Health insurer tax
Effective Date: 1/1/2014 and after
Responsible Party: Issuers of fully-insured plans
This annual tax was designed to offset a portion of the expenses related to providing premium subsidies and tax credits to qualified individuals purchasing coverage through exchanges. It averages approximately 2-4% of dues and/or premiums.
Other taxes include:
Patient-Centered Outcomes Research Institute fee (PCORI)
Effective Date: Plan/policy years that end after 9/30/2012 and begin before 10/1/2019
Responsible Party: Issuers of fully-insured plans and Sponsors/administrators of self-insured plans
$1 or $2 per year, per person (adjusted annually for inflation), based on the average number of covered lives.
Tax on high income earners and unearned income
Effective Date: Tax years beginning 1/1/2013 and after
Responsible Party: Individual taxpayers
0.9% Medicare surtax on wages in excess of $200,000 single/$250,000 married couples
3.8% tax on unearned income for taxpayers with modified adjusted gross income in excess of $200,000 single/$250,000 married couples