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AdjustmentsNeeded (contd) <br />HF1500 <br /> The Family Out-of-Pocket Maximum of $13,500 <br />exceeds the $12,700 allowable underPPACA. <br /> Since the Health Fund is pro-ratedduring the <br />calendar year, afamilywould not always have the <br />full $1,000 tooffset the $13,500 maximum, so their <br />Out-of-Pocket maximum could exceed the $12,700 <br />allowable <br /> MSW recommends lowering individualOut-of- <br />Pocket Maximum from $4,500 to$4,200, then <br />making the Family Out-of-Pocket max 3 x Individual <br />($12,600) <br /> Decision for Committee: Change Family Out-of- <br />Pocket maximum(s) so that it is reduced to <= <br />$12,700. <br /> <br />