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Comparative <br />Health Insurance <br />Effectiveness <br />Industry Fee <br />Reinsurance Assessment <br />Research Fee, <br />What is it? Annual fee on insured <br />Annual fee on all insured plans <br />Annual fee on insured and self - <br />and self- insured plans <br />beginning in 2014 <br />insured plans, 2014 -2016 <br />beginning on /after <br />10/2/11 <br />Excludes Dental /Vision <br />Includes Dental /Vision <br />Excludes Dental /Vision <br />How much? Annual fee of $1, then <br />Estimated costs: <br />Estimated costs: <br />$2; indexed to med <br />inflation till 2019 <br />2 t o 2m fo,e 2014 <br />0 $63 PMPY in 2014 <br />• First payable July 2013 <br />- 3 to for 'titer, yea Ir' <br />$40 to $60 PMPY in 2015 <br />$25 to $35 PMPY in 2016 <br />IS tax - deductible <br />NOT tax - deductible <br />IS tax - deductible <br />Who pays? FI: Insurer pays, built into. <br />Insurer pays <br />0 FI: Full amount built into rates <br />rates <br />• Applies only to insured business, <br />for 1/1/14 +; partial load in 2013 <br />• SF: Per regulations, <br />will be based upon each insurer's <br />. SF: Client is liable but Payor <br />employers must calculate <br />share of the taxable health <br />submits payment on their behalf <br />and pay own fee <br />insurance premium base (among all <br />Payor will assist <br />health insurers of U.S. health risks) <br />