Here is what large businesses (Over 50 employees) can and should do to ease the pain.
Large
 businesses should employ a "linked" Healthcare Reimbursement 
Arrangement (HRA). Here is how it works. Let's say you have a group 
insurance plan that offers a $1,000 deductible for your employees. With a
 linked HRA, the business adjusts its group policy to a $5,000 
deductible (or higher). However, they maintain the lower deductible for 
their employees, essentially self insurring the amount between the 
deductibles.
When an employee hits the $1,000 deductible, the 
business reimburses the employee for out of pocket expenses until the 
higher deductible is reached.
The premium for the $5,000 policy will be 
significantly lower in cost. Most employees will not hit their 
deductible. The savings can be substantial - and all reimbursed expenses
 absorbed by the business are deductible expenses.
For businesses 
with 2 to 49 employees, the answer lies in a Cafeteria 125 plan. With 
this plan - the business cancels its group insurance plan (if it had 
one). A business is not required to provide insurance for employees if 
they are under 50 full time employees.
The Cafeteria 125 plan 
allows all employees to purchase their own insurance (on or off the 
exchange depending on their individual needs) and pay for their 
insurance and other qualified out of pocket expenses with pre tax 
dollars. Also employees will be able to take advantage of the Federal 
subsidies if they apply.
Here's how it works. The employer 
withholds the amount of individual health insurance premium from the 
paycheck of the employee (pre tax) and sends the withholding to the plan
 administrator. The employee pays his insurance premium as always to the
 insurance company, and submits proof of payment to the administrator. 
The administrator reimburses the employee the full amount (tax free). If
 an employee makes $35,000 and pays a post subsidy premium of $5,000 
annually, the employee's tax liability falls to $30,000.
The 
business wins in several ways. The savings from not having to provide a 
group healthcare plan will be tremendous. But beyond that, the business 
will see a significant reduction in FICA, Social Security and Medicare 
taxes. Also, the amount of the salary reported to its worker's 
compensation policy will reduce, providing savings on that premium as 
well. The Cafeteria 125 plan is a tremendous win/win for businesses and 
employees alike.
Smaller businesses where the owner employees 
family members may not get the same bang for the buck, as under a 
cafeteria 125 plan, the owner and immediate family members may only 
reduce 25% of the premium expense.
Small "mom and pop" businesses 
have solutions too. If a person owns a business, is a sole proprietor or
 and S corp, or even an LLC, they may likely qualify to open an HRA 
(Healthcare Reimbursement Arrangement) section 105 plan. Under this 
plan, the business may reimburse the owner 100% of healthcare premiums 
and out of pocket expenses, creating a very nice tax break.
These small 
business may already "deduct" health care premiums of the owner. This 
goes a step further by allowing the out of pocket expenses as well. The 
average business with an HRA 105 plan saves over $4,000 per year in 
taxes.
Here is a calculator where small business owners may figure their tax savings under the HRA section 105 plan: 
http://www.baseonline.com/105hra_savings.html.
Obamacare
 has created quite a stir. The law is helpful for many, and harmful for 
others. But, it is the law of the land. The wise and prudent business 
owner will learn that in order to combat a harmful tax law, one must use
 other tax law to their best possible benefit. The Linked HRA, the 
Cafeteria 125 plan, and the HRA 105 are long established solutions for 
business owners. Their usefulness has just become paramount in the new 
ACA economy and environment.
   
   
    
Barry Draper is a licensed insurance broker with Insphere 
Insurance Solutions. He has studied the effects of the Affordable Care 
Act on businesses and offers these tried and tested solutions as 
effective tools for any business to implement. Barry may be reached by 
visiting 
http://Insphereis.com/bdraper
    
Article Source:
    
http://EzineArticles.com/?expert=Barry_Draper
   
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