Fix ACA family tier premiums for older dependents#8238
Merged
Conversation
Codecov Report✅ All modified and coverable lines are covered by tests. Additional details and impacted files@@ Coverage Diff @@
## main #8238 +/- ##
=========================================
Coverage 100.00% 100.00%
=========================================
Files 12 6 -6
Lines 173 148 -25
Branches 4 0 -4
=========================================
- Hits 173 148 -25
Flags with carried forward coverage won't be shown. Click here to find out more. ☔ View full report in Codecov by Sentry. 🚀 New features to boost your workflow:
|
83ee3d6 to
87c7ce0
Compare
87c7ce0 to
aa16a7e
Compare
This file contains hidden or bidirectional Unicode text that may be interpreted or compiled differently than what appears below. To review, open the file in an editor that reveals hidden Unicode characters.
Learn more about bidirectional Unicode characters
Sign up for free
to join this conversation on GitHub.
Already have an account?
Sign in to comment
Add this suggestion to a batch that can be applied as a single commit.This suggestion is invalid because no changes were made to the code.Suggestions cannot be applied while the pull request is closed.Suggestions cannot be applied while viewing a subset of changes.Only one suggestion per line can be applied in a batch.Add this suggestion to a batch that can be applied as a single commit.Applying suggestions on deleted lines is not supported.You must change the existing code in this line in order to create a valid suggestion.Outdated suggestions cannot be applied.This suggestion has been applied or marked resolved.Suggestions cannot be applied from pending reviews.Suggestions cannot be applied on multi-line comments.Suggestions cannot be applied while the pull request is queued to merge.Suggestion cannot be applied right now. Please check back later.
Summary
Child Onlypricing for covered age-26-through-29 dependents without a covered adult.Policy Sources
Couple + Child(ren)and the NY SLCSP rate tables separately publishDependent Children Under Age 26andDependent Children Ages 26-29columns: https://info.nystateofhealth.ny.gov/sites/default/files/2024%20FAQs%20on%20SLCSP%20English.pdf and https://info.nystateofhealth.ny.gov/sites/default/files/2025%20SLCSP%20Rates%20by%20County.FINAL.pdfRoot Cause
NY and VT use family-tier premiums instead of age curves, but the model reused the under-21 age-rating child cutoff and collapsed all adult counts above two into the two-adult tier. That treated 21-25 tax dependents as adults, missed NY's separate age-26-through-29 child tier, and dropped premium costs for older adult dependents.
Review Notes
A secondary review found two issues. This revision fixes the
Child Onlyedge case for NY age-26-through-29 dependents without a covered adult and avoids applying the NY Age 29 child factor to extra older-adult premiums. The remaining precision limitation is that NYSOH publishes exact SLCSP amounts by county and family type, while the current model stores NY benchmark inputs by rating area/base adult premium; this PR keeps the existing family-tier multiplier approach and adds the Age 29 factor within that framework.Tests