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Health insurance too costly -- or is it? Survey
finds many owners don't know of tax breaks


Rules of ThumbAsk a small-business owner why the company doesn't offer health insurance to employees, and the owner will likely answer, "Too costly."

But is it really? A new survey of small-business owners shows why they don't offer health insurance, but also reveals that many don't know of the tax breaks that could make coverage more affordable.

The 2000 Small Employer Health Benefits Survey was conducted by Mathew Greenwald & Associates Inc. The Blue Cross and Blue Shield Association, the Employee Benefit Research Institute and the Consumer Health Education Council co-sponsored the survey.

While the survey identifies small businesses as the key to reducing the ranks of Americans without health insurance, in 1999, 40 percent of firms with between three and 49 employees did not offer coverage, while almost all employers with 200 or more workers did.

The top major reason for not offering insurance -- cost -- was cited by more than half the businesses surveyed.

But most small employers were unaware of health insurance tax incentives. For example, 57 percent did not know that health insurance premiums are 100 percent tax deductible, and 65 percent did not realize that premiums are treated like general business revenue for tax purposes.

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In addition, nearly half of small-business owners were unaware that employees who purchase their own insurance cannot deduct the whole cost, and 37 percent did not know that employees do not pay tax on the share of health insurance costs paid by their employer.

Other major reasons for not offering coverage include: employees having coverage elsewhere (43 percent); revenue too uncertain to commit to a plan; (40 percent); owner has coverage elsewhere (40 percent); employees can't afford it (37 percent); most workers being seasonal, part-time or high turnover (34 percent); and employees prefer wages and/or other benefits (30 percent).

Where does your business stack up on health benefits?

Emplyers: Health care too expensive

 

--Posted: Oct. 25, 2000

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