Health Care Reform

Indirect Fees

Health Care Reform includes three fees that could indirectly raise health plan costs for plan sponsors:

  • Prescription Drug Manufacturer Fee
    Beginning January 1, 2011, brand name prescription drug manufacturers must pay an annual fee based on their prescription drug sales to specified federal government programs.  Costs are likely to be passed on to plan sponsors in the form of increased brand name prescription drug costs.
  • Medical Device Fee
    Beginning January 1, 2012, medical device manufacturers, producers, or importers must pay an excise tax equal to 2.3% of the sale price on the sale of certain medical devices.  Costs are likely to be passed on to plan sponsors in the form of increased medical device costs.
  • Health Insurer Fee
    Beginning January 1, 2014, health insurance companies must pay an annual fee based on the amount of premiums they receive.  Costs are likely to be passed on to plan sponsors in the form of increased premiums.

American Fidelity Assurance Company does not provide tax or legal advice.

ESB-856(0813)

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