Monthly Archives: July 2013

Go ahead…. Lie to me…. then have a smoke!

In my commentary last week on the delay of the 2014 employer penalties, I indicated that I expected additional changes in the rules and regulations to follow.    So here is what has happened since the Employer Mandate delay. 

  1. Go Ahead and Lie.     To be eligible to receive a subsidy from the government for individual coverage, you were not allowed to be covered by a qualified employer plan, and you must be below income thresholds.  When applying, the Exchange would verify your coverage option from your employer and your Income from the IRS.    Last week the government announced it would not verify if you had employer coverage or your income.

  2. Enjoy that Smoke!   UPI is reporting that a conflict exists in the Affordable Care Act which could raise the cost of coverage for young people while giving additional breaks to smokers who are older and that it could take a year to remedy the issue.    The Affordable Care Act, ACA, mandates that older individuals premiums cannot exceed 3x the premium for younger people.  The ACA does not account for the additional premiums for smokers, thus the conflict. 

While this is all good news for consumers and employers alike, probably, you must remember that every dollar spent will be coming from you in other ways.    I have great anxiety about where that burden will fall.  

Mark Gurda
Castle Group Health Inc. 


Breaking News: Employer Mandate Postponed

July 2nd, 2013 -Bulletin

The White House announced today that the Employer Mandate to provide health insurance to its employees has been postponed until 2015.    

The delay of the employer mandate and it’s revenues is sure to cause other delays.   The delay is significant both economically and politically and puts the issue back on the mid-year elections table for 2014. 

With the individual exchanges months behind, the individual mandate and accompanying insurance requirements that go along with it could possibly be postponed as well.  Where the line in the sand will be drawn by proponents of the legislation is not clear at all.   

Look for the major insurers who have invested heavily in the promised new customers to try and join with the administration to pull this back together.  Also look for States who have been teetering on being compliant with the Medicaid law changes to be re-energized to back away again from implementation, putting the entire bill in jeopardy.  

Mark Gurda
Castle Group Health
Northbrook, IL