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MT online Form 1095-A: What You Should Know

Annual Exemption Under the ACA, for 2023 for individuals and 2019, for family coverage, the maximum annual deductible would be the annual cost for single coverage in a marketplace setting under the 2023 benchmark plan with the maximum actuarial adjustment (MAC) that would be allowed for single coverage in a Marketplace setting under the 2023 benchmark plan. For 2019, the maximum annual deductible will be the annual cost for single coverage in a marketplace setting under the 2023 benchmark plan that would be allowed for family coverage in a Marketplace setting under the 2023 benchmark plan. Therefore, for 2019, the Maximum Annual Deductible is the annual cost of single coverage based on the 2023 benchmark plan for families. Thus, the Maximum Annual Deductible is the annual cost of single coverage in a marketplace setting under the 2023 benchmark plan for families The Maximum Annual Deductible may be higher for some Marketplace health insurance plans. For example, as of Dec. 01, 2017, the maximum annual deductible for 2023 health plans in the Marketplace is 6,150 for a single individual and 12,700 for a family (or 15,650 and 24,050, respectively, for a premium tax credit eligible individual and a premium tax-credit eligible family of six or more members, with the difference in amount due to any applicable State taxes). The maximum annual deductible would be the difference in amounts based on annual cost of single coverage under the 2023 benchmark plan or the 2023 benchmark plan. If the difference is at least 600, the maximum annual deductible for a single coverage in a marketplace is the sum of the maximum deductible under the 2023 benchmark plan plus the maximum annual deductible under the 2023 benchmark plan for a premium tax credit eligible individual or premium tax-credit eligible family of six or more members. If the difference is at least 2,300, the maximum annual deductible for a single coverage in a marketplace is the sum of the maximum deductible under the 2023 benchmark plan plus the maximum annual deductible under the 2023 benchmark plan for a premium tax credit eligible individual or premium tax-credit eligible family of six or more members. To determine whether the deductible exceeds the maximum annual deductible, the difference in amounts with any applicable State taxes is divided by 1,000, where that number is based on the average cost of family coverage in the marketplace.

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