Question

What is the penalty for unaffordable coverage in 2027?

If an applicable large employer offers coverage to at least 95% of full-time employees but an offer is unaffordable or lacks minimum value, and the employee receives a premium tax credit, the 2027 section 4980H(b) amount is $5,670 a year per such employee, capped at the “A” amount. The “A” amount, for failing to offer coverage at all, is $3,780 a year per full-time employee after the first 30 (Rev. Proc. 2026-22).

The details are below. Send us your renewal and we will give you a second opinion in writing.

What to know

The short answer, in three parts.

The “B” payment

$5,670 a year per full-time employee who receives a premium tax credit, capped at the “A” amount.

The “A” payment

$3,780 a year per full-time employee after the first 30, when coverage is not offered to enough employees.

Where the numbers come from

IRS Rev. Proc. 2026-22 for 2027.

Related

Keep reading.

The guide

The 2027 ACA Affordability Percentage: Employer Guide

What the IRS changed for 2027 and what to check before open enrollment. Back to the guide.

Related

Next step

Read about the “B” payment.

Sources

Where these figures and rules come from.

Sources

Figures and rules

IRS Rev. Proc. 2026-26 (2027 affordability percentage of 10.22%, up from 9.96% for 2026) and Rev. Proc. 2026-22 (2027 employer shared responsibility payment amounts). IRC §4980H; 26 CFR §54.4980H-5(e). This page is general information, not legal or tax advice.

Let’s Get to Work

Send us your renewal.

Four documents — the renewal letter, the plan summary, the contribution split by tier and enrolled counts by tier. We’ll come back with a competitive read, where we see opportunity, and the five questions we’d put to your carrier.

Start the Review248.370.8853

CFH Insurance Consultants

An independent employee benefits consulting firm. We look at the entire benefits program — cost, plan performance, risk and administration.

Switch to CFH. Unhappy with your broker? Your employees won’t notice. You will. →

Michigan41000 Woodward Avenue, Suite 350 East
Bloomfield Hills, MI 48304
248.370.8853
Colorado13540 Northgate Estates, Suite 100
Colorado Springs, CO 80921
719.425.2649
Texas16365 Park Ten Place, Suite 182
Houston, TX 77084
281.404.5670

Book a 30-minute call