CHOICE Plan cost and affordability tools
Employer planning tool

Will CHOICE save money or increase cost?

Enter current employer spending and a proposed allowance for a fast first-look comparison.

Current cost: $60,000 / month
Proposed CHOICE cost: $50,000 / month
Estimated savings: $10,000 / month (16.7%)
Annual savings: $120,000
Current cost per employee: $600 · Proposed: $500

Simple first. Detailed when needed.

This quick comparison shows the direction of cost. A complete analysis adds employee age, ZIP code, family composition, contribution classes, individual-market premiums, administration and affordability.

Nationwide employer analysis
Employers and brokers can use this starting point in all 50 states.
Compare more than one path
We can evaluate CHOICE, small group and hybrid strategies.
Family affordability

Family Glitch Calculator

Test employee-only and family coverage separately. This is where an affordable employee offer may still leave a spouse or dependents eligible to explore Marketplace savings.

Potential Family Glitch opportunity
2026 monthly affordability limit: $623
Employee-only cost: $250 — appears affordable
Family cost: $900 — may be unaffordable

Employee-only coverage appears affordable, but family coverage appears unaffordable. Eligible family members may want to explore Marketplace coverage and possible premium tax credits.

How to read the result

The 2026 affordability threshold is 9.96% of household income. Employee affordability is tested using employee-only coverage. Affordability for other family members uses the employee's cost to cover the household members offered employer coverage.

Possible split strategy
The employee may keep employer coverage while a spouse or dependents explore Marketplace plans.
Not a subsidy determination
Final eligibility is determined by the Marketplace using household and coverage information.

Optional 3:1 age-banded illustration

Model an illustrative contribution schedule in which the oldest age band's amount does not exceed three times the youngest age band's amount.

Under 30: $250 · Ages 30–39: $338 · Ages 40–49: $450 · Ages 50–59: $600 · Age 60+: $750

Turn the estimate into a real comparison.

Bring your census, current plan, costs and employer contributions. We can compare CHOICE, small group and hybrid strategies nationwide.