The so-called Cadillac tax was inserted into the Affordable Care Act at the advice of economists who argued that expensive health insurance
with the employee bearing little cost made people insensitive to the
cost of care. In public employment, though, where benefits are arrived
at through bargaining with powerful unions, switching to cheaper plans
will not be easy.
Under the tax, plans that cost above a certain threshold in 2018 —
$10,200 annually for individual plans and $27,500 for family plans, with
slightly higher cutoffs for retirees and those in high-risk professions
like law enforcement — will be taxed at 40 percent of their costs in
excess of the limit. (The thresholds will rise with inflation after
2018.)
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