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Index/Topics/Employer-Sponsored Coverage

Employer-Sponsored Coverage

The rules determining whether anyone in a tax family can claim a Premium Tax Credit (PTC), including affordability and adequacy tests.

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Jan 31, 2026
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How do advance premium tax credits interact with cost-sharing reductions and employer-sponsored coverage in 2026?

Advance premium tax credits () in 2026 continue to lower monthly Marketplace premiums by having the Marketplace pay part of a policyholder’s premium to the insurer in advance, but eligibility and doll...