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Benefits Recap: Reminders for 2024 & Changes for 2025

ACA Updates & Reminders

It’s almost time for ACA reporting! There aren’t any major changes this year, but here are some items to be aware of for the 2024 tax year.

  • The employee distribution deadline for the 1095-C forms is March 3, 2025. Since the 2023 tax year, the IRS requires all employers with more than ten (10) forms to report electronically. Employers can complete this either directly through the IRS website or through a third-party provider. Corrected forms are also required to be submitted electronically.
  • If you’re submitting 10 or fewer forms, you can still file on paper. The deadline for this is February 28, 2025.
  • The deadline for e-filing 1095-C and 1094-C forms to the IRS is March 31, 2025. Keep in mind that there could be additional ACA state reporting requirements for your organization with differing deadlines. The states to pay special attention to are California, New Jersey, Massachusetts, Rhode Island, and the District of Columbia.
  • Updated penalties and affordability percentages. The ACA penalizes Applicable Large Employers (ALEs) that don’t offer what’s considered affordable coverage to full-time employees (FTEs). The affordability percentage is the maximum amount of an employee’s pay that “Employee Only” coverage can cost the employee in order to be considered affordable by ACA. For 2024, that percentage is 8.39%. The affordability percentage will jump to 9.02% for 2025, and the associated fines will increase as well. You can find out more about the Affordability Safe Harbors here.

Benefit Benchmarks and Contribution Changes for 2025

The IRS has released the 2025 cost-of-living adjusted limits for health savings accounts (HSAs), high-deductible health plans (HDHPs), and excepted benefit health reimbursement arrangements (EBHRAs). Here are the details:

  • HSA Contributions: The 2025 annual HSA contribution limit is $4,300 for those with single coverage, and $8,550 for those with family coverage.
  • HDHP Minimum Deductibles. The 2025 minimum annual deductible is $1,650 for single coverage and $3,300 for family coverage.
  • HDHP Out-of-Pocket Maximums: The 2025 limit (including items such as deductibles, copayments, and coinsurance, but not premiums) is $8,300 for single coverage and $16,600 for family coverage.
  • The Healthcare FSA contribution limit will increase to $3,300 in 2025.

 

Retirement Contribution Updates

The 401(k), 403(b), 457 and TSP contribution limit will be $23,500 for 2025.

For contributors aged 50+ (turning 50 before 12/31), the catch-up contribution limit will remain the same at $7,500 in 2025.

For contributors aged 60 through 63 there will be a higher catch-up limit of $11,250 in 2025.

The total contributions from both employer and employee to all plans by the same employer  will increase to $70,000 in 2025. The max annual compensation considered for making contributions to retirement plans is always five times (5x) the annual additions limit. The annual compensation limit will increase to $350,000 for 2025.

For employees whose contributions are limited as a result of being a Highly Compensated Employee (HCE), the minimum compensation to be counted as an HCE will go up to $160,000 in 2025.

Small employers may offer a SIMPLE 401k or a SIMPLE IRA plan instead of a regular 401(k). These plans have a lower contribution limit than standard 401(k) plans, and the contribution max increases to $16,500 in 2025.

The traditional IRA or Roth IRA contribution limit will stay the same for 2025 at $7,000.

This site has a handy chart of all of the changes from 2024 to 2025 if you’d like to learn more.

 

Most Recent

BWC's Risk Management Essentials Program

Posted By Brandy King
April 25, 2025 Category: General

Ohio BWC recently announced a new rebate program called Risk Management Essentials (RME). If your company enrolls and meets the requirements, this program could help your business earn additional premium savings of 5% of your annual premium, up to a maximum of $25,000.  Both private and public employers who are NOT enrolled in Group Rating or Group Retro can participate in the RME. The policyholder must complete the existing requirements of BWC’s Safety Council Program (attending at least 10 of 12 meetings during the policy year), plus an additional six hours of safety and claims management education provided by the program sponsor. Spooner plans on sponsoring this pilot program so we can offer another option to our clients who don’t qualify for group savings programs. The training must be conducted in-person or virtually in real-time. Other training sessions, like pre-recorded webinars or videos, will not qualify for program credit. In addition, your policy must be in good standing – no lapses over 40 days, current on premium payments, and the most recent True Up completed (and any associated balance paid). Employers will enroll in RME via their third-party administrator, who then submit the applications to BWC by the last business day in May. If you’re a Spooner Inc. client, we’ll notify you if this program could be beneficial for your company in the upcoming 2025 policy year. In the meantime, feel free to reach out to your Client Serv

2025 MCO Open Enrollment is Approaching!

Posted By Brandy King
April 23, 2025 Category: Mco, Ohio Bwc, Mco Open Enrollment, Managed Care Organization, 2025 Open Enrollment

MCO Open Enrollment will take place Monday, April 28 Friday, May 23, 2025. The opportunity for employers to choose their managed care organization (MCO) for Ohio Workers’ Comp comes only every two years, so employers will not have the opportunity again until 2027. Don’t miss out if you want to make a change! We know May is “busy season” for several industries with the weather warming up, but if you’re anything less than pleased with your MCO – it’s worth making time to take a few meetings and consider your options. With all of the mergers and acquisitions in the Ohio MCO marketplace over the last several years, there are now only nine companies to choose from. Since MCOs aren’t paid directly by employers, there are often low expectations set because no “value” is assigned. It’s true that MCOs are paid by Ohio BWC, but they are paid with a portion of employer premium dollars. Mismanaged claims can also cost you in the long run when those costs enter the experience and impact your premiums.  If you want to stay with your current MCO, there is nothing you need to do. We suggest being very cautious of what you sign or agree to during this time period, as some sales tactics can be misleading. You can view BWC’s 2025 MCO Report Card here, and learn more about how to interpret the results

Important BWC Dates to Remember

Posted By Brandy King
February 19, 2025 Category: Ohio Bwc, Ohio Safety Congress, Self Insured Assessment, Dfsp, Drug Free Safety Program, Cirp, Claim Impact Reduction, One Claim Program

Employers participating in Ohio BWC’s Drug-Free Safety Program (Basic or Advanced) or a Comparable Program will need to submit their required reports by March 31. The report and instructions for Basic and Advanced participants can be found online here, and the report and instructions for Comparable-Level participants can be found online here. Your report also serves as an application for the next program year. If you have additional questions or concerns about this reporting, or need a resource for training, please reach out to your Client Services Manager at Spooner Inc., or email clientservices@spoonerinc.net.  If your policy is enrolled in the Claim Impact Reduction Program (CIRP, formerly known as the One Claim Program), you will need to complete the required training by March 31. A representative from your company must attend a half day class or three hour online class offered by BWC’s Division of Safety & Hygiene. This PDF has additional details about CIRP that first-year participants may find helpful.  For self-insured employers, annual self-insured assessments are due February 28th.  Ohio Safety Congress registration recently opened as well. This three day educational event is free to attend for employers with an active Ohio BWC policy. The Expo Marketplace will be open Wednesday and Thursday, and we encourage you to come visit us in booth 129! You can register for Ohio Safety Congress

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