2027 Employee Benefits Update: What's New (Not the Usual Open Enrollment Checklist)

By Marsha C. Marrullier, REBC | Strategic Employee Benefits Advisor, ARCW Leavitt Insurance Group | September 1, 2026

The IRS and HHS have finalized next year's numbers, and a few federal provisions have shifted in ways that are actually worth knowing before your renewal conversations start. This isn't the standard "get ready for open enrollment" reminder — it's what's genuinely new for 2027.

ACA Affordability Jumps to 10.22% — the Highest It's Ever Been

For plan years beginning in 2027, the IRS raised the ACA affordability percentage to 10.22% of household income, up from 9.96% in 2026. That's not a small move — it's the highest this figure has ever been.

What that means in practice: you have more room to raise the employee-only contribution for your lowest-cost, minimum-value plan option while still meeting the federal affordability safe harbor. If you haven't revisited your 2027 contribution strategy with this in mind, now's the time.

One nuance worth flagging: this applies plan-year by plan-year. Non-calendar-year plans that start before 2027 still use the 9.96% threshold until their new plan year begins.

ACA Out-of-Pocket Maximums Are Climbing Too

The ACA's cap on total enrollee cost-sharing for essential health benefits rises to $12,000 for self-only coverage and $24,000 for family coverage for 2027 plan years.

Family plans need to embed an individual out-of-pocket maximum at or below $12,000 for each covered person, even when the family maximum is higher. And HDHPs still have to satisfy the lower, HSA-compatible limits — which, in most plan designs, is the tighter constraint anyway.

2027 HSA & HDHP Limits, Side by Side With 2026

Limit Type Coverage 2026 2027 Change
HSA Contribution Limit Self-only $4,400 $4,500 +$100
HSA Contribution Limit Family $8,750 $9,000 +$250
HSA Catch-Up (Age 55+) All $1,000 $1,000 No change
HDHP Minimum Deductible Self-only $1,700 $1,750 +$50
HDHP Minimum Deductible Family $3,400 $3,500 +$100
HDHP Max Out-of-Pocket Self-only $8,500 $8,700 +$200
HDHP Max Out-of-Pocket Family $17,000 $17,400 +$400

Source: IRS Rev. Proc. 2026-24

Health FSA Limit Projected to Rise to $3,500

Mercer's cost-of-living projection puts the 2027 health FSA salary-reduction limit at $3,500, up from $3,400 in 2026. The IRS typically doesn't finalize FSA numbers until October or November, so treat this as the planning figure for now — we'll flag it the moment it becomes official.

Telehealth-HSA Compatibility Is Now Permanent

Here's a genuinely good one: the One Big Beautiful Bill Act made a pandemic-era exception permanent. HDHPs can waive the deductible for telehealth and other remote care — other than preventive care — without putting participants' HSA eligibility at risk. No sunset date. No annual renewal required.

This remains optional for plan sponsors, not mandatory. If your plan document hasn't been updated to reflect it, that's a conversation worth having with your carrier or TPA.

Excepted Benefit HRA Cap Increases

The maximum newly available EBHRA contribution rises to $2,250 for plan years beginning in 2027, up from $2,200.

Wellness Surcharges Are Facing New Legal Challenges

A wave of class-action suits is now targeting tobacco-use premium surcharges as HIPAA nondiscrimination violations. If your wellness program includes a health-contingent surcharge or reward, every plan material that references it needs to disclose a documented, reasonable alternative standard. Worth confirming yours is airtight before open enrollment materials go out the door.

Mental Health Parity Analyses: Still Required, Rule Rewrite Coming

Enforcement of the 2024 MHPAEA final rule is on hold, but the underlying requirement to conduct NQTL comparative analyses was never suspended — it's still a statutory obligation. Federal agencies have signaled a new proposed rule by the end of 2026, which could reshape these requirements heading into 2027. Confirm with your carrier or TPA that your comparative analyses are current.

None of This Has to Complicate Your Renewal

If you want to talk through what any of it means for your plan specifically, I'm one call away.

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Marsha C. Marrullier, REBC

Strategic Employee Benefits Advisor, ARCW Leavitt Insurance Group

Office: 754-315-5211 | Cell: 727-385-1067 | Marsha-Marrullier@Leavitt.com

This article is provided for general informational purposes only and does not constitute legal, tax, or benefits advice. Figures reflect IRS Rev. Proc. 2026-24 and HHS's 2027 cost-sharing release, current as of September 2026; the health FSA figure is a third-party cost-of-living projection pending official IRS confirmation. Please consult your legal or compliance advisor for guidance specific to your organization.

Marsha Marrullier

Marsha C. Marrullier, REBC

Senior Employee Benefits Advisor | ARCW Leavitt Insurance Group

Marsha C. Marrullier is one of the most seasoned employee benefits strategists in the country, bringing more than 30 years of consulting, underwriting, and plan design expertise to employers across Florida, Kentucky, and the Southeast United States.

 

In 1989, Marsha founded Corporate Benefits Network, Inc., a consultancy built on the principle that employers deserve more than annual renewals and reactive cost management. Over three decades, she grew the firm into a nationally respected practice serving businesses from 50 to 5,000 employees — helping CEOs, CFOs, Controllers, and HR Directors fundamentally restructure how they purchase, manage, and leverage their employee benefits programs. Corporate Benefits Network was ultimately acquired by ARCW Leavitt Insurance Group, the 17th largest independent P&C Insurance agency in the United States, where Marsha continues her practice today.

 

Marsha's technical foundation is rare in the consulting industry. She combines deep underwriting knowledge with financial modeling expertise, allowing her to evaluate self-funded and level-funded plan structures, captive arrangements, and stop-loss programs with the precision of an actuary and the perspective of a business advisor. Her PBM analysis and pharmacy cost containment strategies have produced significant savings for clients navigating one of healthcare's most complex and opaque markets.

 

Clients retain Marsha not to sell them a product, but to solve a problem: how to reduce healthcare spend without reducing the quality of care or the value of benefits to employees. Her approach is rigorous, data-driven, and unapologetically aligned with the financial interests of the employer and the health outcomes of their workforce.

 

A Registered Employee Benefits Consultant (REBC), Marsha is recognized throughout the industry for her integrity, her technical depth, and her ability to translate complex benefits strategy into clear, actionable financial decisions for executive leadership teams.

https://MarshaMarrullier.com
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