Massachusetts residents who can afford to buy health insurance
coverage but do not would pay penalties of as much as $900 in 2008, under
proposed regulations.
Under the state’s landmark 2006 law, intended to move
Massachusetts close to universal health care coverage within a few years, the
penalty for not having coverage in 2007 was the loss of the personal exemption
for state income tax purposes, which equaled $219.
In 2008 and succeeding years, the penalty is based on one-half of
the premium of the lowest-cost plan available through a state agency known as
the Connector Authority. The law, though, left it to the Massachusetts
Department of Revenue to provide the details.
Under the regulations, the penalty for not having coverage would
be linked to income and the period of time that a person is uninsured. For
example, a 27-year-old with income exceeding 300 percent of the federal poverty
level would pay a penalty of $76 for each month he or she was uninsured, up to
$912 if uninsured for the entire year.
The penalties are intended to encourage state residents to
purchase health insurance.
However, the penalties do not apply to those who can prove that
affordable health insurance coverage is not available. And, under existing
regulations, employees earning between $35,000 and $40,000 a year who decline
individual coverage offered by their employers will not be penalized if their
share of the monthly premium exceeds $200, while employees earning between
$40,001 and $50,000 a year declining individual employer-provided coverage are
exempt from the penalties if their monthly premium cost is more than $300.
Regardless of coverage costs, the penalties would apply to
individuals earning more than $50,000 a year, couples earning more than $80,000
a year or families with children earning more than $110,000.
The penalties do not apply to individuals earning up to $15,324,
since their health insurance premiums are completely subsidized by the state.
Currently, about 75 percent of state residents who lacked coverage before the
enactment of the 2006 law now are insured, with most of the newly insured
obtaining coverage through a state premium subsidy program available to
lower-income residents and through an expansion of Medicaid, which is offered to
the very poor.
Filed by Jerry Geisel of Business Insurance, a sister
publication of Workforce Management. To comment, e-mail
editors@workforce.com.