".....Insurance companies and self‐insured employers will dramatically reduce health benefits in
order to get the cost of their health plans below the threshold and avoid the tax – essentially
shifting the pain to working families by providing them with less comprehensive coverage.
Table 1 shows the effect of the SFC excise tax on the most popular plans offered by CWA
employers in 43 states for which we have data. Unless the plans remain below the threshold,
some plans will face taxes for each worker in the plan of up to $58,000 over ten years. The
average taxes over ten years that would be owed for each worker or retiree in the most popular
plan are:
• $19,300 for active worker family coverage
• $7,200 for active worker single coverage
• $8,500 for pre‐Medicare retiree family coverage
Clearly, employers faced with taxes of this magnitude will demand deep health benefits cuts
and cost shifting to workers to avoid paying the tax. “
emphatically do not plan to
absorb more health care costs or share any company savings (if there are any), according to
recent Towers‐Perrin survey of 433 human resource executives.3
2. Excise Taxes on Plans will Result in Benefit Cuts and Wage Increases to Offset Cost Shifting
The JCT and the Congressional Budget Office (CBO) assume that in response to a 40 percent
excise tax, employers will cut benefits to get the price of their plans below the threshold and
then increase workers’ wages to offset those cuts.
Workers will pay income and payroll taxes
on these new wages, which will result in about $142 billion (70 percent) of the $200 billion
windfall to the government projected in the legislation.4 In effect, workers’ health care benefits
will be taxed as new income. This is precisely the kind of tax on health care benefits proposed
by Sen. John McCain during the 2008 presidential campaign for which he was lambasted by
candidate Barack Obama and most other Democratic officials.
3 Towers‐Perrin, “Health Care Reform: Leading Employers Weigh In,” Sept. 2009, p. 1.
4 New York Times, “Congress Split on a Health Tax on Costly Plans,” Oct. 13, 2009, p. 1.
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http://files.cwa-union.org/healthcarevoices/CWAExciseTaxReport.pdf