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To Provide Health Insurance or Not? That Is the Question

By Robert G. Brody and Sami Asaad
June 21, 2010

The new healthcare bill will require employers to make a major decision: should they provide employees with “sufficient” healthcare coverage, or should they just pay the penalties? The decision will require a serious cost-benefit analysis. The bill, called the Patient Protection and Affordable Care Act (PPACA) of 2010, signed into law on March 23, 2010, and its accompanying “fixes,” will have both positive and negative implications for employers.

Insurance Exchange

The bill creates a new concept, called an insurance exchange. It will allow certain employees the option to take their employer's health insurance coverage, or go into the “insurance exchange” to find a cheaper rate. The exchanges will be marketplaces for individuals and certain employers to come together and negotiate cheaper rates with health insurance companies. Each state must set up its own exchange, or multiple states may create a regional exchange, to provide people with greater choice in coverage. The exchanges will be open to all people without qualifying coverage. Also, employers with fewer than 100 employees will be allowed to participate in the exchange. Starting in 2017, states may allow employers with 100 or more employees to participate in the exchange. The bill has different provisions for small and large employers.

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