IRS Says, Boom!

Here's a link to a fabulous document from Millman.

http://publications.milliman.com/pu...dfs/measuring-strength-individual-mandate.pdf

The document is long, but it's very detailed about the affects of the Individual Mandate.

The "conclusion" on page 22 says exactly what YAgents was expressing about various income tiers being affected differently.

The footnotes on page 27 restate my own confusion about the "self-only" reference, but also gives Millman's assumptions that the 8% includes families when it's not group insurance. The quote from page 27's footnotes says:

Section 1501 of the ACA does not make clear if families will be exempted from the individual mandate if the family's premium exceeds 8% of household income, or if the premium for each individual member of a family must exceed 8% of household income. It is clear, however that for families eligible for employer sponsored coverage, agency interim final regulations related to eligibility for premium tax credits state future proposed regulations… are expected to provide that the affordability test for purposes of applying the individual responsibility requirement to related individuals is based on the employee's required contribution for the employer-sponsored family coverage.

Families eligible for employer-sponsored health insurance that must pay more than 8% of household income for coverage will not be required to pay the individual mandate penalty if they fail to purchase family coverage. With the exception that regulations governing the individual health insurance market will be consistent with employer-sponsored insurance, the modeling used for the calculations presented in this paper assumes that families unable to purchase family coverage for less than 8% of household income will also be exempt from the individual mandate.​
 
A few things I picked up from this milliman white paper on the mandate that I did not know before:

1. Subsidies for older people (age 55) are so much larger than a younger person (age 35), and the premium cost after subsidies are factored in will cause younger people's premiums to be HIGHER than an older person's premiums. The young are screwed.

2. If you are exempt from the individual mandate penalty, you are eligible to buy the "catastrophic" plan even if you are over age 30, and this plan may only be available ON the exchange

3. If you delve into the details, there are definite "target" markets to go after, where the cost of insurance is less than the penalty (under 200%FPL), or the cost of insurance is quite low when you apply silver subsidies to a bronze plan, or the older folks just under 400% poverty level whose premiums will be lower than they are today (after subsidies).

Well worth the read.
 
Here's a link to a fabulous document from Millman.

http://publications.milliman.com/publications/health-published/pdfs/measuring-strength-individual-mandate.pdf

The document is long, but it's very detailed about the affects of the Individual Mandate.

The "conclusion" on page 22 says exactly what YAgents was expressing about various income tiers being affected differently.

The footnotes on page 27 restate my own confusion about the "self-only" reference, but also gives Millman's assumptions that the 8% includes families when it's not group insurance. The quote from page 27's footnotes says:

Section 1501 of the ACA does not make clear if families will be exempted from the individual mandate if the family's premium exceeds 8% of household income, or if the premium for each individual member of a family must exceed 8% of household income. It is clear, however that for families eligible for employer sponsored coverage, agency interim final regulations related to eligibility for premium tax credits state future proposed regulations… are expected to provide that the affordability test for purposes of applying the individual responsibility requirement to related individuals is based on the employee's required contribution for the employer-sponsored family coverage.

Families eligible for employer-sponsored health insurance that must pay more than 8% of household income for coverage will not be required to pay the individual mandate penalty if they fail to purchase family coverage. With the exception that regulations governing the individual health insurance market will be consistent with employer-sponsored insurance, the modeling used for the calculations presented in this paper assumes that families unable to purchase family coverage for less than 8% of household income will also be exempt from the individual mandate.

Ann do you have the link with the updated health exchange premium calculator? I saw it in a post a week or 2 ago but can't find it
 
Calculators are fun to play with, but until carriers release actual rates I wouldn't put a lot of faith in them. CBO and other sources are (I believe) way off in their estimates on actual premiums.

Since it appears the subsidies are tied to premiums, it will be interesting to watch the folks in DC drop a brick when they see how many $$$ they have to come up with to make health insurance affordable.
 
Calculators are fun to play with, but until carriers release actual rates I wouldn't put a lot of faith in them. CBO and other sources are (I believe) way off in their estimates on actual premiums.
That's just what I was thinking when the IRS said that the average annual health premium for a family of 4 would be $20,000 by 2016.

Sure, we can use the IRS's statement to help hype our "sky is falling" mantra, but really... how the hell does the IRS know what premiums will likely be? They are WAY WAY out of their league when talking about health insurance costs and benefits. The health insurers themselves are still trying to figure this out!
-ac
 
AllenChicago;648638 how the hell does the IRS know what premiums will likely be? [B said:
They are WAY WAY out of their league when talking about health insurance costs and benefits[/B]. The health insurers themselves are still trying to figure this out!
-ac

They really need to stick to illegally seizing assets without a court order. That's something they are VERY good at doing.

Rick
 
Back
Top