Sources

Rev. Proc. 2025-25

Rev. Proc. 2025-25 sets the ACA affordability percentage for plan years beginning in 2026 at 9.96%, the figure employers use to test whether employee contributions are affordable.

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Key Points

What it says and why it matters.

The 2026 Percentage

For plan years beginning in 2026, coverage is affordable if the employee’s required contribution for self-only coverage does not exceed 9.96% of income, measured with a safe harbor.

Why It Matters

Affordability decides whether the (b) payment can apply for a full-time employee who receives a premium tax credit.

Non-Calendar Plan Years

The percentage in effect on the first day of the plan year applies for the whole plan year.

Primary source: Rev. Proc. 2025-25. General information, not legal advice.

In Practice

A worked example.

Checking a 2026 Contribution

A calendar-year employer charges $95 a month for single coverage and uses the federal poverty line safe harbor for a full-time employee whose monthly income under that measure is about $1,305.

What the Rule Produces

At 9.96%, the affordability line is about $130 a month, so $95 is affordable. Under the 2027 percentage of 10.22% the line would be slightly higher.

What to Do

Four steps to apply it.

1. Pick the safe harbor

Rate of pay, W-2 or poverty line.

2. Apply the percentage

9.96% for 2026.

3. Compare

Check each contribution.

4. Document

Record the test.

Where it goes wrong. Using the 2027 percentage on a 2026 plan year.

Questions We Get

The questions that come up next.

What is the 2027 percentage?

10.22%, under Rev. Proc. 2026-26.

Which safe harbors can we use?

W-2 wages, rate of pay and the federal poverty line.

Is it the same for every employer?

The percentage is the same for all, but each employer tests its own lowest-cost self-only option.

Does it apply to plan years?

Yes, to plan years beginning in 2026.

Where do I find the poverty line?

In HHS guidance for the year.

Plan-specific questions belong with ERISA counsel, and we will bring them in.

Keep Reading

Related sources and guides.

Rev. Proc. 2026-26

Rev. Proc. 2026-26 sets the ACA affordability percentage for plan years beginning in 2027 at 10.22%.

IRS Notice 2025-15

IRS Notice 2025-15 explains how employers can furnish Forms 1095-C on request.

The Full Look-Back Guide

Every rule, example and source behind this page, in one place.

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