Health Care Insurance - Employer Impact and Understanding

Employer Impact and UnderstandingLegislative leaders believed legislative intent was to
Businesses will be affected by reform in a number oftake into consideration part-time employees or full-time
direct and indirect ways. Direct requirements include:equivalents and that employers´contribution should be
fair share assessments contributions, efforts to extendmore on the magnitude of 50%.
tax deductibility to more employees, reportingSection 125 Plans
requirements, and new antidiscrimination provisions.Reform legislation required businesses with more than
Indirectly, as the individual mandate kicks in, employers10 employees to establish Section 125 cafeteria plans.
may experience a jump in the number of employeesThese plans would enable insurance premiums to be
enrolling in company-sponsored coverage. This maydeducted from employee wages on a pretax basis.
significantly increase costs and may have a greatThis money is not subject to federal, state, or Social
economic impact. Further, reform sets minimumSecurity taxes. It will result in significant savings for
coverage levels that all people will need to have toemployees and also reduce the payroll taxes
satisfy the mandate. Employers that currently do notbusinesses have to pay.
provide insurance that meets this standard may wantHealth Insurance Responsibility Disclosure Forms
to adjust coverage to meet this standard.The Division of Health Care Finance and Policy held
Employer awareness and response will be critical tohearings on draft regulations regarding the information
the future success of reform.that would be required from employers with respect to
Fair Share Assessmentemployee coverage. Regulations were subsequently
Companies with 11 or more employees that do notwith drawn, in part, because of concern about the
make a "fair and reasonable" contribution to theirmagnitude of information required.
employees´ health insurance will be assessed a feeNon-Discrimination Rules
per uninsured employee. This provision broke a majorNondiscrimination rules will effectively require
logjam over what employer responsibility should be.employers to provide the same benefits and make the
The state Division of Health Care Finance defined fairsame contribution to all full-time employees. Employers
and reasonable as having a minimum of 25% of awill not be able to pay more of the health insurance
company´s full-time employees enrolled in their healthcosts for employees making higher wages. Specifically,
plan or paying at least 33% of employees´ premium.it prohibits health plans from contracting with employers
Full time was defined as 35 or more hours a week.that do not make their products available to all full-time
Consumer groups, labor, and key legislators objectedemployees and that do not make a similar contribution
that these regulations were too narrowly configured.to all company enrollees.