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How can I get an estimate of costs and savings on Marketplace health insurance?

Vice President of Benefits

Vice President of Benefits

Until the Marketplace opens, you can use tools like the Kaiser Family Foundation calculator to get a rough estimate of how much health insurance may cost in 2014.

The Kaiser Family Foundation health insurance cost and savings calculator

The health insurance costs and savings calculator we link to below provides only an estimate. Your final premiums and costs may differ from the estimates, perhaps significantly, depending on where you live and the coverage you select. You’ll learn your final costs for specific plans when you apply in the Health Insurance Marketplace as soon as October 1, 2013.

Before you use the Kaiser Family Foundation calculator, there are a few important things to know:

  • The calculator provides a rough estimate of costs for insurance, based on national averages and factors that may not apply to you. It will give you an idea of what someone with circumstances like yours could pay for Marketplace insurance in 2014.
  • The calculator accounts for some factors that may determine plan costs in the Marketplace: age, family size, and tobacco use. Individual plans will weigh these factors differently to determine final prices.
  • The estimate doesn’t account for differences based on where you live, which will significantly affect Marketplace prices and offerings.
  • The prices are based on a plan in the Silver category. Plans in different categorieswill likely have higher or lower premiums.
  • You won’t be able to get your exact costs for a specific plan until you fill out a Marketplace application after October 1, 2013. Then you’ll see all of the plans available to you, compare features and prices side-by-side, choose a plan, and enroll. You should expect that your final cost will be different from the rough estimate provided here.

Background on the calculator

The calculator was created by the Kaiser Family Foundation, a non-profit research organization, for use by the general public. The Kaiser Family Foundation is solely responsible for the tool. The Kaiser Family Foundation has no connection with Kaiser Permanente or any health care provider.

The Centers for Medicare & Medicaid Services did not participate in the creation of this calculator. The Centers for Medicare & Medicaid Services does not warrant or guarantee the accuracy of estimates provided by the calculator.

Use the health insurance costs and savings calculator

If you’re ready to see the estimates, visit the Kaiser Family Foundation website and use the Kaiser Family Foundation’s health insurance costs and savings calculator.

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Obama Administration Announces Delay Of ACA’s Employer Mandate.

Major news out of the White House was covered widely last night through Wednesday morning: the delay of the Affordable Care Act’s employer mandate saw three minutes of coverage across all network broadcasts, and is on the front-page of several national papers.

The political implications of the delay, and the suggestion that it was intended to help Congressional Democrats grappling with criticism of the ACA ahead of next year’s elections, are covered by inside-the-beltway publications. But the midterms angle is not the focus of much of this morning’s print coverage, nor was it mentioned during the network newscasts. These outlets report mainly on the criticism that led to the delay, and what it means for the Affordable Care Act at such a critical time in its implementation. Notably, it was not HHS, but the Treasury Department, that announced the delay. As such, no major HHS officials are quoted regarding the news.

NBC Nightly News Share to FacebookShare to Twitter (7/2, Story 2, 1:20, Williams) reported that Tuesday night, the Obama Administration announced it was postponing a major Affordable Care Act provision, “delaying penalties for large employers who don’t provide health insurance coverage to their workers for a full year.” NBC’s Peter Alexander added, “The White House insists this will be its opportunity to help simplify the process.”

The CBS Evening News Share to FacebookShare to Twitter (7/2, Story 2, 1:10, O’Donnell) reported on the “late word from the White House,” that “a central component of President Obama’s healthcare overhaul will be delayed for a year.” Wyatt Andrews noted that the move comes “after months of complaints and backlash.” He added that with the extra time, the Administration is “promising to reduce” the burdens of the employer mandate on smaller companies, and to ensure that they do not follow through on threats of layoffs or reduced hours. According to Andrews, “Workers will still be allowed to buy their own health insurance on a state exchange. … The only thing that changes here is that their employers won’t be penalized next year if they do.”

And in a brief segment, ABC World News (7/2, story 7, 0:30, Sawyer) called the delay “surprising,” noting that the Obama Administration “says it wants to simplify the requirements to make it less confusing.”

On its front page, the New York Times Share to FacebookShare to Twitter (7/3, A1, Calmes, Subscription Publication) reports that in announcing the delay of the employer mandate, the Obama Administration was both “responding to business complaints and postponing the effective date beyond next year’s midterm elections.” The article adds that while “the change does not affect other central provisions of the law,” it may complicate efforts of “officials running the exchanges to know who is entitled to subsidies if they are not able to confirm whether employers are offering insurance to their employees.”

