2025 Open Enrollment Checklist

Written by Steve Smith | Jul 30, 2024 5:15:37 PM

1.5 minute read

For plan years beginning on or after January 1, 2025, employers should be aware of compliance changes affecting the design and administration of their health plans. Changes should be communicated to participants through an updated summary plan description (SPD) or a summary of material modifications (SMM). The open enrollment period is also a good time to distribute any required notices, some of which are required annually or during an employee’s initial enrollment.

Here is a brief overview of some changes for 2025:

The ACA affordability percentage for plan years that begin on or after January 1, 2025, has not been released yet. Stay tuned to our blog for updates. The current adjusted percentage for 2024 is 8.39%.
The non-HDHP out-of-pocket maximum is $9,200 for self-only, $18,400 family.
The HSA Qualified HDHP out-of-pocket maximum is $8,300 for self-only, $16,600 family.
The health FSA limit for 2025 have not been released yet. The current limit for 2024 is $3,200. Stay tuned to our blog for updates.

The new HDHP and HSA Limits for 2025 are:

Type of Limit		2025
HSA Contribution Limit	Self-only	$4,300
HSA Contribution Limit	Family	$8,550
HSA Catch-up Contributions (not subject to adjustment for inflation)	Age 55 or older	$1,000
HDHP Minimum Deductible	Self-only	$1,650
HDHP Minimum Deductible	Family	$3,300
HDHP Maximum Out-of-pocket Expense Limit (deductibles, copayments and other amounts, but not premiums)	Self-only	$8,300
	Family	$16,600

Download the 2025 Open Enrollment Checklist for more details.

Additional Resources

Revenue Procedure 2024-25, which includes inflation-adjusted limits for Health Savings Accounts (HSAs) and HDHPs for 2025

Model notices for group health plans, including the Women’s Health and Cancer Rights Act (WHCRA) notice

Model COBRA notices for group health plans

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