Family members with an offer of health insurance coverage through a spouse or parent’s employer may now qualify for financial assistance as a result of changes made to Pennie’s application. Starting with applications for 2023 coverage, family members who have an offer of job-based coverage through a spouse or parent that is unaffordable will qualify for financial assistance, even if “self-only” coverage for the employer is considered affordable.
For 2024 coverage, job-based coverage is unaffordable if the cost of self-only or family coverage is more than 8.39% of household income. Thresholds are updated annually.
If you have an offer of job-based coverage through a spouse or parent it is important that you include the premium information of the lowest cost family coverage (that is, the cost to cover the employee+spouse+any tax dependents) that meets minimum value standards to see if you are eligible for financial assistance.
(Note: The policies governing eligibility for financial assistance are set by the federal government, and not the Commonwealth of Pennsylvania or Pennie).