Why some companies are ending health-care benefits

healthcare3.jpgThe reflexive explanation is that business owners are greedy and uncaring about their workers, especially those part-timers who are shut out of coverage under the new health care law. But it's not nearly so simple. Monrovia-based Trader Joe's received some unwelcome attention by announcing that it would end coverage for people working less than 30 hours a week, although it would provide $500 to help them purchase insurance in the new public exchanges. That money, along with the tax credits available under the Affordable Care Act, should be enough to offset at least some of the additional cost. Certainly, none of this stuff is easily digestible - just 25 percent of those surveyed by Pew and USA Today say they have a very good understanding of how law will impact them. That said, companies like Trader Joe's seem to be trying. Here's how it explained the new policy (via the Washington Post):

Thank you for writing to us. It's possible you have been misled, at least to some degree, by the headlines in some articles regarding our reasons for implementing the [Affordable Care Act] in January. We'd like to take this opportunity to clarify some facts. For over 77% of our Crew Members there is absolutely no change to their healthcare coverage provided by Trader Joe's. The ACA brings a new potential player into the arena for the acquisition of health care. Stated quite simply, the law is centered on providing low cost options to people who do not make a lot of money. Somewhat by definition, the law provides those people a pretty good deal for insurance ... a deal that can't be matched by us -- or any company. However, an individual employee (we call them Crew Member) is only able to receive the tax credit from the exchanges under the act if we do not offer them insurance under our company plan.


Perhaps an example will help. A Crew Member called in the other day and was quite unhappy that she was being dropped from our coverage unless she worked more hours. She is a single mom with one child who makes $18 per hour and works about 25 hours per week. We ran the numbers for her. She currently pays $166.50 per month for her coverage with Trader Joe's. Because of the tax credits under the ACA she can go to an exchange and purchase insurance that is almost identical to our plan for $69.59 per month. Accordingly, by going to the exchange she will save $1,175 each year ... and that is before counting the $500 we will give her in January. While we understand her fear of change, at her income level this is a big benefit that we will help her achieve.

Clearly, there are others who will go to the exchanges and will be required to pay more. That is usually because they have other income and typically a spouse who had a job with no benefits and they do not qualify for the subsidies under the ACA. One example of that we had yesterday was the male Crew Member who worked an average of 20 hours per week but had a spouse who is a contract consultant who makes more than $200,000 per year. The Crew Member worked for the medical benefits and unfortunately for them they are likely to have to pay more because of their real income. We understand how important healthcare coverage is to our Crew Members and we are pleased to be able to provide and support this program.

The Post's Sarah Kliff reminds us that companies don't offer health care coverage solely out of the goodness of their hearts. It's to stay competitive and enhance productivity. There also are potential tax benefits. Point is, the decision-making that's involved in adjusting to the ACA goes well beyond saving a few bucks.


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Mark Lacter
Mark Lacter created the LA Biz Observed blog in 2006. He posted until the day before his death on Nov. 13, 2013.
 
Mark Lacter, business writer and editor was 59
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