2026 Health Insurance Tool

Employer Coverage Affordability Checker

Estimate whether job-based health coverage may meet the 2026 Marketplace affordability test based on your household income and the amount you would pay for employer coverage.

2026 affordability threshold

9.96% of household income

Employee test Uses the employee's cost for the lowest-cost self-only coverage offered by the employer.
Family-member test Uses the employee's required contribution for coverage of the employee and applicable family members.
Estimate affordability

Enter your household and employer-plan information.

Use the lowest-cost employer plan that meets the minimum-value standard, not necessarily the plan you would personally prefer to enroll in.

1. Household income

Use your best estimate of Marketplace household income for the year.

2. Who are you checking affordability for?

3. Employer premium contribution

A minimum-value plan generally must cover at least 60% of expected allowed benefit costs and substantially cover physician and inpatient hospital services.

The values entered stay in your browser and are not saved or transmitted.
Estimated result

Affordability result

0%

Your Annual Contribution $0

The monthly employee premium entered multiplied by 12.

2026 Threshold $0

9.96% of the household income entered.

Difference $0

Difference from the estimated threshold.

This is only an affordability screening tool.

Marketplace premium-tax-credit eligibility depends on more than this percentage. Household income, tax filing status, other coverage, Marketplace eligibility rules and the details of the employer offer can all affect the final determination.

Understanding the test

Employee and family affordability are not the same calculation.

01

Employee affordability

For the employee, use the amount the employee must pay for the lowest-cost self-only employer plan that meets minimum value.

02

Family affordability

For a spouse or dependent, affordability generally looks at the employee's required contribution toward coverage that includes the employee and the applicable family members.

03

Minimum value matters

Even affordable employer coverage must also satisfy the minimum-value standard for the usual Marketplace restriction on premium tax credits to apply.

Why this matters:

An employer plan can be affordable for the employee but unaffordable for family members. In that situation, the employee and family members may have different Marketplace financial-assistance outcomes.

Employer coverage too expensive?

There may be more to review.

If you're comparing employer coverage with Nevada Health Link or trying to understand whether family coverage is affordable, tell us what you're trying to figure out.

You don't need to provide Social Security numbers, medical history or other sensitive health information through our initial form.

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Important: This calculator provides an educational estimate based on the 2026 Marketplace affordability percentage of 9.96%. It does not determine eligibility for Marketplace coverage or premium tax credits, determine whether an employer plan satisfies minimum value, calculate employer shared-responsibility compliance, or provide tax or legal advice. Marketplace household-income rules and employer-plan requirements can be complex. Verify current information through Nevada Health Link, HealthCare.gov, the IRS and appropriately licensed insurance or tax professionals before making coverage decisions. NevadaHealthPlans.com is not currently acting as a licensed insurance agency.