a single filer — and roughly doubling net premiums for the average subsidized enrollee. Here's how self-employed workers can use the 100% above-the-line health insurance deduction, Form 7206, HSA contributions ($4,400 individual / $8,750 family), and MAGI timing strategies to soften the hit.
Congress's February 2026 PBM reform mandates 100% rebate pass-through, bans spread pricing, and requires transparency reporting by August 2028. In West Virginia, an early rebate pass-through approach cut average 2026 group plan rate increases to 12.6% versus 19.5% under the old system. Here's what small employers should do before the 2029 enforcement date.
Small-group health insurance premiums are rising a median 11% for 2026, with single coverage averaging $703 a month and family coverage near $2,000 per employee. Here's why costs are spiking, how level-funded plans, QSEHRA, and ICHRA compare to traditional group coverage, and a five-question framework for deciding before your renewal deadline.
IRS Revenue Procedure 2026-26 sets the 2027 ACA employer affordability threshold at 10.22% and updates the premium tax credit applicable percentage table (2.15%–10.22% of household income by federal poverty line bracket). Here is how the new numbers — and a quiet premium-growth methodology change — affect self-employed marketplace buyers and small employers.
Revenue Procedure 2026-24 raises 2027 HSA contribution limits to $4,500 self-only and $9,000 family, with HDHP minimum deductibles of $1,750/$3,500 and out-of-pocket maximums of $8,700/$17,400. Here's what the new numbers mean for self-employed owners — including why the HSA deduction doesn't reduce self-employment tax, the April 15 contribution deadline that extensions don't move, and the over-contribution traps around employer contributions and the Last-Month Rule.
New Jersey's A5324, effective July 1, 2026, bills employers $325–$725 per year for each Medicaid-enrolled employee or dependent once 50 or more are enrolled — matched by the state, not self-reported. Here is how the tiered fees work, which workers are exempt now and in 2027, and how to prepare your books for a bill you didn't calculate.
Colorado's FAMLI program now offers up to 12 weeks of paid Neonatal Care Leave for NICU stays, separate from the existing 12 weeks of bonding leave, funded by a 2026 payroll premium of 0.88% of wages split between employer and employee for businesses with 10 or more workers.
Small-group health insurance premiums are rising a median 11% in 2026, per Peterson-KFF analysis of 318 insurer rate filings, with 2–5 employee firms up 23% since 2022. What's driving it — GLP-1 drugs, a shrinking risk pool, 9% medical inflation — and seven concrete cost levers, from level-funded plans to ICHRAs.
The IRS raised 2026 HSA limits to $4,400 self-only and $8,750 family (Revenue Procedure 2025-19). A small business owner's guide to the S-corp more-than-2% shareholder rules, the 35% comparability excise tax, cafeteria plan workarounds, and how to avoid excess-contribution penalties.
