Edge 2026
Healthcare Economics & ACA Underwriting Pure Edge Computation

ACA Premium Tax Credit (PTC) & Subsidy Affordability Calculator

Model Affordable Care Act (ACA) health insurance premium tax credits under IRC Section 36B. Calculate household FPL percentages, employer mandate safe harbors, and net monthly plan outlays.

Formula: Subsidy = Benchmark Silver Plan Premium - (Household Income * Applicable Contribution %)

Model Parameters

$

Total household Modified Adjusted Gross Income (MAGI) projected for the coverage tax year.

members

Number of individuals claimed on your federal income tax return.

$

Annual undiscounted premium for the Second Lowest Cost Silver Plan (SLCSP) in your rating area.

Outputs & Underwriting Summary

Calculation Status
PTC ELIGIBLE
Verified Model
Monthly Advance PTC Subsidy
$744.70 / mo
Annual Federal Subsidy: $8936.40/yr | 220.2% FPL
Net Monthly Enrollee Premium
$105.30 / mo
Benchmark Silver Plan: $10200.00/yr ($2.81% of income cap)
Household Income & ACA Poverty Guideline
$45000.00 (2-person household)
Federal Poverty Line Floor: $20440.00 | Max Required Contribution: $1263.60/yr ($105.30/mo)
At $45,000.00 household income for a family of 2 (220.2% of the federal poverty line), the statutory maximum healthcare contribution is 2.81% of income ($1,263.60/yr). Against the $10,200.00/yr benchmark Silver plan, the advance premium tax credit (APTC) covers $8,936.40/yr ($744.70/mo), reducing the net enrollee premium to $105.30/month.