Went somewhere else. That makes the point. The variation cast light i know very well this organization because of the data they garner from the medical community is shockingly on a number of topics but well continue talking about it obviously in this area because of the location its not the easiest concept unless theres another questions Something Else i want to comment on the vitamin d. I knew someone would ask that so i the my homework ill submit it now. This is a big topic vitamin d. Any other Public Comment on this item thank you very much for your followup. Public comment on this decision item if not well move to the next. Item 14 decision report on 2018 excise tax. Im tom. Good afternoon. Im here to present a deck on the Affordable Health care act in 2008 excise tax referred to as the cadillac tax as you tom spec speak directly into the microphone. We cant extend it up to you youre going to have to lean and the x kiss tax is one of the last big items interest the Affordable Healt
Distant time to us its a vastly different time we sit here today and say 2018 it will be upon us rapidly and people are saying we consider the election that will take care of it all thats a foolish position to be in im pleased to see were spending time to get an advanced understanding and important popular the regulations are not complete so the degree we have through our Coalition Partners and other founders what understand and bring to bear some clarity about what the regulations are going to although they could be issued any day i hope we can find partnerships to try to get clarity rather than assuming well, you know the election is going to take care of it or the repeal or congress some other wish list of disasters or probabilities thank you for your work. Just a comment the excise tax is the final nail to get employers to drop health care under the Affordable Health care act why wouldnt most employers do that it appears that would be moved. The penalty on the other side. How much.
You found through your friend if you wish but the reimbursement is not as much or you can do this and we have proves of boo outcome and quality that match the very same thing that the high permitted provider is providing at least in the initial round they loud people to make a choice and tried to encourage folks through their Physician Network to go to the network theyve identified for those procedures but if a person said im absolutely not comfortable with that they fixed the Reference Price as the reimbursement and youll have to bear the resting for oourts if you disdecide to do it go ahead this is the Reference Price. So a list of doctors that were checked outer as a group. Yeah. Were really talking about the concept and the concept i understand the concept. And how it actually molesters. Quite frankly our colleagues with blue shield might have a better way to articulate it by the concept of a facility of john meyer or whatever in terms of you go there or the list of those ten facil
That in and of itself is representing theres taxes over time thats important for the board to be aware of as i mentioned the increased threshold for highrisk occupations and premeditatedly retirees so the previous slides we said Health Care Premiums and the coverage is much more broad so currently or current the law suggests that the tax includes medical both fully insured and selfit you funded vision and dental and also contributions to medical that spending accounts be as much as medical care and flexibility e flexible spending accounts the board should note in our initial analysis we didnt clubbed that but have the information in the appendix at this time weve not included did p p 0 for dental with the summaries that the board will consider changing the funding mechanism of the dental p po at the time of implementation as written would suggest that the board change the funding most povrl at this time regulations have not been promulgated for the implementation of taxes what was writ
Suggests that the tax includes medical both fully insured and selfit you funded vision and dental and also contributions to medical that spending accounts be as much as medical care and flexibility e flexible spending accounts the board should note in our initial analysis we didnt clubbed that but have the information in the appendix at this time weve not included did p p 0 for dental with the summaries that the board will consider changing the funding mechanism of the dental p po at the time of implementation as written would suggest that the board change the funding most povrl at this time regulations have not been promulgated for the implementation of taxes what was written in the actual law when was was passed weve not seen more guidance there are questions about the provisions written in the law but unfortunately, we have not had any further guidance so one important regulation that we do use in our analysis is that the law mentions you can blend similar medical and medicare retir