I just received a notice last week from my health insurance provider that rates at my office would be increasing an average of more than 25%. It’s not unexpected. Apparently, health insurance is one of the few industries which can regularly raise their prices by double digits each year without retribution.
But what is unexpected is that the increase is creeping us slowly towards what the Senate Finance Bill is calling a Cadillac plan. My bare bones little plan (no dental, no vision) now costs about $5,000 per year for individuals and $15,000 for families. And I happen to have one of the latter.
The Senate Finance Committee had proposed a 40% tax on the portion of insurance which exceeds $8,000 per year for individuals and $21,000 per year for families. If we get similar increases in our health care plans for the next two years, I’ll be extremely close to being at risk. God forbid we add dental (and I have three kids with crooked-y teethed parents so there’s no dispute that this will likely be a necessity at this point). Who knew that I had a Cadillac plan?
Notwithstanding public options and other controversial parts of the health care reform bill, the real issue that remains of concern to many is how the plan is going to be paid for… In addition to the 40% tax on those Cadillac plans proposed by the Senate, the bill as recently passed by the House would impose a 5.4% income tax on individuals making more than $500,000 and joint filers making more than $1 million. If existing tax cuts expire in 2011, which appears increasingly likely, the top income tax rate would grow to 45% – a 10% increase.
But here’s a thought. In an increasingly dim economy, isn’t it a little scary to rely on higher taxes from top wage earners to foot the bill?
The proposed excise tax on “Cadillac” health care plans is raising a lot of controversy. Opponents, like Health Care for America Now (HCAN), believe that it might affect middle class Americans and instead, urge increasing the income tax on families making more than $250,000 per year. They’re touting their plan with ads like this one:
The commercial is paid for by HCAN, which is a section 501(c)(4) issue advocacy organization. The organization describes itself as “a national grassroots campaign of more than 1,000 organizations in 46 states representing 30 million people dedicated to winning quality, affordable health care we all can count on in 2009.”
It’s Fix the Tax Code Friday! This week, health care reform is in the news again, this time with a focus on the proposed excise tax for high-premium insurance plans.
The latest proposal for health care reform includes a controversial excise tax for high-premium insurance plans which exceed certain thresholds. Much of the concern, especially as put forth by union groups, focuses on the idea is that the thresholds are too low.
The proposed threshold are $8,000 for a single person or $21,000 for a family per year. For workers in high-risk jobs and retirees over the age of 55, they are $9,850 for a single person and $26,000 for a family per year.
This week, 157 House Democrats (which for math junkies like me, who want to know the actual percentage of House Dems who signed, it’s 62%) signed a letter which put House Speaker Nancy Pelosi (D-CA) on notice that an excise tax on high-cost health care insurance plans is not acceptable. Those who signed the letter believe the tax will hurt many middle class families.
So what exactly is the excise tax? Here’s the scoop: Max Baucus (D-MT) has proposed a 40% tax on so-called “Cadillac” employment-based health insurance plans. Currently, the proposal would define those high-cost plans as plans which exceed $8,000 for a single person or $21,000 for a family per year. The tax would apply to the amount over the cap. So, for example, a $10,000 plan for a single person would be subject to an excise tax of $800 (40% of the overage).
All taxes involve some kind of “and, if or but” and this one is no exception. The cap is raised for plans for workers in high-risk jobs and retirees over the age of 55. Those caps would be $9,850 for a single person and $26,000 for a family per year.
I was astonished to see those kinds of numbers. Those caps for health care benefits are equal to roughly twice the annual salary for minimum wage employees. Surely, those would be reserved for the top 1 or 2% of employees. Not so. The Joint Committee on Taxation has estimated that those caps would still affect 15% of employment-based health insurance plans in the first year alone. That’s a lot of taxpayers.
My gut is that if the excise tax does go forward, we’re going to see those caps go up significantly. But I also believe that if the cap goes away completely, everyone goes back to the table to start from (nearly) scratch. Paying for health care reform is a huge part of the bill and without that piece, it’s not going to move forward. In fact, President Obama has indicated that he will not sign a version of the bill which increases the deficit.
So all eyes on Pelosi to see what the response will be… I’ll keep you posted!
Donna Peeples writes:
I have seen a lot of articles in the paper about taxing sodas and foods that are bad for you. I say, “Why not?”
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