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Gold Medal Software Volume 2 (Gold Medal) (1994).iso
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F412.SBE
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1993-10-01
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┌───────────────────────────────────────────────┐
│MANDATORY HEALTH INSURANCE -- CLINTON PLANS FOR│
│ SMALL BUSINESSES │
└───────────────────────────────────────────────┘
One would have to be on another planet to be unaware of the
massive, revolutionary social changes currently being pro-
posed by the Clinton Administration regarding mandatory and
universal health care coverage. As the announced Adminis-
tration plan stands in November of 1993, requiring all bus-
inesses to provide health care coverage for their employees
will have a major financial effect on most small businesses,
if it is enacted.
For those who do not currently provide medical benefits to
their employees, the financial effects are likely to be un-
favorable and (in many cases) quite severe, even if various
proposed government "subsidies" to small employers are en-
acted. Self-employed individuals would be particularly hard
hit, having to pay not only the "employer's" 7.9% of "wages"
share of the premium on their own earnings, but also the
remaining 20% of the cost of health care premiums, or about
9.9% of income overall, unless they happen to earn under
$24,000 a year and thus qualify for a federal "premium cap"
subsidy.
Small employers who already provide health care coverage
for their employees are likely to find their costs are cut
initially, if the Clinton plan is enacted in something like
its current form. In addition, the fact that their competi-
tors who currently do not provide health insurance will be
required by law to cover their employees will make for a
more level playing field, further benefiting those compan-
ies that already provide health coverage.
As of November, 1993, the Clinton plan that has been out-
lined would appear to affect small businesses in the follow-
ing ways, if it is enacted by Congress:
. Every business, large or small, would have to pay a major
portion of its employee's medical insurance coverage.
Firms with 50 or fewer workers and average pay of $24,000
or under would have their health care insurance costs
capped as a percentage of payroll on a sliding scale,
starting at 3.5% and rising to 7.9%. Those with over 50
workers would have premium costs capped at a flat 7.9%
of payroll.
. Employers would generally have to pay at least 80% of the
insurance premium costs for employees.
. Every employer would select a health plan from a range of
plans offered by the regional "health care purchasing
alliance."
. Only employers with 5,000 or more employees would be al-
lowed to self-insure.
. Estimates based on national averages indicate that employ-
ers would pay $1,546 per employee for single workers and
$2,480 for each employee with children (married or sin-
gle), but many small employers with low average wages
would qualify for premium caps and pay less.
. Self-employed individuals would pay BOTH the employer
and employee share of the insurance premium on them-
selves, but might qualify for premium caps, like other
small businesses.
. Under the Clinton proposals, self-employed persons would
find that their total premium cost would be deductible
for tax purposes, versus only 25% under current tax law.
. Employees covered by employers' "flexible spending ac-
counts" or "flex plans" would no longer be allowed to
use pre-tax dollars to pay their share of health insur-
ance premiums or medical expenses that aren't covered
by their health plans, making such "flex plans" (also
known as "cafeteria plans") much less attractive as an
employee benefit.
. Younger part-time workers (up to age 23) are to be cov-
ered by their parents' insurance, and would not need to
be covered by their employer.
. For other part-time workers, an employer would pay in-
surance premiums for those who work 10 or more hours a
week, on a prorated basis, where 30 hours a week would
be considered the equivalent of full-time employment.
. Leased and "temp" employees on the payroll of employee
leasing or temporary worker companies would have 80% of
their insurance premiums paid by the temp agency or leas-
ing company, rather than by the company to whom they ren-
der services. The employees would pay the other 20% of
their premium costs.