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An auditor says there's a big difference between making up for missing receipts and outright fraud.
The agency and Treasury Department are seeking comments until Sept. 25, with a public hearing set for Oct. 15.
The rise of direct-to-consumer testing could affect employer plans' ability to track enrollee risk.
"Hardworking Americans should not have to choose between caring for a loved one and earning a paycheck," Treasury Secretary Scott Bessent said.
The department told a federal appeals court that sponsors need not use forfeited funds to reduce the participants' costs.
The new figure affects how much typical employer plans can charge participants for their share of the premiums in 2027.
Officials estimate the regulations will eliminate 90% of the paper notices that plans now send each year.
About 78% of all workers surveyed supported the idea of making electronic delivery the default.
Taxpayers had raised concerns that Trump account donations would trigger gift tax reporting rules.
Plan sponsors could spend $905 billion, or $9,627 per enrollee.