On its front page, the Washington Post Share to FacebookShare to Twitter (7/2, A1, Goldfarb, Somashekhar) calls the news “a fresh setback for President Obama’s landmark health-care overhaul as it enters a critical phase.” And while the White House “portrayed the delay as a common-sense step that would reduce financial and regulatory burdens on small businesses,” Republicans, “who are planning to target ‘Obamacare’ in the 2014 midterm campaigns, said the delay is an acknowledgment that the health-care overhaul is flawed.”

Also on its front page, the Wall Street Journal Share to FacebookShare to Twitter (7/3, A1, Radnofsky, Subscription Publication) notes that the mandate, which was to levy penalties on all companies with 50 or more full-time workers not providing them with insurance, had faced a torrent of criticism from restaurant and retail industries, who had threatened to cut workers or hours to avoid the penalties. As such, the mandate had received significant negative media attention for threatening the wages or employment of low-wage workers in an already weak economy.

To that point, on its front page, USA Today Share to FacebookShare to Twitter (7/3, A1, Kennedy) reports that “business groups had argued for months that the law created an administrative burden for businesses as they tried to update technology and plan to offer health coverage to their employees without knowing how much the coverage would cost.”

On its front page, the Los Angeles Times Share to FacebookShare to Twitter (7/2, A1, Levey) reports that the announcement was made “late Tuesday” in a post to the Treasury Department’s website. Assistant Secretary for tax policy Mark J. Mazur wrote, “We have heard concerns about the complexity of the requirements and the need for more time to implement them effectively. We recognize that the vast majority of businesses that will need to do this reporting already provide health insurance to their workers, and we want to make sure it is easy for others to do so.”

Another representative of the White House spoke out Tuesday, as CNN Share to FacebookShare to Twitter (7/3, Liptak) reports “Obama’s senior adviser Valerie Jarrett – who acts as the White House’s liaison to big business – wrote the new delay was indicative of the administration’s determination to implement the health care law effectively and fairly, and that it wouldn’t affect other aspects of Obamacare.” She wrote, “While major portions of the law have yet to be implemented, it’s already a little more affordable for businesses to offer quality health coverage to their employees. As we implement this law, we have and will continue to make changes as needed. In our ongoing discussions with businesses we have heard that you need the time to get this right.”

Larry Kudlow began Tuesday’s CNBC Kudlow Report (7/3) with news of the delay. CNBC’s Bertha Coombs said that businesses were “applauding the decisions,” calling it a “wise move.” At one point, Kudlow said, “I wonder whether they shouldn’t delay the entire program.”

Other sources reporting on the announcement include Reuters Share to FacebookShare to Twitter (7/3, Morgan), McClatchy Share to FacebookShare to Twitter (7/3, Pugh), the Huffington Post Share to FacebookShare to Twitter (7/2, Young), the ABC News Share to FacebookShare to Twitter (7/3, Good) “The Note” blog, the NPR Share to FacebookShare to Twitter (7/3, Chapell) “The Two-Way” blog, The Hill Share to FacebookShare to Twitter (7/3, Sink) “Healthwatch” blog, the FOX News Share to FacebookShare to Twitter (7/3) website, the Atlantic Share to FacebookShare to Twitter (7/3, Graham), the Atlantic Wire Share to FacebookShare to Twitter (7/3, Olheiser), Politico Share to FacebookShare to Twitter (7/3, Cheney), Modern Healthcare Share to FacebookShare to Twitter (7/3, Daly, Block, Subscription Publication), Kaiser Health News Share to FacebookShare to Twitter (7/3, Carey), New York Daily News Share to FacebookShare to Twitter (7/3, Warren), the Tulsa (OK) World Share to FacebookShare to Twitter (7/3, Greene), the Tennessean Share to FacebookShare to Twitter (7/3, Wilemon), Alabama Live Share to FacebookShare to Twitter (7/3, Gore), the Washington Business Journal Share to FacebookShare to Twitter (7/3, Fischer, Subscription Publication) “WBJ BizBeat” blog, the Portland (OR) Business Journal Share to FacebookShare to Twitter (7/3, Hayes, Subscription Publication) “Healthcare Inc. Northwest” blog, the Birmingham (AL) Business Journal Share to FacebookShare to Twitter (7/3, Ranaivo, Subscription Publication) “BizTalk Birmingham” blog, BBC News Share to FacebookShare to Twitter (7/3), and the Daily Mail (UK) Share to FacebookShare to Twitter (7/3, Martosko).

