IRS provides guidance on ‘Cadillac’ health plan tax

The Internal Revenue Service has issued a notice addressing the Patient Protection and Affordable Care Act’s so-called “Cadillac Tax,” and provided guidance on the types of coverage subject to the tax and what will trigger the tax.

Advertisement

The Cadillac Tax is a 40 percent excise tax on the high-cost health plans some employers provide their workers. Scheduled to take effect Jan. 1, 2018, the purpose of the tax is to reduce overall healthcare costs by encouraging employers to offer cost-effective health benefits. Under the PPACA, both fully insured and self-funding employer health plans will be subject to the tax.

In the notice, the IRS suggested pre-tax employee contributions to health savings accounts will be counted in determining the cost of coverage. The agency also suggested items that may be excluded from determining the cost of coverage, including dental and vision benefits.

The IRS is seeking comments on its proposals, such as whether it would be possible to develop safe harbors that adjust dollar limit thresholds for employee population “with age and gender characteristics that are different from those of the national workforce.”

The IRS notice is helpful to employers who are already beginning to analyze whether their coverage options will be subject to the tax.

The IRS is seeking comments on the notice through May 15.

More articles on healthcare finance:

Want to know how much insurers pay providers? There’s a website for that
Wake Forest Baptist sees operating gains on higher admissions
Coming soon: A Cleveland Clinic health plan?

Advertisement

Next Up in Financial Management

  • Healthcare leaders are often expected to compartmentalize emotion to make difficult decisions, drive results, and maintain operational focus. For many years, I led…

  • Chicago-based CommonSpirit recorded an operating income of $2 million (0% operating margin) in the second quarter of fiscal 2026, down…

  • Amy Assenmacher, RN, senior vice president of revenue cycle at Grand Rapids, Mich.-based Corewell Health, is confident that healthcare is…

Advertisement

Comments are closed.