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Add "marriage" counselor to our list of new skills needed for the exchange.............this is going to be fun.....
The income measure for subsidy purposes are not based on individuals but rather on families. And that creates a perverse incentive.
"Two singles would each be able to earn $43,000 and still receive help to purchase health insurance, but if they got married and combined their earnings to $86,000, they would be far above the limit," Furchtgott-Roth explained.
So those with that much income as a couple would lose the government subsidies and be on their own for thousands of dollars in health coverage.
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If an employer offered a working husband affordable self-only coverage, but family coverage for an out-of-pocket premium that clearly was not affordable, "the rest of the family is not eligible for the PPACA tax credits," the staff members say. "The family would be faced with the decision of buying private coverage at an annual cost exceeding $10,000 for the mom and the kids (unless the kids are covered by the state's [Children's Health Insurance Program] or foregoing insurance and being forced to pay the tax penalty instituted by the health care law for individuals who lack health insurance."
If the current rules and rule interpretations prevail, the percentage of married couples that qualify for the tax credit may be as low as 3.3%, the staff members estimate.
Republicans: PPACA Tax Credit to Favor Singles | LifeHealthPro
I have a family in this very situation - the husband gets insurance & the employer "offers it" to spouses & kids, but pays almost nothing for it - they bear most of the cost - if they buy that it will account for about 16% of their gross income (just for the wife & 3 little girls). This part of the law really could make a good case for employers not offering group coverage to anyone but employees - this family would have certainly been better off.