Political Angle Of Delay Considered. Emphasizing the political angle, The Hill Share to FacebookShare to Twitter (7/3, Viebeck, Baker, Parnes) titles its report on the delay, “ObamaCare Employer Mandate Delayed Until After 2014 Midterms.” According to The Hill, Republicans “seized on the news, arguing that the delays suggested the law was a ‘train wreck,’” a term used in April by Sen. Max Baucus, a Democrat and “one of the primary architects” of the ACA, in his warning about potential problems with the implementation of the law. The Hill reports that in contrast to Congressional Republicans, “the offices of Democratic leaders fell notably silent Tuesday evening” as reporters sought comment about the delay.

According to Politico Share to FacebookShare to Twitter (7/3, Norman, Haberkorn), the delay is “at least partial proof of what Republicans have been predicting for months: that the health law is way too complex to be ready to go live in 2014.” The Washington Times Share to FacebookShare to Twitter (7/3, Howell) says Republicans “are sure to do a victory lap over the delay in an integral part of Mr. Obama’s signature domestic achievement.”

CQ Roll Call Share to FacebookShare to Twitter (7/3, Dennis, Subscription Publication) reports that “the decision is embarrassing for the administration,” and, to Republicans, it is “simply more evidence that the law should be repealed.” Sen. Orrin Hatch said, “That the Obama Administration is putting off this job-killing requirement on employers, but not individuals and families, shows how deeply flawed the President’s signature domestic policy achievement is.”

On the other hand, the AP Share to FacebookShare to Twitter (7/3, Alonso-Zaldivar) is reporting that the delay may help Democrats “by blunting a line of attack Republicans were planning to use.”

Similarly, Zeke Miller, in a post for Time Share to FacebookShare to Twitter (7/2, Miller), reported that former CBO director Douglas Holtz-Eakin contended that the delay is “deviously brilliant” because Congressional Democrats “no longer face the immediate specter of running against the fallout from a heavy regulatory imposition on employers.”

Other politically focused reports come from sources including CQ Share to FacebookShare to Twitter (7/3, Reichard, Attias, Subscription Publication), Kaiser Health News Share to FacebookShare to Twitter (7/3, Hancock, Appleby), and the National Journal Share to FacebookShare to Twitter (7/3, Sanger-Katz, Subscription Publication).

Stakeholders React To Employer Mandate Delay. Reporting some of the initial reaction to the announcement, Bloomberg News Share to FacebookShare to Twitter (7/3, Dorning, Wayne) reports that Senate Minority Leader Mitch McConnell said the delay is more evidence that “Obamacare costs too much and it isn’t working the way the administration promised.” And Randy Johnson, a senior VP at the US Chamber of Commerce, wrote, “The administration has finally recognized the obvious – employers need more time and clarification of the rules of the road before implementing the employer mandate.”

Several other outlets report on reactions, including USA Today Share to FacebookShare to Twitter (7/2, Kennedy), which reports that “businesses reacted with relief.” Politico Share to
FacebookShare to Twitter (7/3, Cunningham) also notes that businesses “applauded” the delay, “but warned that the yearlong delay doesn’t fix some of the law’s other messy issues.” Meanwhile, another piece in Politico Share to FacebookShare to Twitter (7/3, Millman) reports that the GOP “gloat[ed],” while The Hill Share to FacebookShare to Twitter (7/3, Sink) “Healthwatch” blog demonstrates this by publishing tweets and statements out of several key Republicans, including Speaker of the House John Boehner (R-OH) and Majority Leader Eric Cantor (R-VA).

Commentators Offer Analysis Of Employer Mandate Delay. Beyond just reporting the facts of the announcement, several outlets offer analysis of the delay. As Sarah Kliff puts it on the front page of the Washington Post Share to FacebookShare to Twitter (7/3, A1, Kliff), the Obama Administration “just swapped one political headache for another.” First, by delaying the mandate, “the Obama administration heads off the unseemly spectacle of companies vowing to cut jobs or workers’ hours to avoid the costly mandate.” However, the action “is not a free pass,” as it “contributes to critics’ claims that the White House does not have the ability to launch its biggest legislative accomplishment on schedule.”

Politico Share to FacebookShare to Twitter (7/3, Haberkorn, Millman, Norman) considers the “bombshell announcement,” and answers “six questions about what it all means.” One question asks, “Does this derail Obamacare?” The article responds, “It doesn’t derail it. But it hurts, at least in how the public sees it and how the critics can talk about it.”

Evan Soltas writes on the Bloomberg News Share to FacebookShare to Twitter (7/3) ‘“The Ticker” blog about the “side effects” of the delay, noting that by keeping the individual mandate in place, many employees will be “forced into individual exchanges,” adding “additional volume” to a system already predicted to be over-burdened.

