California's Hidden Non-Dependent Tax On Health Premiums

A part of the PPACA (ObamaCare) provides that parents may add children to their employer-sponsored coverage plan up to age 26, whether a dependent student or not.

Turns out California's tax law requires the state to levy taxes on any amount of premium paid by the employer for non-dependent children of employees.

Many California workers added non-dependent children under age 26 to their group health plans in favor of paying premiums for the coverage. According the the Sacramento Bee article, the result is a bump in taxable income to reflect the employer's contribution.

See the article here.

Florida Halts PPACA Implementation

On Monday, Florida US District Judge Robert Vinson declared the PPACA (ObamaCare) unconstitutional. This sets the stage for appeals and eventually the US Supreme Court. Because the 'individual mandate' requiring all Americans under 65 (not insured by an employer or government program) to buy health insurance or face a fine was deemed as unconstitutional and was written as non severable, the mandate itself renders PPACA as a whole unconstitutional (per Judge Vinson).

In the first of what will undoubtedly be several state rebellions, Florida today shut down all further implementation of the PPACA (ObamaCare) in the state and retracted a MLR (medical loss ratio) waiver that had been submitted. 27 States were represented in Judge Vinson's decision (not California)and it might be expected that the remaining states may take similar action in the near future.

Article here

PCIP Premium Decrease (HHS)

According to recent press, the federal government has indicated that it plans to decrease the premiums for the federal PCIP (temporary risk pools) by 20% in order to encourage greater enrollments.

Apparently enrollment in the new PCIP has been lackluster at best.

I do not yet know if the decrease will be applied to the CA PCIP as it is being run by the state (MRMIB) and not a direct federal risk pool.

Unless the government can find more $$$ to pump into the pools, this is going to likely create a reduced number of enrollment slots meaning less people will be able to be covered at the lower premium.

California's PCIP is scheduled to hold an average of 23,100 people at any given time with a possible increase in two years if scheduled federal funding is available. Obviously a 20% premium decrease under existing funding ($761MM) would likely lower the number of subscribers by that same percentage.

PPACA Update

It appears that Anthem Blue Cross and Health Net are planning to re-tool their individual and family plans products for 9/23.

Anthem will close online quoting for any plans with a start date of 9/23 or after on Saturday (8/14). Online quoting will resume once the plans are filed and approved.

Health Net CA is currently not quoting any plans with effective date of 10/1 or after. Probably a similar change-over.

Blue Shield CA has taken a different interpretation of PPACA. The law allows carriers to make the change-over on 9/23 OR at the next subsequent product renewal cycle. Blue Shield CA has its next cycle on Jan 1, 2011 and intends to hold off on all PPACA compliant plan changes until January. My understanding is that this will include the preventive benefits AND guaranteed-issue coverage for children 0-19.

PPACA Preventive Benefits

Under the PPACA (aka Obamacare), effective 9/23/10 all new health plans available on or after that date will be required to provide certain preventive benefits at no cost to the subscriber.

As noted in my earlier blog, Anthem Blue Cross CA has already begun the process of plan re-tooling and, as of today, you cannot view any plans that will be available on or afte 9/23. I expect the other CA IFP carriers to follow this lead.

Here is a link to the PPACA Preventive Benefits List.