Health insurance tax faces challenge.

The health insurance industry and business allies are stepping up their  campaign to repeal another new Obamacare tax this fall — one that they argue  will hit consumers smack in the health care part of their wallet.

As Congress returns from recess, expect to hear more about the health  insurance tax, or HIT, as it’s known, a levy in the health care law to raise  $116 billion through 2023. That money, in turn, is  America’s Health Insurance Plans, the U.S. Chamber of Commerce,  an insurance brokers association and other groups launched a digital advertising  and social media campaign last month to stir opposition to the tax, especially  in states of the lawmakers who might do something about it.

The campaign will formally launch inside the Beltway later this month, after  having attracted several additional trade groups to the initial coalition.

The ads focus on the tax but not the health care law itself. The message is  that the tax counters the goals of health reform by making insurance more  expensive, and therefore less affordable. The cost is expected to be passed on  to consumers.

But the tax is also a large piece of the funding for the insurance expansion  — which, in turn, will create millions of new customers for insurers, many with  government subsidies.

The health insurance tax won’t hit the premiums of people who work for many  large employers — which cover a great majority of working Americans. Most big  employers already offer coverage through something called self-insurance —  meaning they actually use their own dollars to pay the medical bills and use the  insurers to administer the health plans. The employer, not the insurer, carries  the risk.

The tax does apply to insurance companies that pick up the tab, including the  private Medicare Advantage plans and those that will be sold to individuals on  the new state-based Obamacare exchanges. It applies to most small-business  plans, which are less likely to self-insure.

Author: (bnorman@politico.com

 

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