Also on the Bloomberg News Share to FacebookShare to Twitter (7/3) “The Ticker” blog, Christopher Flavelle writes that the delay “raises two immediate questions.” First, “can the White House protect other components of the law from renewed attack?” And second, “what does this say about the broader problems facing implementation?” He concludes that while the law itself may not be “in danger,” this “latest concession raises the question of what will be the next thing to go – and how many more battles the administration can afford to lose before the law is in real trouble.”

CQ Share to FacebookShare to Twitter (7/3, Reichard, Subscription Publication) reports that this change came about not by the “highly charged political rhetoric” that so often marks debate on the ACA, but a different approach, one “intensely engaged with the Obama administration on implementation, and pragmatic.” The piece profiles Neil Trautwein of the National Retail Federation, who “earned credibility with the administration” by focusing not on the demise of the law but rather on how employers could “come to terms with it as best they could.”

Jennifer Rubin, in her Washington Post Share to FacebookShare to Twitter (7/3) “Right Turn” blog lists seven reasons this delay is a “huge setback” to the Affordable Care Act. First among these is that “it proves the president’s assurances that everything was 100 percent on track to be false.” Another is that “it will open the floodgates to arguments that the rest of the law should be delayed as well.”

Ezra Klein, in his Washington Post Share to FacebookShare to Twitter (7/3) “Wonkblog” says that rather than just delay the employer mandate, it should be eliminated, or “at least utterly overhaul[ed].” On top of criticizing the mandate, Klein criticizes the way the Administration went about delaying it, with “a regulatory end-run around Congress.”

Avik Roy writes in the Forbes Share to FacebookShare to Twitter (7/3) “Apothecary” blog about the “significant impact” the delay will have “on the rollout of Obamacare, the private health insurance market, and the nation’s economy.” After significant analysis of each of these, Roy concludes, “If the employer mandate were to ultimately be repealed, or never implemented, today’s news may turn out to be one of the most significant developments in health care policy in recent memory.”

Jared Bernstein, a senior fellow at the Center on Budget and Policy Priorities in Washington and a former chief economist to Vice President Joseph R. Biden Jr, downplays the delay in the New York Times Economix Blog Share to FacebookShare to Twitter (7/3), while acknowledging that the media and the right will not. He concludes, “I think it’s an unfortunate delay of an important but relatively small piece of the bill, more growing pains of the type I’m sure Medicare had when it got going than anything existential. But that’s not how it will play in the hurly-burly of the next few days of Washington politics.”

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Employers Should Continue to Offer Coverage Under ‘Play or Pay' Provisions, Attorney Says

By Kristen Ricaurte Knebel

Employers wondering whether they should “play or pay” when it comes to the Affordable Care Act’s shared responsibility provisions should choose to play, an attorney said Feb. 7 during an event hosted by Alston & Bird.

“Employees value health insurance, and that you provide that health insurance. If you didn’t, you would have to pay them more, and the cost of paying them more is greater than the cost of providing that insurance,” said David R. Godofsky, a partner with Alston & Bird in Washington.

The Treasury Department and the Internal Revenue Service released a notice of proposed rulemaking (REG-138006-12) on employer-provided health care coverage under the Affordable Care Act’s employer shared responsibility provisions Dec. 28, 2012. The shared responsibility provisions also are often referred to as “play or pay,” or employer penalty rules.

Starting in 2014, tax code Section 4980H, added by ACA, will require employers with at least 50 full-time and/or full-time equivalent employees (FTEs) to offer affordable health care coverage that provides a minimum level of coverage or pay a penalty.

Coverage Is Valued

Employers currently face no penalty for failure to offer health insurance to employees, Godofsky said. Employers offer health insurance because they know that employees value it as a benefit.

Employees value employer-provided coverage for a number of reasons, chief among them being that it is cheaper than purchasing coverage on their own. Employer-provided coverage allows employees to pay less for group insurance and not pay income and Federal Insurance Contributions Act taxes on the money that goes toward health coverage, he said.

Godofsky said while many have suggested that employers will gravitate toward the idea of dropping coverage because they cialis online assume paying the penalty may be cheaper than offering coverage, that is not the case.

When employers crunch the numbers on whether to offer health coverage to employees or pay the penalty, “it doesn’t matter what assumptions” employers use, he said. Employers will end up offering health coverage to employees because it will ultimately cost less, Godofsky said.

“You might end up increasing the employee premium, you might end up having fewer employees covered, but if you do the analysis, you’re not going to end up” discontinuing coverage, he said.

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