I was recently at a Staffing Association conference and one of the speakers was giving us an overview of how this law will impact businesses, insurers and citizens of our country. To say I was mortified would be a gross understatement. Because the original bill was over 2000 pages long, it is obvious that this space does not allow a great amount of detail regarding all the provisions of the law. However, here are just a few disturbing facts:
- Employers will face two choices: offer health care coverage to their employees or not. If they offer coverage, but some of the employees are eligible for certain tax credits, employers will be required to pay a penalty of $3000 for every employee that is eligible for such tax credit (how employers will know that is yet unknown). If an employer with 50 or more employees does not offer health care coverage, the company will be required to pay a penalty of $2000 for every employee, minus the first 30 employees.
- The manner at which these penalties will be derived is dependent upon the number of "full time equivalents (FTE's)" an employer has. This calculation will require employers to continually add the cumulative hours worked by all employees, divided by 1560, which reveals how many FTE's are employed, then pay $167 per month for each FTE to the government.
- Group health premiums will be tax deductible to the employer. On the other hand, the employer penalties will be considered an excise tax, and will NOT be tax deductible, and will come directly off the bottom line. Therefore, employers will be forced into a "hobson's choice" of either paying for health care and getting certain tax benefits; or not offering any coverage, pay the penalties instead, and forgo the opportunity to deduct such expenses on their tax returns.
- Employers offering coverage and paying a portion of the premium on behalf of the employee, will be required to provide "free choice vouchers" to qualified employees to be used to purchase coverage in the state-run health exchanges. To be eligible for these vouchers, the employees' contribution to their employers plan would have to be between 8-9.8 percent of income, and the employees household income would be at or below 400 percent of the federal poverty level. How employers will obtain information about the employees household income is yet to be determined (as is the constitutionality of having to reveal household income to your employer).
- Individuals who do not obtain coverage will be penalized less than $100 the first year, up to a maximum of approximately $800 in the 4th year. Health premiums are currently about $3000 - $4000 per year for single coverage. Do the math. Pay a $100 penalty (and still receive care if necessary) or pay for a $3000 health plan. How many will buy a health plan? Not many. And there goes the argument that we will now have tens of millions more Americans who will be insured to help pay for health care. It won't happen.