Pioneers in 5 Star Service • Ronstadt Insurance • Tucson, AZ • 520-721-4848

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August 5, 2025

🩺 HHS Updates 2026 Out-of-Pocket Max Limits 💸

Issued: July 28, 2025

The Department of Health and Human Services (HHS) has finalized new rules under the ACA 🏥—including increased out-of-pocket maximums for 2026 to better reflect premium trends:

🔹 Self-only coverage: $10,600 (⬆️ from $10,150)

🔹 Other than self-only: $21,200 (⬆️ from $20,300)

📌 For HSA-compatible HDHPs in 2026:

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July 22, 2025

📈 2026 ACA Pay-or-Play Affordability Percentage Increases to 9.96% 💸

On July 18, 2025, the IRS released Revenue Procedure 2025-25, raising the ACA affordability threshold for employer-sponsored health coverage to 9.96% for 2026.

👉 Under the Affordable Care Act’s “pay-or-play” rules, large employers must offer affordable, minimum-value health coverage to full-time employees — or face potential penalties.

🧾 New for 2026:

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