Individual Subsidy & Marketplace

Individual Health Insurance Subsidy

Effective January 1st. 2014 Non-Grandfathered Individual Health Plans

Starting January 1st, 2014, some individuals and families will be eligible for an Individual Health Insurance Subsidy.   The level of subsidy available is determined by the individual or family’s percentage of household income.  Individuals and families making between 138% -400% of the Federal Poverty Level will be eligible for the subsidy.

The subsidy caps an individual’s premium at a certain level of income.  If the policy costs more than the cap, the government will pay the remaining premium.

Income and Premium Caps as a Percentage of Household Income

Income Levels Individual Healh Insurance Subsidy

Income and Premium Caps in Real Dollar Amounts

Individual Health Insurance Subsidy Amounts


Can anyone sign up for a subsidized plan?

Subsidy Access is contingent on access to employer group health plans.
  • Individuals are eligible for the individual premium tax subsidy only if they are not eligible for affordable coverage through their employer sponsored plan.
  • A plan is considered affordable if the employee’s portion of premium for employee, spouse and dependents does not exceed 9.5% of their annual household income.
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See if you qualify for a subsidy!

About Optimized Benefits

Optimized Benefits is a Boutique Firm dedicated to providing smart solutions to the small and mid-sized business owners and their Employee Benefits plans
we have a focus on Retirement (401K) and Group Health plans

Contact Us

55 W Wacker Dr 14th Floor
Chicago IL 60601

312 263 1590 X 101

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