I.R.C. imposes 40% excise tax on certain high cost employer-sponsored health care plans

My friend April sent me an email about the Title IX: Revenue Provisions in the Health Care Bill that was passed. I was surprised at what she referred to so I went to the website, http://thomas.gov and searched for HR 3590 summary.

What I wanted was on pages 21-22 of the summary. I bet you’ll be as surprised as I was. Here is a summary of the summary.

Subtitle A: Revenue Offset Provisions – (Sec. 9001, as modified by section 10901) Amends the Internal Revenue Code to impose an excise tax of 40% of the excess benefit from certain high cost employer-sponsored health coverage. Any amount which exceeds payment of $8,500 for an employee self-only coverage plan and $23,000 for employees with other than self-only coverage (family plans) as an excess benefit. Increases such amounts for certain retirees and employees who are engaged in high-risk professions (e.g., law enforcement officers, emergency medical first responders, or longshore workers). Imposes a penalty on employers and coverage providers for failure to calculate the proper amount of an excess benefit.

As I understand this, if you are in a company plan and the company pays over $8,500 for a single individual employee that employee will be paying tax on the amount over $8,500 at 40%. Example: Company pays $10,000 for individual employee health coverage. Deduct $8,500 leaving $1,500 excess. Employee will have to pay $600 excise tax on the $1,500 calculated at 40%.

The employee that insures a family will have to pay the excise tax on the amount over $23,000 that the company pays. Example: Company pays $30,000 for a family plan. Deduct $23,000 leaving $7,000 excess. Employee will have to pay $2,800 excise tax on the $7,000 calculated at 40%.

(Sec.9002) Requires employers to include in the W-2 form the aggregate cost of applicable employer-sponsored group health coverage that is excludable from the employee’s gross income (excluding the value of contributions to flexible spending arrangements).

I don’t know if these plans apply to the average employee or to high earning executives. I guess we’ll find out when W-2s come out in 2011.

There are some other sections that relate to health savings account, Archer medical savings account, limits of annual salary reduction contributions under a cafeteria plan, etc.

Insurance: Anthem Blue Cross delays rate increase to May 1

If you have Anthem Blue Cross and were notified that you will receive a large increase as of March 1 you are getting a reprieve until May 1.

You may have already been notified by your agent or a phone call from Anthem. An acquaintance of mine who applied and was accepted by another carrier received a phone call from Anthem about this.

I read the article in the Los Angeles Times this past Sunday and thought it interesting. Anthem says it is utilizing 70% of premiums collected to pay claims as required by law. The California Insurance Commissioner and Congress are making noise about the increases being exorbitant and are doing an investigation. Hence the reprieve.

It’s also interesting to me that when I recently did a comparison for a prospect that Anthem came in less expensive than the carrier I compared to and has a two year rate guarantee on certain plans.

We will know soon.

Don’t cancel your Anthem coverage without getting coverage with another carrier. If you need assistance, call me at 818 706-3745 or email me at Sandra@Insurance-California.com.

Sandra Cherry, PFP CA Insurance License #0B45111

SandraCherryFinancialPlanner.com

CALPERS INCREASING LONG-TERM CARE INSURANCE PROGRAM RATES

Are you one of the 160,000 members of the California Public Employees Retirement System (CalPERS) who purchased into the Long-term care program?

Guess what? The CalPERS Board of Administration in their infinite wisdom is giving you an increase in premium effective mid-2010.

According to SellingLTC.com “All policies issued prior to 2005 with either lifetime benefits or inflation coverage will receive a 22% increase. All policies in this group with both lifetime benefits and inflation coverage will receive an additional annual increase of 5% per year beginning in July 2011. Any policy issued prior to 2005 with only non-lifetime benefits and all policies issued after 2005 will receive a single 15% increase.”

When the program became available years ago those of us selling Long-term Care insurance expected this would happen. CalPERS signed up everyone with no underwriting and very inexpensive premium. I don’t think people would actually use it. The increases are due to more usage than was expected.

If you would like to discuss options that might be available to you outside of CalPERS I am available by telephone at 818 706-3745 or by emailing:
Sandra@Insurance-California.com. Please give me your name, phone number and best time of day to reach you.

I am licensed by California Dept. of Insurance. My license number is 0B45111.

ANTHEM BLUE CROSS HEALTH INSURANCE 24-MONTH RATE GUARANTEE EXPIRING

Anthem Blue Cross “Anthem” notified agents in January 2010 that Anthem is making changes to policies effective March 1, 2010.

Effective 3/1/2010 Anthem may adjust rates more frequently than annually. The letter the insured will be receiving will state: “Anthem will usually adjust rates every 12 months; however, we may adjust more frequently in accordance with the terms of your health benefit plan.”

Certain plans have specific 24-month guarantees for existing insured’s and new sales. This 24-month guarantee will be discontinued on all plans effective May 1, 2010. The plans available with the 24-month rate guarantee are: SmartSense 5000, 3500 HSA, 3500 PPO, ClearProtection 3300 and 5000.

If you would like a quote for a plan with a 24-month guaranteed rate, call my office at 818 706-3745 or email Sandra@Insurance-California.com with your name and phone number so we can connect to discuss your situation.