If an employer changes carriers after open enrollment and is no longer contributing to the employee's premium therefore the premium is considered not affordable for the employee does that give the employee an SEP?
If an employer does not cover enough of the premium to meet the affordability criteria, the employee would be eligible for an SEP.
- For 2024, the threshold for affordability is 8.39% of the income.
- For 2025, the threshold for affordability is 9.02% of the income.
If an employer changes carriers after open enrollment, but the premium remains under the threshold, the employee would not be eligible for an SEP.