IRS Announces 2022 COLAs for Health and Welfare Plans | Practical Law

IRS Announces 2022 COLAs for Health and Welfare Plans | Practical Law

The Internal Revenue Service (IRS) has announced cost-of-living adjustments for limits involving health and welfare plans and certain fringe benefit arrangements governed by the tax code (Rev. Proc. 2021-45).

IRS Announces 2022 COLAs for Health and Welfare Plans

Practical Law Legal Update w-033-3357 (Approx. 8 pages)

IRS Announces 2022 COLAs for Health and Welfare Plans

by Practical Law Employee Benefits & Executive Compensation
Published on 11 Nov 2021USA (National/Federal)
The Internal Revenue Service (IRS) has announced cost-of-living adjustments for limits involving health and welfare plans and certain fringe benefit arrangements governed by the tax code (Rev. Proc. 2021-45).
The Internal Revenue Service (IRS) has announced the 2022 cost-of-living adjustments (COLAs) for certain limits affecting health and welfare plans (Rev. Proc. 2021-45 (Nov. 10, 2021)). (The IRS also recently issued the 2022 COLAs for retirement plans (Notice 2021-61; see Legal Update, IRS Notice 2021-61 Announces 2022 Retirement Plan Limit Adjustments).)
Regarding the benefits-related COLAs for 2021, see Legal Update, IRS Announces 2021 Benefit Plan Limit Adjustments.

Limits for Fringe Benefits and Other Code-Governed Health and Welfare Arrangements

For 2022, the following limits will apply under Rev. Proc. 2021-45:
In addition, the limit used in the key employee definition for purposes of cafeteria plan nondiscrimination testing will increase from $185,000 to $200,000 (Notice 2021-61; see Practice Note, Cafeteria Plans: Key Employee Nondiscrimination Test).

ACA Affordability Percentage (Employer Mandate Penalties)

Earlier in the year, the IRS also issued the 2022 percentage for determining whether an individual is eligible for affordable employer-sponsored minimum essential coverage for ACA purposes (see Practice Note, Employer Mandate Under the ACA: Overview: Affordability Requirement and Safe Harbors). An employer is subject to employer mandate penalties (under Code Section 4980H(b)) unless it offers coverage that is affordable and provides minimum value (26 U.S.C. § 4980H(b)).
For plan years beginning in 2022, an employer's coverage is affordable for an employee if the employee's required contribution is no more than 9.61% of the employee's household income (down from 9.83% for 2021) (Rev. Proc. 2021-36).

ACA Premium Tax Credit

The ACA provides for a refundable tax credit (known as the premium tax credit (PTC)) for eligible individuals and families who purchase health insurance through an ACA health insurance exchange (26 U.S.C. § 36B; see Practice Note, Affordable Care Act (ACA) Overview). Individuals who meet certain criteria may have some or all of their estimated PTC paid to the insurer in advance. However, if an individual's advance credit payments are more than the actual PTC, the individual owes the excess credit as a tax.
The following limits apply for tax years beginning in 2022:
  • If household income is less than 200% of the federal poverty line (FPL), the limits are:
    • $325 for unmarried individuals (other than surviving spouses and heads of households) (unchanged from 2021); and
    • $650 for all other taxpayers (unchanged from 2021).
  • If household income is at least 200%, but less than 300%, of the FPL, the limits are:
    • $825 for unmarried individuals (other than surviving spouses and heads of household) (increased from $800 for 2021); and
    • $1,650 for all other taxpayers (increased from $1,600 for 2021).
  • If household income is at least 300%, but less than 400%, of the FPL, the limits are:
    • $1,400 for unmarried individuals (other than surviving spouses and heads of household) (increased from $1,350 for 2021); and
    • $2,800 for all other taxpayers (increased from $2,700 for 2021).
(Rev. Proc. 2021-45.)

ACA Information Reporting

Regarding ACA information reporting, the IRS announced increases to the calendar-year limits for penalties regarding:
  • Filing a correct information return, for returns required to be filed in 2022 (26 U.S.C. § 6721).
  • Furnishing a correct statement to individuals, for statements required to be furnished in 2022 (26 U.S.C. § 6722).
(Rev. Proc. 2021-45.)
For more information, see Practice Notes:

PCOR Dollar Amount

Last fall, the IRS also announced the applicable dollar amount for calculating patient-centered outcomes research (PCOR) fees for policy and plan years ending on or after October 1, 2020, and before October 1, 2021 (that is, $2.66) (Notice 2020-84; see Practice Note, Patient-Centered Outcomes Research (PCOR) Fees Under the ACA and Legal Update, PCOR Dollar Amount to Increase By 12 Cents, to $2.66).

HSA Limits for 2022

Earlier in the year, the IRS issued 2022 inflation adjustments for health savings accounts (HSAs) and HDHPs (Rev. Proc. 2021-25 (May 10, 2021); see Practice Note, Defined Contribution Health Plans: Overview). Under this guidance, the annual HSA contribution limit for 2022 for an individual with:
  • Self-only HDHP coverage is $3,650 (an increase of $50 from 2021).
  • Family HDHP coverage is $7,300 (an increase of $100 from 2021).
For 2022, an HDHP is a health plan with:
  • An annual minimum deductible of:
    • $1,400 for self-only HDHP coverage (unchanged from 2021); and
    • $2,800 for family HDHP coverage (unchanged from 2021).
  • Annual out-of-pocket expenses (that is, deductibles, copayments, and other amounts, but excluding premiums) that are not more than:
    • $7,050 for self-only HDHP coverage (an increase of $50 from 2021); and
    • $14,100 for family HDHP coverage (an increase of $100 from 2021).

Excepted Benefit HRAs (EBHRAs)

Rev. Proc. 2021-25 also included the 2022 limit for amounts made newly available for excepted benefit HRAs (EBHRAs) (see Practice Note, Excepted Benefit Health Reimbursement Arrangements (EBHRAs)). Under implementing regulations, EBHRAs are an excepted benefit—and therefore need not satisfy certain otherwise-applicable group health plan requirements—if they satisfy several conditions (see Practice Note, Excepted Benefits). Under one of these conditions, amounts that are newly made available each plan year under an EBHRA may not exceed $1,800 (as adjusted for inflation)).
The 2022 inflation adjustment for EBHRAs is the initial $1,800 limit multiplied by a COLA that is the percentage (if any) by which the Chained Consumer Price Index for All Urban Consumers (C-CPI-U) for the prior calendar year is more than the C-CPI-U for 2019 (26 C.F.R. § 54.9831-1(c)(3)(viii)(B)).
Inflation adjustments to the C-CPI-U that are not a multiple of $50 are rounded down to the next lowest multiple of $50. Under this calculation, the maximum amount that may be made newly available for an EBHRA for plan years beginning in 2022 will remain $1,800.

Social Security Wage Base

On October 13, 2021, the Social Security Administration (SSA) announced that the Social Security taxable wage base for 2022 will increase to $147,000 from $142,800, in 2021.