“The devil is always in the details.
While many opponents of the Affordable Care Act have been busy stressing over the penalty they would be required to pay should they fail to purchase health insurance come 2014, it turns out that the IRS is clearing the way to reduce the number of Americans subject to the penalty—while making it near impossible for millions of people to afford suitable coverage for their families, subverting the very purpose of the law itself.
It begins with a poorly drafted provision in the healthcare reform law stating that individuals who receive their health insurance as a benefit of employment will be permitted to take a pass on their company policy and elect to buy their coverage on the health exchange—allowing them to take advantage of the federal healthcare subsidies available to low and middle income Americans—if their company provided health insurance policy is deemed ‘unaffordable’.
‘Unaffordable’ is defined as requiring the employee to pay more than 9.5% of the employee’s household income towards his or her employer provided healthcare benefit.
As an example, let’s take an employee who earns $35,000 a year. According to the IRS rule, if that employee is paying less than $3,325 a year towards their healthcare benefit, that employee will be required to stick with the company health insurance policy and would be barred from taking advantage of the federal subsidies available in the form of tax credits that the exchanges have to offer.
The Kaiser Family Foundation’s 2012 survey of what employees pay towards their employer provided healthcare benefit reveals that the average, individual employee made an annual contribution of $951 towards their health benefit. Thus, there would not appear to be much of a problem here.
But this is where it gets ugly…
The same Kaiser Family Foundation survey reveals that the average contribution of employees who are paying towards a family policy is $4316 a year—a number well in excess of the 9.5% of earnings for someone making just $35,000 a year…”
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