How Actually premium refund Works

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How Actually premium refund Works -

These health benefits example is to illustrate the potential cost savings for small businesses, and for employees, reimbursement using a premium plan approach with the premium tax credits. The premium tax credits to eligible employees by the health insurance market spaces. Amy's Premium Reimbursement Example

Amy premium refunds example

In 2014, "Amy" employer decided not to traditional health care to provide coverage. Instead offered Amy employers a premium refund plan that Amy leaves, and other employees who take advantage of the premium tax credits.

Amy earned $ 44,000 as an HR manager at a software start-up company in Washington state. Amy is 44 years old and has two children.

Because Amy's 22-person company decided not to offer a traditional group health insurance, Amy is that. For a premium tax credit based on their income and family size

Amy buys individual health insurance for themselves and their two children from her for a discounted price of $ insurance market of the State 264 / month. This represents a premium tax credit of $ 326 / month.

Amys company contributes $ 0 / month through its premium taxed reimbursement plan laid. After the premium tax credit and the contribution of their employer, Amy's total out-of-pocket amount is only 64 $ / month.

How does this kind of benefit approach save Amy and her company on the cost of their health insurance? Let's crunch the numbers.

Cost Amys insurance with premium refunds and the premium tax credits

With a premium refunds and premium tax credits approach, Amy's total premium cost is $ 50 / month by their health insurance market. This premium amount is divided into three parts: their premium tax credit $ 326 / month, wearing her employer $ 0 / month by the premium refund plan, and Amy pay $ 63 / month

Individual Health Insurance

Source :. Affordable Care Act 101

costs Amys health insurance group health insurance

When Amy's employer offered a group health insurance, A my total premium costs $ 1,366 / month by group been their employer would have to plan. This premium amount would have been divided in two ways. In this example, her employer 75% had contributed for a family plan and pay $ 1,024 / month, and Amy would pay $ 342 / month

dcsubsidies2

Source: Affordable Care Act 101

savings Overview

Because Amy offered employer health insurance combined with the premium tax credits premium refund saved (instead of a traditional group health plan), the company and Amy pay for equal or better health.

In this example, Amy's employer $ 824 / month or $ 9,888 / year saved.

Amy saved $ 278 / month or $ 3,336 / year.

What questions do you have about premium refunds and the premium tax credits?

Affordable Care Act 101 for Small Businesses eBook

Photo Credit: Hubspot

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