Use the information below to answer questions 21 through 24 and ultimately make a prediction about which insurance option is likely to be selected by Consultants, Inc., a family-run business with 68 employees, providing anesthesia services on "as-needed" basis to hospitals and ambulatory surgical centers in a large metropolitan area.
Consultants, Inc. has been in business for 8 years, offering one generous health insurance plan and sponsoring 60% of premium contribution ($2,900) for each of the 49 employees that chose to participate. Their plan, however, will not meet the minimum essential benefits requirements under the PPACA, and after January 1, 2014 the firm will face the following choices:
Option 1: No insurance.
The firm will face fines: $2,000 per each employee, starting with the 31st worker
Option 2: Better Insurance: purchase a conforming plan through the health benefits exchange. Estimated cost per employee (60% contribution toward the total premium of $6,000) is $3,600, 57 employees are expected by the firm to participate.
Option 3: Old insurance
Since it is likely that at least one of the workers who cannot afford this insurance will try to obtain it through the exchange, the employer is likely to face the same fines as in Option 1, in addition to paying part of the premiums for participating workers.
-Which option is likely to be selected by Consultants, Inc. in the year 2014?
A) No insurance.
B) Old insurance.
C) Better insurance.
D) Since the costs of staying with the old insurance and not offering insurance at all are identical, and the conforming plan, while more expensive, will bring a lot of employee loyalty gained through the provision of benefits, the firm will be indifferent between the three choices, i.e. equally likely to select any option.
E) The firm is likely to outsource 18 employees (all employees in excess of 50) to contractors in order to be considered as a small employer and avoid the requirement to provide health insurance under PPACA.
Correct Answer:
Verified
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