PPACA and Households

Major Provisions

  • Health Coverage for Older Children. Health coverage for an employee’s children under 27 years of age is now generally tax-free to the employee. This expanded health care tax benefit applies to various work place and retiree health plans. These changes immediately allow employers with cafeteria plans –– plans that allow employees to choose from a menu of tax-free benefit options and cash or taxable benefits –– to permit employees to begin making pre-tax contributions to pay for this expanded benefit. This also applies to self-employed individuals who qualify for the self-employed health insurance deduction on their federal income tax return. Learn more by reading our news release or this notice.
  • Pre-existing Condition Restrictions. People with illnesses or disabilities may be unable to obtain private health insurance or may find that the coverage offered them is so costly that they cannot afford it. In the Affordable Care Act, Congress provided relief for these people that will roll out in two phases. First, as of 2010, insurers can no longer deny or restrict coverage for children who have been diagnosed with an illness (that is, a preexisting condition). Also, from 2010 to 2014, a new, temporary Pre-Existing Condition Insurance Plan program will offer uninsured adults with preexisting conditions coverage in special state-based “pools.” In a second phase, from 2014 on, all health plans will be prohibited from restricting coverage of preexisting conditions or charging higher premiums to individuals with health problems.

PPACA and Taxes (link to new page)

Links

On-line Resources

  • The Foundation for Health Care Coverage, Health Care Options Matrix™ is the only hand-held guide available that outlines all of each state’s public and private health coverage choices for individuals and groups in almost every demographic profile, as well as offering a reference list of program contact information. A separate profile is available for each state.

Calculators

Research and Analysis

News

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