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OPEB Update - Healthcare Reform's Effects
2011 - Vol 1, Issue 3
In This Issue
How will the "Cadillac Tax" affect your OPEB plan?
OPEB participation rates under healthcare reform
The impact of Medicare reform on OPEB plans
PPACA starting to affect retiree health plans
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This issue addresses some of healthcare reform's effect on retiree health plans.  Take a look at the articles of interest to you - and let us know your comments and questions.
How will the "Cadillac Tax" affect your OPEB plan?

 Although the effect of healthcare reform on retiree health plans is difficult to gauge at this point, there are several provisions that could impact the long-term costs   and strategies for employer plans. Let's start with the so-called "Cadillac Tax" on high-cost insurance plans, effective in 2018.

 

What it is:   A non-deductible 40% excise tax paid by the coverage provider (employer and/or insurer) on the value of health plan cost in excess of certain thresholds. Currently, most plans are well below the thresholds, but are likely to exceed them in the next decade. This is because the thresholds will be indexed at CPI-U which is significantly lower than medical inflation rates affecting plans. 

Read more...
OPEB participation rates - "kind of a grey area" under healthcare reform

One of the highest impact assumptions in OPEB actuarial valuations is the participation rate.  This rate represents the percent of future retirees assumed to participate in the employer's health plan during retirement.

The participation assumption has a direct and leveraged effect on OPEB liabilities.  For example, if the assumption is that 60% of employees are assumed to elect coverage at retirement, but the actual "crystal ball" rate is 40%, then the plan's liability is 1½ times what it should be.  As a result of healthcare reform, similar examples may become a reality that employers and actuaries should address proactively.   

 How will healthcare reform affect participation rates?  That's kind of a grey area.  How grey?  "Charcoal" as Fletch would say.    Read more... 

The impact of Medicare reform on OPEB plans

Employers who offer retiree health benefits to their employees have something new to think about: How will proposed Medicare reforms impact my plan and its costs? Although changes to the Medicare system are likely a long way off, Medicare reform is a hot topic lately and changes to the program could have a dramatic effect on your retiree obligations if you aren't prepared for it.

A recent Governing article provides a good summary of the relevant issues for public employers. Many of these ideas are equally applicable to private sector retiree health and OPEB plans. I thought it would be useful to summarize some of these points and add a couple of other considerations.

Read more... 

PPACA starting to affect retiree health plans

October 6, 2010 

In the retiree benefits world, there is a general consensus that several provisions in the Patient Protection and Access to Care Act (PPACA) may cause employer sponsors of retiree health plans to rethink those programs. These changes include:

- Filling of the Part D "doughnut hole" (2010-2020)

- Guarantee issue insurance with no pre-existing condition exclusions (2014)

- Health insurance exchanges (2014)  

(Read more

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