Friday, December 12, 2014

Cadillac Tax/ Primary Physicians/ Injury and Illness Prevention Programs

One of the provisions of the Affordable Care Act is a so called Cadillac Tax for high benefit employer based health plans. A 40% excise tax will be charged to employers for amounts in  excess of the thresholds. The thresholds   for an individual  is $10200 and for a family $27500. Included in the threshold is
All premiums for paid by employer and employees for health insurance
Money contributed by employees and employers to a Flexible Spending Account, Health Reimbursement Account and a Health Savings Account.
Money paid for employee assistance account.

This will take effect in 2018. It is projected to raise $80 billion over a 10 year period.

This is a major topic of discussion for union plans and for larger companies but I have heard little discussion about the impact on small businesses. Are you impacted by this? What will you do if you are impacted?

Everyone knows the inefficiency  of the health care system in the US. One thing that has not been widely discussed  is primary care. Did know  that primary physicians account for just 6% of the cost of our health system but primary care accounts for almost 50% of the office visits. Clearly specialist are performing task that should be done by primary physicians. The problem is made worse in that we have a shortage of Primary Care physicians and right now the picture is not bright for  bringing into the system more primary physicians. Not sure what the answer is for this problem because people going into medicine are paid significantly more as specialist.

For those of you in the Oakland area see information about a training  program helping small businesses develop an Injury and Illness Prevention Program.

Greetings! We are announcing another "IIPP for Small Business" training ~ this time in Oakland. These trainings are specifically designed for small businesses ~ less than 50 fte ~ to help ensure their IIPPs are complete and up to date.

It will be Tuesday, January 20th from 1 - 5pm at the State Building (1515 Clay Street, Room 11). Pre-registration is required. Please visit our website for more information and to register:

Thank you!

Donna Iverson
Public Education Specialist
Labor Occupational Health Program / UC Berkeley


Scott Hauge
Small Business California
2311 Taraval Street
San Francisco, CA  94116

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