Health Care Reform is Here, Now What?

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Jay-Z in he song titled “Excuse Me Miss” off of The Blueprint 2 expresses my feelings quite poetically in his lyrics “Red or Green Pill, You Live and You Learn”

Ryan, seriously Jay-Z, Health Care, what are you talking about?

The Choice Is No Longer Yours

This is actually a double pop-culture reference in that the lyrics Jay-Z is using actually reference Laurence Fishburne from The Matrix when he offers Keano Reeves an opportunity to see the New World… Which, (for those of you who haven’t seen the movie and I haven’t completely alienated at this point), turns out to be a Post-Apocalyptic Sewer System…

Now does my metaphor on Health Care Reform make sense?

I joke, I joke… (Kinda)

What The Health Care Reform Bill Means to You

Individuals

  • All individuals (with some exceptions) will be required to have health insurance by 2014
  • Individuals who do not purchase health insurance will be required to pay a yearly fee of $750 per person up to a total of $2,250 per family.  This will be introduced from 2014-2016
  • Exceptions to this rule include anyone below the poverty line or if the lowest health insurance option available is more than 8 percent of your household income.

Small Business

(defined as an employer who employs 25 or fewer qualified employees during the taxable year, and the average employee compensation does not exceed $40,000)

  • Starting in 2011 these employers will be eligible for tax credits up to 35 percent of their contribution to employee health insurance.  In 2014, when Small Business Health Options Programs (SHOP) exchanges are established, tax credits will increase to 50 percent of employers contributions.
  • To qualify for the credit, small businesses much contribute at least 50 percent of the cost of health insurance.

Large Business

  • Required to automatically enroll employees into lowest cost health insurance option offered if the employee does not sign up for coverage.
  • If as a large business you do not offer health insurance to all full-time employees or do not contribute at least 60 percent of premiums and an employee files with SHOP (insurance exchanges set up in 2014) than that employer will face a penalty.

There is much more information to come out on this bill.  I will posting every time I find new regulations, mandates or stipulations that you the insurance consumer need to know.

Regardless of my personal opinion on whether this bill will help the US as a whole in the long-term, it does provide valuable coverage to individuals that otherwise had none.  I believe in the idea of Health Care Reform just not the practice of it, yet…

Disclaimer:

This article is for informational purposely only. There is no legal advice being suggested or proffered and the author assumes no responsibility or liability for the actions take or not taken by the readers based upon such information.

Thank you,

Ryan H.

For more information on increasing your insurance acumen, subscribe to the RSS Feed or my Email Newsletter. Follow me on Twitter, connect to me on LinkedIn, or Like the Albany Insurance Professional on Facebook.

If you would like to discuss receiving a proposal for either your personal or business insurance program email me, or call me at (518) 456-6688.

Read my syndicated post on Health Insurance originally published to Under30CEO.com 4 Pieces of Advice on Health

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  • http://www.facebook.com/people/Tim-Barnes-Clu/100000063143511 Tim Barnes Clu

    To me there is a difference between health care reform and health insurance reform.  Oh well, that argument is moot.  Mr. Obama got his way.  Now it is up to us health insurance agents to educate our clients on the facts of the bill.  One thing that you did not mention in this post is that the penalty is not set at the initial level.  It is much more complex.  You will find the details in Section 5000 A of the bill.

    Frankly, this is something that bothers me.  Before the bill was passed, Mr. Obama stated that there were no new taxes for the middle class.  Now, in light of the multi-state constitutional challenge, his entire case is built on the ability of congress to assess new taxes.  What wasn’t a tax last March became a tax last June.

    Fortunately, the amount of the “penalty” is not something we insurance agents have to deal with on a daily basis.  That is something that tax accountants must calculate.

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