The Internal Revenue Service Wednesday issued its yearly changes to health spending account contribution limits and out-of-pocket maximums to adjust for cost-of-living. While the changes are expected and “almost meaningless” because so small, employees don’t always understand the concept of out-of-pocket maximums, according to one benefit adviser.

“That’s another aspect of the ACA that most consumers just don’t get,” says David C. Smith, a broker at Raleigh-Durham, N.C.-based Ebenconcepts.

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