The truth for most employers is that the Affordable Care Acts feared excise tax is coming in 2018. In the public sector, major employers such as the City of Boston are utilizing vendor and plan management strategies, with the help of union negotiations, to control their health plan costs.
Last spring, The Segal Company disclosed to the citys more than 40 unions that two health plans already exceed the excise tax threshold for active employees. When applying a 6.5% trend increase to the other plans, all plans were in danger of hitting the tax in 2018, explained Kathleen Green, Bostons director of health benefits and insurance, speaking at the International Foundation of Employee Benefit Plans 60th Annual Employee Benefits Conference.
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