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Health Care Reform News

Final Rule Issued on Health Insurance Premium Tax Credit

February 1, 2013


The Department of Labor, Health and Human Services (HHS) and the Treasury have released a final rule which deals with an issue reserved from a previous version of the rule, defining employer sponsored coverage as affordable as to "related individuals" to an employee if the premium the employee must pay for self-only coverage (the required contribution percentage) does not exceed 9.5 percent of the employee's household income.  This means that even if family coverage is offered but not affordable, dependents will not be eligible for premium tax credits because self-only coverage is deemed affordable. 


To learn more about this proposed rule, see the attached document. Please know that the information Wellmark is providing is for informational purposes only. Additional information on health care reform can be found on


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