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Employer-Sponsored Health Insurance - Its Effect on Medical Expenses

 
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Originally, employers thought providing tax-free health benefits and paying all incidental medical expenses was a great way to compensate employees, with federal, state and city governments paying about half the bill through hidden tax subsidies. This subsidy was even larger for decision-making executives in high income tax brackets because the marginal federal personal income tax rate for people earning over $135,000/year ranged between 91% and 70% from 1959-1981. By the mid-1970s, employer-sponsored health benefits and/or employer health insurance with virtually no deductibles were almost universal among major employers.

Employer-Provided Health Coverage -- Insurance W-2 Reporting in 2012

 
2012

As part of the Affordable Care Act (ACA), employers are required to report the cost of health benefits coverage under an employer-sponsored group health plan.   

Many Employers Likely to Drop Health Plans in 2014 (Mercer Survey)

 
Mercer Study

The health reform law requires employers (with more than 50 employees) to pay a penalty of $2000 per employee (which is substantially less than what they spend on employee health benefits) if they choose to cancel health coverage after 2014.

Expert Fears Health Reform Means the End of Employer-sponsored Health Insurance

 
end of employer health insurance

According to Derek Thompson of the Atlantic, Andrew Webber, President and CEO of the National Business Coalition on Health, a national, not-for-profit organization that represents public and private sector employers fears health reform means the end of group health insurance.

Employers Consider Dropping Health Insurance Coverage

 
employers drop health coverage

The Associated Press reported that some firms are considering ending or reducing coverage for their workers. According to Paul Keckley of Deloitte (a major accounting and consultant firm), if one large firm decides to cancel benefits, many will likely follow:

How Employers Can Contribute to Employees' Individual Health Insurance Plans without Violating Federal Law

 
contribute to individual health legally

The employer can use an ERISA and HIPAA-compliant defined contribution health plan to contribute to employees' individual health insurance costs without violating federal law.

What is Group (Employer-sponsored) Health Insurance?

 
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A group (also known as "employer-sponsored") health insurance plan covers an individual and their family members.  Unlike individual health insurance, group health insurance is purchased by an individual (or family member) indirectly through the individual's (or family member's) employer.  Group health insurance is dependent on an individual's (or family member's) employment.

Group health insurance plans are declining in the United States.  The number of people covered by group health insurance plans has substantially declined—less than 50% of small businesses offer group health insurance today.



Employer Mandate - What Happens If a Company Does NOT Offer Health Insurance

 
obamacare approved

The Health Care Reform bill requires certain employers to offer health insurance, else pay a tax penalty:

AT&T, Deere, Verizon, and Caterpillar Consider Dropping Health Insurance Coverage

 
companies dropping coverage

Last month, Professor Pilzer put up a post suggesting that Health Care Reform will cause employers to drop their health benefits programs.

Employers Expect Higher Costs with Healthcare Reform

 
employers anticipate higher health costsWatson Wyatt recently released a poll showing that the vast majority of employers expect health care reform to increase costs. The poll of 160 employers indicates that 73 percent of U.S. employers expect healthcare reform (if passed) to increase costs.  The poll also found that 86 percent of employers believe current health care proposals would weaken the role employer-sponsored plans play in providing health care coverage.

Additional notes:
    • 10% of the employers supported an employer mandate
    • 50% of the employers supported an individual mandate
    • 29% would support a tax on high-income individuals
Source: Watson Wyatt 




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Disclaimer: The information provided on this website is general in nature and does not apply to any specific U.S. state except where noted. Health insurance regulations differ in each state. See a licensed agent for detailed information on your state. Zane Benefits, Inc. does not sell health insurance.