Published by John Wiley & Sons
Chapter Thirteen
I was painfully initiated into boxing, because the guys I
fought were a lot bigger than me.
- Sugar Ray Leonard
OUT OF CONTROL COSTS
Imagine a health insurance agent speaking with your business
client about their health insurance. The
agent is thinking about the $100,000 premium they are going to receive when
your client renews his Major Medical health insurance plan. The agent conveniently forgets to mention an
alternative type of health insurance plan that can reduce premiums by 40% - a
Health Savings Account (HSA) .
Think this is not happening everyday? … think again.
If you think rising healthcare costs are only the insurance
company’s problem or your employer’s problem, think again. Most employees pay 10%-90% of their healthcare
costs, when all costs are included. All
it takes is a quick review of your pay stub over the last few years to see that
the insurance companies are passing on increasing healthcare costs to employers
and employers are passing on these costs to employees. Healthcare costs have risen 8%-10% each year
over the last three years and are likely to grow two to three times the rate of
inflation for the foreseeable future.
Compounding the problem are State insurance laws. Almost every state in the U.S. can deny
individuals coverage through the underwriting process. New Jersey is one of only five states in the
U.S. that provides for “guaranteed issue” – which guarantees health coverage,
regardless of health status, age, claims history, or any other risk factor. Although this may be considered a blessing,
it is an expensive blessing. Almost by
definition, this increases the cost of insurance coverage for everyone in the
state to account for those who use the benefits most.
Established as part of the Medicare Prescription Drug,
Improvement, and Modernization Act of 2003, the HSA is a hybrid between health
insurance and a retirement plan. The HSA
was established so savings used for qualified medical expenses for yourself, or
anyone you claim as a spouse or dependent would be free from taxes. Qualified medical expenses include: medical
doctors, dental and optical care, chiropractic care, long-term care, and
Medicare Part A or Part B and Medicare HMO insurance premiums. Unqualified medical expenses include: cosmetic
surgery, health club dues, nonprescription drugs and medicines and funeral
expenses.
Lance Wallach,
National Society of Accountants Speaker of the Year and member of the American
Institute of CPAs faculty of teaching professionals, is a frequent speaker on
retirement plans, financial and estate planning, and abusive tax shelters. He speaks at more than ten conventions annually
and writes for over fifty publications. Lance has written numerous books
including Protecting Clients from Fraud, Incompetence and Scams
published by John Wiley and Sons, Bisk Education's CPA's Guide to Life
Insurance and Federal Estate and Gift Taxation, as well as AICPA
best-selling books, including Avoiding Circular 230 Malpractice Traps and
Common Abusive Small Business Hot Spots. He does expert witness testimony
and has never lost a case. Mr. Wallach may be reached at 516/938.5007,
wallachinc@gmail.com, or at www.taxaudit419.com or www.lancewallach.com.
The information provided herein is not intended as legal,
accounting, financial or any type of advice for any specific individual or
other entity. You should contact an appropriate professional for any such
advice.