Key Small Business Items in Health Care Bill
At HotClickVideo Worldwide, Inc. we use Bryson Financial Group for our company insurance. They supplied this brief about what changes small business owners should expect from new health care legislation. Here are the bullet points:
Although the reform package has yet to be finalized, major changes are looming. Some of the package’s provisions that will affect employers include:
Employer Mandates. Effective in 2014, most employers with 50 or more employees must offer coverage to employees. Employers who do not do so may be subject to hefty penalties. The benefit plans offered will also have to meet certain requirements.
Individual Mandates. Citizens and legal residents will be required to have a certain level of health coverage, or pay a tax penalty. These rules could restrict the usage of high deductible health plans and will decrease the chance that your employees will decline coverage under your plan.
Coverage Subsidies. Small employers that provide health insurance for employees will be eligible for a tax credit. Also, employers who provide insurance to retirees over age 55 who are not eligible for Medicare are eligible for a temporary reinsurance program.
Health Benefit Exchanges. In 2014, state exchanges will be established for small businesses and individuals to shop for health insurance. Larger businesses will be able purchase coverage in the exchanges in the future.
Insurance Reforms. These reforms require policies to provide dependent coverage for children through age 26. They prohibit lifetime coverage limits, rescission of coverage except in cases of fraud, and imposing pre-existing condition exclusions on children. Many of these provisions will take effect in 2010. They may affect your benefits and how you administer your benefit programs.
The health reconciliation bill would increase the thresholds to $27,500 and $10,200 for family and individual coverage; it also delays imposition of the tax to 2018
Caps FSA annual contributions at $2,500 (indexed) The health reconciliation bill delays the effective date of the cap by one year.
Neither the bill that was signed into law, nor the health reconciliation bill, would repeal (or restrict) health insurers’ antitrust immunity.
Additional Reconciliation Bill Issues of Concern:
A proposed 3.8% tax (the proceeds of which would go to the Medicare trust fund) on high income ($200,000/individual and $250,000/married) taxpayers’ unearned income.
A new rate review entity at the federal level that would have to approve health insurance premium increases.



