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Unread 03-22-2010, 01:15 PM   #1
jillio
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What health care reform means for your business

NEW YORK (CNNMoney.com) -- The sweeping health-care bill passed by the House of Representatives Sunday, and now headed for President Obama's desk, promises a sea change in the way that small business owners purchase and provide health insurance for themselves and their employees.

But many of the provisions won't kick in until 2014 -- and the final rules could still be changed by amendments that will now be considered by the Senate.


Thanks to the political maneuvering that followed the Democrats' loss of a filibuster-proof majority in the Senate, the House passed two separate health care bills. The first was an exact duplicate of the one passed by the Senate in December, enabling the president to sign it into law as soon as this week.

The second, a package of diverse amendments addressing elements of the Senate bill that the House wanted changed, will now be voted on in the Senate under "reconciliation" rules that require only a simple majority.

For small businesses, the effects of the now-passed health reform law include:

* By no later than 2014, states will have to set up Small Business Health Options Programs, or "SHOP Exchanges," where small businesses will be able to pool together to buy insurance. ("Small businesses" are defined as those with no more than 100 employees, though states have the option of limiting pools to companies with 50 or fewer employees through 2016; companies that grow beyond the size limit will also be grandfathered in.)

The Congressional Budget Office has estimated that the exchanges would ease small business insurance costs, albeit only marginally: premiums in the small-group market are forecast to fall between 1% and 4% under the exchanges, while the amount of coverage would rise by up to 3%.

* For the next four years, until the SHOP Exchanges are set up, businesses with 10 or fewer full-time-equivalent employees earning less than $25,000 a year on average will be eligible for a tax credit of 35% of health insurance costs. (Companies with between 11 and 25 workers and an average wage of up to $50,000 are eligible for partial credits.)

The tax credit will remain in place, increasing to 50% of costs, for the first two years a company buys insurance through its state exchange. The Congressional Budget Office predicts that the tax credit will affect about 12% of individuals covered via the small-group insurance market, lowering their cost of insurance by between 8% and 11%.

* Insurers will no longer be able to set rates or exclude coverage based on pre-existing conditions, and can vary premiums only by geographic location, age, and tobacco use.

These restrictions, however, would not kick in until 2014. Going into effect immediately: a ban on lifetime limits on coverage, and on "rescission" (canceling policies already issued) except in cases of fraud.

* Starting in 2014, businesses with more than 50 employees will be required to either offer healthcare coverage or pay a penalty of $750 a year per full-time worker. The coverage offered will also have to meet minimum benefits -- covering both a specific set of services and 60% of employee health costs overall -- or else employers will face additional penalties.

* So-called "Cadillac" plans costing more than $10,200 a year for individuals or $27,500 for family coverage (not counting dental and vision plans) will be subject to a 40% tax on the portion of the cost that exceeds the limit. Though the tax would actually be paid by insurers, it's expected that it would be passed along to plan holders in the form of higher premiums.

Furthermore, if the House amendments approved Sunday pass the Senate intact under the reconciliation process, some other small business provisions will change:

* Part-time employees would be counted toward the 50-employee minimum on pro-rated basis based on hours worked, bringing more small businesses into the group required to provide coverage.

* The $750-per-employee penalty for not providing insurance would rise to $2,000.

* The Cadillac tax would be delayed until 2018 and apply only to the most expensive plans, making it more of a "Maserati" tax, in the words of Kaiser Health News.

* Individuals earning more than $200,000 a year, or couples earning $250,000 or more, would be hit with a 3.8% surcharge on investment income to help pay for the bill.

What's next: For the immediate future, all eyes will likely be on the SHOP Exchanges, which can receive federal aid as soon as next year, though most states probably won't implement them until closer to the 2014 deadline.

"The departments of insurance and the governors' offices and the legislatures will all start thinking about that stuff," said New America Foundation director of health policy Len Nichols in a January interview. "It'll take a while."

Meanwhile, says Nichols, a small business owner "is going to be buying tomorrow in the same market they are today," because the new markets aren't going to be set up until 2014.

What health care reform means for your small business - Mar. 22, 2010
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Unread 03-22-2010, 02:50 PM   #2
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I absolutely and strongly do not support this out of fear for our businesses
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Unread 03-22-2010, 03:27 PM   #3
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It affected my neighbor, he has his own business. Its going to hurt him big time.
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Unread 03-22-2010, 03:28 PM   #4
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I am weary of this too.

Since I know a few small businesses that only employs less than 5 people.

