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Obamacare - individual mandate

Posted on 4/24/13 at 1:11 am
Posted by matthew25
Member since Jun 2012
9425 posts
Posted on 4/24/13 at 1:11 am
The men's group at my church met tonight. My committee talked about helping people understand the ACA and this question came up:

We have 3 full-time janitors and one part-time. The part-time is scheduled for 20 hrs per week. That $145 per week, less FICA, total $134.

Does the individual mandate apply to him? An insurance rep said premiums are nearly $440 per month, which would take his paycheck.
Posted by ZereauxSum
Lot 23E
Member since Nov 2008
10176 posts
Posted on 4/24/13 at 7:06 am to
I believe there is some income floor that is applied that would make the janitors exempt.
Posted by Vols&Shaft83
Throbbing Member
Member since Dec 2012
70096 posts
Posted on 4/24/13 at 8:07 am to
Didn't you read the mandate? It's only 2,409 pages you lazy bastard
Posted by ZereauxSum
Lot 23E
Member since Nov 2008
10176 posts
Posted on 4/24/13 at 8:40 am to
quote:

Didn't you read the mandate? It's only 2,409 pages you lazy bastard


"We have to pass the bill to know what's in it"
Posted by Poodlebrain
Way Right of Rex
Member since Jan 2004
19860 posts
Posted on 4/24/13 at 9:06 am to
If the part-time janitor's only source of income is from your church, then he will qualify for Medicaid or for subsidies to assist him purchase health insurance.
Posted by BACONisMEATcandy
Member since Dec 2007
46739 posts
Posted on 4/24/13 at 9:43 am to
He would be forced into Medicaid if that's his only income
Posted by BlackenedOut
The Big Sleazy
Member since Feb 2011
6064 posts
Posted on 4/24/13 at 11:31 am to
The mandate applies, but two things (a) he likely qualifies for Medicaid or at the very least serious subsidies (b) if he didnt get insurance he would likely not have to pay the penalty due to economic hardship exemption.

As others mentioned, likely Medicaid.
Posted by Interception
Member since Nov 2008
11089 posts
Posted on 4/24/13 at 12:15 pm to
I have 10 full time employees

In 2014, that number will move to 3

29 hours is all they get or they can quit

My guess is everyone will be doing the exact same thing so they will stay
Posted by BlackenedOut
The Big Sleazy
Member since Feb 2011
6064 posts
Posted on 4/24/13 at 1:22 pm to
If you only have 10 full time employees, you arent required to offer health insurance. You are considered a small employer. If you dont offer insurance, no penalty will be assessed against you.
Posted by matthew25
Member since Jun 2012
9425 posts
Posted on 4/24/13 at 9:23 pm to
He's not eligible for Medicaid in Mississippi. He makes too much money.

Our state is not expanding the definition, so under current law he must make less than $5000 per year. At 20 hours, he will make $7500 and thus be over the limit.

Wonder what subsidies they have under Romneycare.


ETA: Just looked at table: 1 person cannot make over $4846 per year ($403 month)
This post was edited on 4/24/13 at 11:47 pm
Posted by Asgard Device
The Daedalus
Member since Apr 2011
11562 posts
Posted on 4/25/13 at 12:57 am to
Under the ACA, there is a maximum out-of-pocket premium payment for subsidized plans in the exchange.

He would pay only 3%, maybe 4% of his income to get full-blown health insurance.
This post was edited on 4/25/13 at 1:08 am
Posted by matthew25
Member since Jun 2012
9425 posts
Posted on 4/25/13 at 1:45 am to
At 4%, that would be $25 per month for the individual policy.
Posted by Asgard Device
The Daedalus
Member since Apr 2011
11562 posts
Posted on 4/25/13 at 7:14 am to
quote:

Posted by matthew25 At 4%, that would be $25 per month for the individual policy.


It's probably going to be 3% for the part-time employee, and maybe 4% for the full-time employees, depending on what others in their household make.

They don't already spend money on healthcare services or prescription drugs from time to time?
This post was edited on 4/25/13 at 7:16 am
Posted by matthew25
Member since Jun 2012
9425 posts
Posted on 4/25/13 at 12:55 pm to
I don't know his exact medical situation. He sets up all tables/chairs for daily luncheons, Wednesday night meals, etc and is in good health.

Another thought, he could pay the first year (2014) penalty of $95.

We are looking at supplementing his pay somehow - either 300 (if 4%) to buy the insurance - or 95 to pay the penalty).
Posted by Asgard Device
The Daedalus
Member since Apr 2011
11562 posts
Posted on 4/25/13 at 1:24 pm to
quote:

We are looking at supplementing his pay somehow - either 300 (if 4%) to buy the insurance - or 95 to pay the penalty).


It's $4.35 a week for health insurance. Take it out of his tithe.
Posted by matthew25
Member since Jun 2012
9425 posts
Posted on 4/25/13 at 9:54 pm to
Taken from the PoliBoard:

Here's the catch: IF your AGI (Adjusted Gross Income) is less than your standard deduction for your filing status plus your personal exemptions (based on your 2012 filing status) you are exempt from having to pay ANY penalty tax and you receive free medical care without having to buy medical insurance from anyone. Otherwise, your penalty (tax) will be at least 1% of your AGI. And this penalty tax almost triples on January 1, 2015. The troubling fact is that a LOT, and maybe a majority of the people who voted for Obama have so little actual earned income that they are not even required to file a tax return


If I'm reading this correctly, a 1% penalty would only cost the janitor $75 per year. And I guess he is saying it will be $225 in 2015.
Posted by matthew25
Member since Jun 2012
9425 posts
Posted on 4/27/13 at 12:21 am to
Millions can't afford to go to the doctor
By Tami Luhby @CNNMoney April 26, 2013: 10:54 AM

Works out to be 80 million Americans
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