Xequecal wrote:
Khross wrote:
Xequecal:
Because that $992 is only for her. The other $2600 a year is now what she has to pay to cover her family, whereas before, she covered her entire family for $1400 a year (and that $1400 included herself).
Well, this makes more sense, but you originally posted that the $300/month was just for her.
Still, I'm still not getting these numbers when I check. I found
this rate calculator and put in a family of four, $35,000 annual income, two people age 40, two children, no tobacco use, and got an annual out-of-pocket cost of $1,373 to cover the whole family. I don't know how biased or accurate the Kaiser Family Foundation is but some checking seems to indicate it's not some partisan rag.
Using the exact same variables:
LinkLink Tabulations wrote:
Income in 2014: 149% poverty level
Maximum % of income to pay for non-tobacco if eligible for subsidy: 3.92%
Health insurance premium for 2014 (silver plan, before subsidy): $9,700 per year
Tax credit subsidy up to: $8,327 (86% of overall premium)
Individual responsibility: $1,373 (equal to 3.92% of income, covering 14% of policy)
[All emphasis added by DFK!]
Therefore, if for some reason, this family was not to receive a subsidy, or only a partial subsidy, they would have to pay
as much as $9,700 per year.
Furthermore, the "subsidy" is a tax credit. Healthcare insurance bills are monthly. They must, therefore, pay every month from Jan 2014 to December 2014 to be "covered" as far as the IRS is concerned. Then, when filing (likely sometime between Feb 2015 and April 2015) they would receive their subsidy (if eligible).
It should be noted that any gap in coverage, such as for, let's say, not being able to afford ~$808 per month ($9,700/12 months)
could make them ineligible for subsidy.
Additionally, it should be noted that changing ANY household member (including children) to be a tobacco user notes that in most states they can have a tobacco surcharge on the premium rate ($9,700 dollars) of up to 50%, which is not eligible for subsidy. That would, therefore, make the premium rate $14,550, and the non-eligible portion for the family $6,223. Or $512 per month AFTER tax credit.
Given that just over 1 in 5 men and around 1 in 6 women smoke, we can safely say that many families would be effected by this surcharge. However, we can also figure in that 29% of those who live below the poverty level smoke, and that those are most likely to need subsidization, they would be further impacted by such a surcharge.
Finally, using the calculator, we'll note that if ANY coverage is offered from an employer, one is not likely to be a recipient of subsidy. Unless that coverage exceeds 9.5% of your income AND you are between 1x and 4x the federal poverty level. That means your portion of the premiums would have to cost, using that same $35,000 income level: $3,325 (or $277 per month).
The penalty [before it was unilaterally pushed back by the Executive branch] for not offering coverage is $2,000 per full-time employee. The penalty for not offering
affordable coverage is $3,000 per full-time employee.
The math then becomes simple: if it costs me as an employer less than $2,000 per employee to make sure your portion is "affordable" (less than 9.5% of your gross salary), then I continue to offer benefits, including potentially expanding my share of the bill to reduce your share (provided that extension is less than $2,000). If it costs me more, I cease offering benefits altogether OR reduce salaries OR reduce your hours to less than 30.