IRS Raises 2027 ACA Affordability Rate

The IRS has raised the ACA affordability rate for 2027 to 10.22% of household income, up from 9.96% and above 10% for the first time since the employer mandate took effect. Here’s what the new safe harbor limits mean for your contribution strategy.
Direct Primary Care and Your Benefits Stack: What Employers Need to Know

As employers search for new ways to rein in rising healthcare costs, direct primary care (DPC) has emerged as another lever to pull. By shifting primary care to a flat-fee membership model, DPC can create more predictable expenses, reduce unnecessary claims, and improve everyday access to care for employees.
How ICHRA and QSEHRA Work with Premium Tax Credits

What happens to an employee’s premium tax credit eligibility when they get offered ICHRA or QSEHRA dollars? Learn more about how each HRA coordinates with premium tax credits and things you should consider as an employer before you implement a plan.
What Is an HSA? How Health Savings Accounts Work With HRAs

Wondering how HSAs fit with HRAs? This guide explains what a Health Savings Account is, how it works, and when you can pair an HSA with an HRA like ICHRA or QSEHRA while keeping employees HSA-eligible and your benefits strategy compliant.
QSEHRA Contribution Limits Updated for 2026

Qualified Small Employer HRA (QSEHRA) limits for 2026 have been updated by the IRS. These contribution rules limit how much a small employer can contribute to employee health insurance premiums for the year. See the updated amounts for 2026 QSEHRAs.
Open Enrollment 2025: Your Guide to Choosing a Health Insurance Plan

Open enrollment season is here, which means it’s time to review your health plan settings for next year. Here’s your guide to what you can do during open enrollment, metal tiers, comparing key plan details, and making the best choice for you.
Open Enrollment is Almost Here! How Do Your Employee Health Benefits Stack Up?

Open enrollment season is the perfect reminder to review your employee health benefits strategy. With rising costs and new 2026 regulations ahead, now is the time to ensure your plan supports both your business and your team.
What Individuals and Businesses Should Know About the 2026 ACA Changes

New federal legislation and administrative rules from CMS are poised to reshape the Affordable Care Act (ACA) in 2026. Here are some of the biggest changes you need to know about that will affect affordability, enrollment and eligibility.
IRS Increases 2026 ACA ‘Affordability Rate’ for Employer-Sponsored Healthcare

Last month, the IRS announced the new ACA “affordability rule” for employer-sponsored healthcare, which limits how much employees at large employers can be required to contribute to health care premiums based on their salary. Find out what the new rate is and what that means for you.
Healthcare 101: 10 Insurance Benefit Terms You Should Know

Premiums, deductibles, coinsurance — oh my. 😱 Choosing a healthcare plan is about finding the right balance between coverage and cost for your situation. Here are the terms you need to know to pick the best plan for you.
From Marriage to Moving: How Qualifying Life Events Affect Your Health Insurance

Life happens, and when it does, your health insurance should be able to keep up. This blog breaks down the qualifying life events that may make you eligible to update or change your coverage outside of open enrollment.
Join Benafica’s Monthly Medicare and Health Insurance Webinars

Make informed healthcare decisions! Benafica hosts free educational webinars every 2nd Wednesday of the month, including a Medicare informational webinar and Health Insurance 101.