
Obamacare Mandates Kick in Today; Good Luck with Your Coverage
Starting today, the mandatory women’s coverage provisions of the Affordable Care Act (an oxymoron if there ever was one—let’s call it “Obamacare”) go into effect across the country. The Obama administration, of course, is exuberant: “47 million women are getting greater control over their health care ...”. (For a more balanced view of what is taking place and when, see this fact sheet, which has links to all the operative provisions of the law and the regulations published thus far.)
The Administration, as usual, is running a con game. Built into Obamacare is an incentive to employers to drop their employee health insurance policies altogether, and to throw their employees into the maelstrom of a federal government insurance pool, where one size of policy will fit all.
Here is how it will work, as explained in this article, from the blog of the Heritage Foundation (be sure to follow the links, too):
What happens starting today?
Today signals the beginning of a season of impossible decisions for employers who, for reasons of conscience, have not been paying for abortion-inducing drugs, contraception, or sterilization for their employees. Employers are now required to offer these services for “free”—meaning the employers pick up the cost of including these services in their health insurance plans. At the renewal of their health plan years, the HHS mandate will force employers into an untenable choice: violate their deeply held beliefs or forfeit the provision of health insurance altogether and risk steep fines.
Who are these victims of Obamacare’s trampling on faith? Family business owners who are producing jobs and growing the economy, Catholic social organizations that provide invaluable services to their communities, and evangelical colleges and universities educating the next generation, to name just a few. The Obama Administration says that business owners’ rights to religious freedom shouldn’t cross into their everyday lives, claiming that “for-profit, secular employers generally do not engage in any exercise of religion protected by the First Amendment.”
If employers don’t comply, what happens to them?
If employers don’t change their plans, they will be hit with fines—up to $100 per employee per day. But if they stop providing health coverage, Obamacare’s double whammy means that employers with more than 50 employees could instead be hit with fines for that.
For many, the level of these fines would mean going out of business. Applying the $100 per employee per day fine to Hercules Industries, for example—the family-owned business with 265 employees that is challenging the mandate in Colorado—would mean a fine of $800,000 per month—almost $10 million per year.
If Hercules were to drop its health coverage, forcing its employees into government-run exchanges under Obamacare, it would face a fine on faith of approximately $2,000 per employee per year, for a total of $530,000 per year.
Did you catch that? If employers add the newly mandated coverages to their existing policies, they will have to pay more (because the insurers will recoup those costs in overall program costs), but they (and the insurers) will be prohibited from passing on the specific costs of the mandated coverage to their employees. And if they do not provide the mandated coverage, they will be fined $100 per employee per day. That makes a fine of $36,500 per employee per year, or tens of millions of dollars per year for large companies.
But if, instead of paying for the newly mandated coverage, the employer decides to stop paying for employee health care coverage altogether, the fine is $2,000 per employee per year—or eighteen times less than the penalty for providing some coverage which does not include the mandated parts.
Tell me: if you were a business owner, what would you do? Currently, your yearly cost for employee health care runs from $6000-$12000+ per employee, depending on where your business is located. The insurance companies have just announced an increase in those premiums (not specifically for the mandated coverage, of course, but to cover “increased general health care costs”). But you can get out of that burden by contributing just $2,000 per employee per year to help finance the government-run insurance pools.
The decision is a no-brainer. The provisions of Obamacare which impose the different fines and penalties were intentionally written so as to impel employers into dropping their policies, and now that is what will start happening.
But remember—Obama promised that you would be able to “keep your health care policy” under his new law. Well, it turns out you can—but only for the next nine months or so. He didn’t tell you that, because he hopes that by then, you will have re-elected him, and he will be safely beyond your anger and frustration.
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7 comments
It would appear however that the penalty cannot be enforced. The law seems to forbid IRS from levying, or assessing interest and penalties. It would seem that the only thing they can do is send a nasty letter and offset against any tax refund. Thus, for the present, all you need to do is, drop coverage, make sure you owe IRS something at the end of the tax year and simply ignore the the tax.
Crazy to pass a tax that can’t be collected? Yes, I agree, but that seems to be what they did.
[1] Posted by Br. Michael on 8-1-2012 at 02:09 PM · [top]
Br. Michael (#1), your comment applies only to the individual penalty/tax for not purchasing insurance—that requirement for individuals, and what you call the “non-collectible” penalty for not meeting it, does not begin until 2014. The fine of $100 per day per employee goes into effect Nov. 1 for employers who do not provide the mandated coverage free for all women employees, and that fine is very much collectible, I assure you. (Read the fact sheet linked in the first paragraph.)
[2] Posted by A. S. Haley on 8-1-2012 at 02:44 PM · [top]
Thanks for the correction. Just a small quibble, the coverage is not free. Someone is paying for it.
[3] Posted by Br. Michael on 8-1-2012 at 02:58 PM · [top]
I will let you all know how well it works just as soon as I experience a serious illness. As a retired military member, I have been on it (in my case it’s called Medicare + Tricare For Life)* since the last quarter of 2010. Thus far the Tricare mail order pharmacy has worked well, except for my wife. She, younger than I, is not yet on Medicare. One of her medications is a controlled substance painkiller, so her physician is not currently able to write a prescription for 90-days plus three refills. When she has tried to use the mail order option, she has been unable to get it turned around in the requisite time, leaving her without pain meds for from one to two weeks. The pharmacy contractor seems unable/unwilling to specify how early she may submit the renewal 90-day prescription so as to insure she has the next batch by the time her current supply is used up.
My expectation is that PPACA will cause a deterioration in the quality/availability of appropriate medical care, will achieve further, or even increasing, medical cost inflation, and will likely be a colossal failure in the eyes of the typical patient.
Government is almost certain to be able to screw up a soup sandwich!
Pax et bonum,
Keith Töpfer
________________
* — Medicare pays its share, the hospital eats its mandated write-off and Tricare picks up the patient portion remaining. Prescription drugs outside of hospitalization work a bit differently. There is a per-fill (30-day supply for local pharmacy, 90-day supply for mail order) copay amounts differ depending on whether the medication is (a) Tricare formulary listed, (b) formulary non-listed or (c) name brand, and a prescription for (c) requires physician certification that the generic either does not work adequately or is not well-tolerated.
[4] Posted by Martial Artist on 8-1-2012 at 04:29 PM · [top]
In the immortal words of PJ O’Rourke, if you think healthcare is expensive now, wait until you see what it costs when it’s free.
[5] Posted by Jeffersonian on 8-1-2012 at 05:19 PM · [top]
LOL! Jeffersonian! Another beeeeee-u- teee-full quote from you. Where do you find all these wonderful quotes? Are you a librarian by profession?? Yes so true!
[6] Posted by SC blu cat lady on 8-2-2012 at 10:14 AM · [top]
if government controlled healthcare is anything like other government bureaucracies, they won’t need “death panels” because folks will die waiting for their approvals. (note: recent personal experience with federal government bureaucrats has perhaps tainted my opinion to the negative)
[7] Posted by elanor on 8-2-2012 at 09:47 PM · [top]
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