It will just increase the cost for struggling small businesses.
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Unread 03-22-2010, 04:01 PM   #5
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By no later than 2014, states will have to set up Small Business Health Options Programs, or "SHOP Exchanges," where small businesses will be able to pool together to buy insurance. ("Small businesses" are defined as those with no more than 100 employees, though states have the option of limiting pools to companies with 50 or fewer employees through 2016; companies that grow beyond the size limit will also be grandfathered in.)

The Congressional Budget Office has estimated that the exchanges would ease small business insurance costs, albeit only marginally: premiums in the small-group market are forecast to fall between 1% and 4% under the exchanges, while the amount of coverage would rise by up to 3%.

* For the next four years, until the SHOP Exchanges are set up, businesses with 10 or fewer full-time-equivalent employees earning less than $25,000 a year on average will be eligible for a tax credit of 35% of health insurance costs. (Companies with between 11 and 25 workers and an average wage of up to $50,000 are eligible for partial credits.)

The tax credit will remain in place, increasing to 50% of costs, for the first two years a company buys insurance through its state exchange. The Congressional Budget Office predicts that the tax credit will affect about 12% of individuals covered via the small-group insurance market, lowering their cost of insurance by between 8% and 11%.



These are actually benefits and breaks provided to small business owners.
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Unread 03-22-2010, 07:24 PM   #6
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Originally Posted by jillio View Post
By no later than 2014, states will have to set up Small Business Health Options Programs, or "SHOP Exchanges," where small businesses will be able to pool together to buy insurance. ("Small businesses" are defined as those with no more than 100 employees, though states have the option of limiting pools to companies with 50 or fewer employees through 2016; companies that grow beyond the size limit will also be grandfathered in.)

The Congressional Budget Office has estimated that the exchanges would ease small business insurance costs, albeit only marginally: premiums in the small-group market are forecast to fall between 1% and 4% under the exchanges, while the amount of coverage would rise by up to 3%.

* For the next four years, until the SHOP Exchanges are set up, businesses with 10 or fewer full-time-equivalent employees earning less than $25,000 a year on average will be eligible for a tax credit of 35% of health insurance costs. (Companies with between 11 and 25 workers and an average wage of up to $50,000 are eligible for partial credits.)

The tax credit will remain in place, increasing to 50% of costs, for the first two years a company buys insurance through its state exchange. The Congressional Budget Office predicts that the tax credit will affect about 12% of individuals covered via the small-group insurance market, lowering their cost of insurance by between 8% and 11%.



These are actually benefits and breaks provided to small business owners.
on paper with graph & drawing and computer simulation - it may seems "reasonably beneficial" but in reality - it's unacceptable. entirely unacceptable to me. It's as bad as driving the last nail in the coffin.

Ever wonder why more and more people are disgruntled with the current pathetic status of services provided by corporations today? and why there are hardly any mom n' pop store around?

There goes the time of small businesses with honesty and "people know people" thing...
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Unread 03-22-2010, 07:28 PM   #7
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on paper with graph & drawing and computer simulation - it may seems "reasonably beneficial" but in reality - it's unacceptable. entirely unacceptable to me. It's as bad as driving the last nail in the coffin.

Ever wonder why more and more people are disgruntled with the current pathetic status of services provided by corporations today? and why there are hardly any mom n' pop store around?

There goes the time of small businesses with honesty and "people know people" thing...
That is an era that has been long gone, thanks to corporate welfare, and the individualistic and materialistic attitudes of the members of society.

We will have to wait and see what reality actually is. We can't determine that until the day arrives.
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Unread 03-22-2010, 07:31 PM   #8
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I wouldn't attribute health insurance reform to the death of small businesses. Germany and japan got mandatory insurances for all businesses. They still have a lot of mom'n'pop stores.

However corporatism is a beast of its own. We created that monster, and we sponsor it everytime we eat at McDonald's, go to Wal-Mart and so on even though there are stores with equalivent prices nearby-- we do it out of "convinence" of having everything centred in a big box store.

We need massive economic reforms if we don't want corporatism to persist.
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Unread 03-22-2010, 07:32 PM   #9
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Absolutely. Attributing the wrong consequence to the wrong cause. The focus needs to be expanded.
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Unread 03-22-2010, 07:40 PM   #10
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Hubby has a small business, and he will not be providing health care for anyone.

I'm an independent contractor, and I will not be receiving nor providing health care for anyone.

My daughter has a small business, and she will not be providing health care for anyone.



Or will we? Will we be taxed at a higher rate to cover insurance for other people?
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Unread 03-22-2010, 07:44 PM   #11
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Individuals earning more than $200,000 a year, or couples earning $250,000 or more, would be hit with a 3.8% surcharge on investment income to help pay for the bill.

