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To: NonValueAdded

I’m up to page 31 of 223. The entire thing is horrific. Looks like my out of pocket will be upwards of 5 grand and premiums of over 12,000.

This is the mandate that we get coverage, pg 31.(I added the paragraphs to make it easier to read):

Personal Responsibility Requirement. Beginning in 2013, all U.S. citizens and legal residents would be required to purchase coverage through (1) the individual market, a public program such as Medicare, Medicaid, the Children‘s Health Insurance Program, Veteran‘s Health Care Program, or TRICARE or through an employer (or as a dependent of a covered employee) in the small group market, meeting at least the requirements of a bronze plan, or (2) in the large group market, in a plan with first dollar coverage for prevention-related services as recommended by the U.S. Preventive Services Task Force – except in cases where value-based insurance design is used and cannot have a maximum out-of-pocket limit greater than that provided by the standards established for HSA current law limit.

Exemptions from the requirement to have health coverage would be allowed for religious objections that are consistent with those allowed under Medicare, and for undocumented aliens. An individual enrolled in a grandfathered plan would be deemed to have met the responsibility requirement.

In order to ensure compliance, individuals would be required to report on their Federal income tax return the months for which they maintain the required minimum health coverage for themselves and all dependents under age 18.

In addition to this self-attestation by individuals of qualified coverage, insurers (including employers who self-insure and therefore act as insurers), must report information on health insurance coverage information to both the covered individual and to the Internal Revenue Service. This information includes months of coverage in the tax year and individuals covered on the policy and may include other relevant information.

A similar reporting requirement would apply to employers with respect to individuals enrolled in group health plans if the reporting is not provided by the insurer (for example in the case of self-insured plans) and for those enrolled in public health insurance plans.


58 posted on 10/04/2009 12:01:52 PM PDT by snippy_about_it (Looking for our Sam Adams)
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So far to simplify it, employers who offer insurance won’t get tax credits as well as employees who sign up for the employers insurance.

In other words, they make it real juicy if the employer opts for insurance from one of the “exchanges”. The employer can then get a tax credit but the employee doesn’t get any credits if they are paid more than 300% of the FPL (Federal Poverty Level) FPL in 2009 was a little over 10 grand for 1 person, a little over 14 grand for 2 people.

That makes 300% of the FPL about 42 to 43 grand for two income families. Earn that much and no tax credits for you no matter whose insurance you buy.


59 posted on 10/04/2009 12:09:48 PM PDT by snippy_about_it (Looking for our Sam Adams)
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To: snippy_about_it
I’m up to page 31 of 223.

Is this the "conceptual framework" of the bill or is it the entire bill? (I can't open the PDF of the document)...

61 posted on 10/04/2009 12:16:53 PM PDT by kara2008 (The Answer to 1984 is 1776)
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