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Provisions in the
Healthcare Reform Act (Patient Protection
and Affordable Care Act)
Beginning in 2011:
- Over
the counter drugs and medications will no longer be reimbursable
from Health Savings Accounts, HSA, without a prescription from a
doctor
- The
additional tax for HSA withdrawals prior to age 65 that are used
for purposes other than qualified medical expenses increases
from 10% to 20%
- The
additional tax for Archer MSA withdrawals prior to age 65 that are
used for purposes other than qualified medical expenses increases
from 15% to 20%
- An
annual, non-deductible fee will be imposed on non-brand name
pharmaceutical manufacturing companies (increasing the cost of
generic drugs)
Beginning in 2012:
- The
requirement for businesses to provide a 1099 for payments made to
any Corporation they paid over $600 to was repealed by Congress (This
is very good news)
- Employers
will be required to report the cost of health insurance provided
to their employees on their W-2 forms.
Beginning in 2013:
- Health
Flexible Spending Arrangement reimbursements will be limited to
$2,500 per year, no matter if for a single or a family for
incurred medical expenses
- The
threshold for claiming an itemized deduction for medical expenses
increases from 7.5% to 10%, thus reducing the amount you
can deduct for medical expenses on your tax return.
- Wages
over $200,000 ($250,000 for joint filers) or self-employment
income will be assessed a hospital insurance tax of 0.9% to
be withheld by Employers or paid by the self employed
- A
3.8% tax will be imposed on net investment income, such as
interest, dividends, annuities, royalties, rents, and the sale of
a principal residence, for taxpayers earning over $200,000
($250,000 for joint filers)
- A
2.3% excise tax will be imposed on manufacturers of medical
devices
(of course this cost will be
passed on to the consumer)
- Health
insurance companies will no longer be able to deduct compensation
in excess of $500,000 per taxable year paid to their Employees (an
increase in insurance premiums will pay for this one)
Beginning in 2014:
- All
US Citizens and Legal Residents will be required to
maintain minimum essential health insurance coverage
·
Failure to maintain minimum essential coverage results
in a penalty of the greater of $95 or 1% of your 2014
income, $325 or 2% of your 2015 income and $695 or 2.5% of your
2016 income
- Employers
with 50 or more full time employees will be assessed a penalty
if they do not offer minimum essential coverage to all full time
employees and their dependents for any month
·
The penalty on employer is $166.67 multiplied by the
number of full time employees (not including the first 30 workers)
·
If any employees receive a premium tax credit or
cost-sharing reduction for the purchase of health insurance through a
Government Exchange, the employer will have to pay a penalty of $3,000
per employee for those so covered.
·
Employers with 50 or more employees must file a report
with the Secretary of the Treasury on health insurance coverage
provided to their full time employees or a penalty will be imposed
- All
Employers with more than 200 full time employees must
automatically enroll new employees in a health care plan and
provide notice of the opportunity to opt out of such
coverage
- Employers
who provide minimum essential coverage to their employees will be
required to file informational returns providing identifying
information of covered individuals and their family members
and the dates of coverage
- An
annual, non-deductible fee of $8 billion will be imposed on
the health insurance sector and will increase each year.
The fee does not apply to Non-Profits, Employers or
Governmental Entities.
Beginning in
2018:
A 40% non-deductible excise tax
will be imposed on Employers for high-cost employer-sponsored health
insurance coverage for any employee whose annual premium is greater
than $10,200 for single coverage and $27,500 for family coverage.
(This may cause some Employers to reduce their health insurance
coverage on employees)
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