Only if you fall into the above category.
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Unread 03-22-2010, 07:47 PM   #12
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The small business requirement is restricted to the following:

Starting in 2014, businesses with more than 50 employees will be required to either offer healthcare coverage or pay a penalty of $750 a year per full-time worker. The coverage offered will also have to meet minimum benefits -- covering both a specific set of services and 60% of employee health costs overall -- or else employers will face additional penalties.

You average mom and pop grocery, local independent pharmacy, mechanic's shop, etc. does not generally have more than 50 employees. We need to put the term "small business" in perspective.
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Unread 03-22-2010, 07:50 PM   #13
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$750 a year per full-time worker.
I see a loophole. Drop all to PT workers, problem avoided.

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Unread 03-22-2010, 07:51 PM   #14
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I see a loophole. Drop all to PT workers, problem avoided.

Yiz
Part-time employees would be counted toward the 50-employee minimum on pro-rated basis based on hours worked, bringing more small businesses into the group required to provide coverage.
Loohole has already been closed.
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Unread 03-22-2010, 07:52 PM   #15
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I wonder which is cheaper: Penalty or health insurance.
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Unread 03-22-2010, 07:59 PM   #16
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I wonder which is cheaper: Penalty or health insurance.
You do realize that the penalty goes up to $2000 per employee? Obviously, then penalty is far more expensive.
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Unread 03-22-2010, 08:01 PM   #17
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Samaritan Ministries International <---- some people prefer this, and they don't recognize this as insurance.
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Unread 03-22-2010, 08:02 PM   #18
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Part-time employees would be counted toward the 50-employee minimum on pro-rated basis based on hours worked, bringing more small businesses into the group required to provide coverage.
Loohole has already been closed.
And if subjected to layoffs to drop below the 50 employee minimum?

What if it causes businesses to fold if fed up with the regulations? People will be out of work.

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Unread 03-22-2010, 08:04 PM   #19
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Samaritan Ministries International <---- some people prefer this, and they don't recognize this as insurance.
They can apply for exemptions in the name of religious freedom.
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Unread 03-22-2010, 08:13 PM   #20
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They can apply for exemptions in the name of religious freedom.
I guess like the Amish. I thought about this type of insurance for awhile.
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Unread 03-22-2010, 08:15 PM   #21
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Samaritan Ministries International <---- some people prefer this, and they don't recognize this as insurance.
That's because it isn't insurance.
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Unread 03-22-2010, 08:16 PM   #22
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And if subjected to layoffs to drop below the 50 employee minimum?

What if it causes businesses to fold if fed up with the regulations? People will be out of work.

Yiz
If they drop below the 50 employee minimum, they will not be required to provide insurance.
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Unread 03-22-2010, 08:17 PM   #23
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I know, it means these people could be fined for not having insurance. And I don't think they should be fined at all.
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Unread 03-22-2010, 08:28 PM   #24
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Absolutely. Attributing the wrong consequence to the wrong cause. The focus needs to be expanded.
Exactly. Remember, the majority of people is stoopid. They don't really bother to educate themselves and adapt to progressive changes.

And they talk about small businesses - well, what about industrialized countries? I see plenty of them.
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Unread 03-22-2010, 08:28 PM   #25
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I know, it means these people could be fined for not having insurance. And I don't think they should be fined at all.
Oh they should be. How would you feel if you end up paying for their stupidity?
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Unread 03-22-2010, 08:34 PM   #26
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Oh they should be. How would you feel if you end up paying for their stupidity?
Did you see the link I was referring to? they just have a different method of paying healthcare. Why do insurance have to run in certain way in order for it to be consider as insurance?
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Unread 03-22-2010, 08:42 PM   #27
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I know, it means these people could be fined for not having insurance. And I don't think they should be fined at all.
Unless they have an exemption as determined, they are subject to the same laws as everyone else in this country.
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Unread 03-22-2010, 08:43 PM   #28
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Did you see the link I was referring to? they just have a different method of paying healthcare. Why do insurance have to run in certain way in order for it to be consider as insurance?
Because all things have to fit a specific criteria to be called what they are.
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Unread 03-22-2010, 08:44 PM   #29
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Exactly. Remember, the majority of people is stoopid. They don't really bother to educate themselves and adapt to progressive changes.

And they talk about small businesses - well, what about industrialized countries? I see plenty of them.
Yep. And all with access to health care.
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Unread 03-22-2010, 08:55 PM   #30
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Exactly. Remember, the majority of people is stoopid. They don't really bother to educate themselves and adapt to progressive changes.

And they talk about small businesses - well, what about industrialized countries? I see plenty of them.
You don't really care about majority of people to the point you call them stupid.
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