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slides18 - Individual Mandate Employer Mandate Health...

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Unformatted text preview: Individual Mandate Employer Mandate Health Exchanges Insurance Regulations Physician Payments Government Regulation in Health Angela Fertig Spring 2010 Angela Fertig Government Regulation in Health Individual Mandate Employer Mandate Health Exchanges Insurance Regulations Physician Payments Regulations in Health Care Reform bill(s) I Individual Mandate I Employer Mandate I Health Insurance Exchange I Insurance Regulation I Physician Payments Angela Fertig Government Regulation in Health Individual Mandate Employer Mandate Health Exchanges Insurance Regulations Physician Payments Individual Mandate I US citizens and legal residents only I Tax penalty: $695-$2085 or 2.5% of household income (phased in) I Exemptions: I financial hardship I religious objection I American Indians I without coverage < 3 months I lowest cost plan > 8% of income I income below tax filing threshold Angela Fertig Government Regulation in Health Individual Mandate Employer Mandate Health Exchanges Insurance Regulations Physician Payments Employer Mandate I Employer with 50+ employees that do NOT offer coverage; if a FT employee receives tax credit, employer charged $2000 fee/ FTemployee (excl. first 30 employees) I Employer with 50+ employees that DOES offer coverage; if a FT employee receives tax credit, employer charged $3000 fee/ subsidized FTemployee or $2000 fee/FTemployee I Employers with 200+ employees must automatically enroll employees into health insurance plans. Employee may opt out. Angela Fertig Government Regulation in Health Individual Mandate Employer Mandate Health Exchanges Insurance Regulations Physician Payments Health Exchanges I Create state-based exchanges administered by govt or non-profit I Individual and small business ( < 100 employees) can purchase...
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slides18 - Individual Mandate Employer Mandate Health...

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