Archive for the ‘Tax Policy’ Category

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Tax My Benefits? The Devil in the Details

Taxing everyone’s health care benefits seems to be a back in vogue.  But it is also a reality for some right now.  One of those situations can help us understand the real implications of taxing health care benefits.

Small Businesses

Many small businesses are acutely aware of the inequity in the tax code when it comes to health care.  A small business that files as an individual entrepreneur, files an individual return.  Like you and me, he or she must meet the 7% test.  Only health care costs that exceed 7% of adjusted gross income are exempt from taxation.  For most people with decent employer sponsored health care, that’s a tough threshold to meet.

For small businesses, it means that the they are paying taxes on the 7% of their income that they pay for health care.

But there is another even more relevant example of wage earners who pay taxes on their benefits. Continue reading ‘Tax My Benefits? The Devil in the Details’

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Tax My Health Care Benefits? Let's Talk

When could taxing health care benefits be a good idea?  If it would achieve the objective that the tax exemption is not able to achieve – universal coverage..

Admittedly, in my last post I offered a knee jerk reaction to the idea of taxing health care benefits.  I distrust the motives of those who single out the income tax exclusion for health care benefits.  Yes, it is a big number, but not compared to the alternative of footing the entire health care bill.

Why a tax exclusion for health care benefits?

The objective of any tax relief or penalties is (or should be) to promote a larger social purpose.  Providing health care coverage certainly meets that test.

Most of those touting an end to the tax exemption for employer sponsored insurance are more interested in raising revenue at the expense of working people than they are in expanding health insurance coverage.

In weighing the merits of the tax policy, at least two questions need to be addressed:

Is the goal achieved?

Is it cost effective?

Given the 40+ million uninsured in this country, the answer to question one has to be an emphatic “no”. Continue reading ‘Tax My Health Care Benefits? Let's Talk’

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Dear Prez: Taxing Benefits is Bad Health Policy

I realize writing a letter to the president is like writing to Santa Claus.  Yes, Jim, there really is a Santa Claus; but the elves read the letters.

Short letter.

Dear President Obama:

Taxing benefits is a bad idea!

It is bad politics

It is not just that you thought it was a bad idea during the campaign and now you have flip flopped.  You are allowed to flip flop on some issues. Continue reading ‘Dear Prez: Taxing Benefits is Bad Health Policy’

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Do we want employment based health insurance?

Why is there not more support for an expanded employer role in providing health insurance to all Americans?  I sense a certain exhaustion among decision makers and employee benefit professionals as they grapple with costs that just defy control. I notice at professional conferences an increasing openness to the single payer model.

We have seen one cost control fad after another.  More and more employers are dropping health benefits in order to stay afloat.  In this game of Old Maid, those employers who do provide benefits struggle to maintain their social compact with their employees without footing the bill for the rest of the world.

The rest of the world? How does that occur?  In a number of ways. Continue reading ‘Do we want employment based health insurance?’

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