Minimum Value of Coverage


To require all health plans to pay out at least 60% of the total cost of all anticipated eligible expenses incurred in a year


To make more coverage available to an individual

Related Provision:

Actuarial Value of Coverage

Health Plans Affected by this Provision:

Year Effective: 2014
Medical Plan: Yes, unless plan is Grandfathered, a plan in effect and without significantly changed coverage or premium share since March 23, 2010
Dental/Vision Plan: Not applicable
HRA: Not applicable
Health Care FSA: Not applicable

Document Downloads:

Document Title Last Updated
Minimum Value of Coverage Flyer  
PHSA Minimum Value  
IRS Notice 2012-31  
HHS Calculator Methodology, February 2013 (01/14/2013)