Political Hotsheet
By

Stephanie Condon /

CBS News/ December 8, 2009, 6:04 PM

Unions Slam Proposed "Cadillac" Health Care Tax

(AP)
Democrats in the Senate are on the verge of agreeing to a plan that would essentially extend federal employee health insurance options to the rest of the country. But just as the federal health insurance network could become the national model, labor unions are warning it could also be unreasonably taxed under the Senate plan.

A group of unions released a report (PDF) today showing that the so-called "Cadillac" tax on higher-cost health insurance plans would, after three years, begin to hit the most popular health care plan within the Federal Employees Health Benefits Program (FEHBP) -- ultimately impacting 48 percent of all federal employees and nearly 3.8 million people.

"I never really thought that our Chevy of a plan for federal employee health benefits would be a Cadillac plan," John Gage, president of the American Federation of Government Employees (AFGE), said on a conference call today.

Rep. Gerry Connolly (D-Va.) said the health benefits tax goes back on President Obama's promise not to tax the middle class.

"The Senate has gone into territory that most certainly will affect the middle class," he said.

Instead of offering a publicly-run insurance plan, or "public option," as part of their health care overhaul, Democrats in the Senate are now considering a plan to establish national private health insurance options, which would be administered by the Office of Personnel Management (OPM) -- the same bureaucratic office that administers the FEHBP.

Congressmen would be able to tell their constituents "you're going to get exactly what we have, and that every federal employee has, you can buy into it,'' Sen. Mark Begich (D-Alaska) said Monday, according to the Associated Press.

Yet after three years, according to labor unions, the most popular FEHBP plan, a Blue Cross/Blue Shield Standard plan, would be subject to the Senate Democrats' proposed 40 percent tax on high-premium insurance plans. The tax on so-called "Cadillac" plans is a key provision in the Senate bill that is expected to be a large revenue raiser.

Starting in 2013, the tax would hit health care plans that exceed $23,000 for a family and $8,500 for an individual. These thresholds would increase annually at the rate of general inflation plus one percentage point — roughly 3 percent a year. Meanwhile, the union report points out, the Blue Cross/Blue Shield Standard plan has increased at an average annual rate of around 9 percent over the last 11 years. At this rate, according to the report, the version of the Blue Cross/Blue Shield plan that includes vision and dental coverage would be subject to the tax starting in 2015.

Health Care Progress Report: December 7
CBSNews.com Special Report: Health Care

Union leaders say that insurers will be compelled to pass on the cost of the tax to employees or cut benefits to avoid the tax.

"The Senate excise tax was intended to target luxurious plans, but ultimately... as currently drafted the tax will turn our Chevy plans into Yugo plans," said Fred Rolando, president of the National Association of Letter Carriers (NALC).

The union leaders who spoke with reporters today said they are unconvinced the cost containment measures currently in the Senate bill will keep costs from rising at the high rates they have seen for years.

Instead of subjecting so many federal health plans to the tax once their costs increase, Communications Workers of America President Larry Cohen said the Senate should take up the revenue raising methods adopted in the House.The surtax on wealthy Americans and the public option would be better ways to bring in funds and achieve cost savings, he said.

Connolly said the health benefits tax would be stripped of the legislation once the House and the Senate have to merge their bills -- a step that would come after the Senate passes its own bill.

"I'll make a flat out prediction," he said. "Once we sit down in conference, I can assure you the excise tax as currently contained in the Senate bill will not survive."

While the unions would like to see the measure stripped in that process, Cohen said he was not prepared to threaten to withdraw the CWA's support for the overall health care measure if the tax stays in place.

"We're confident with allies like Gerry [Connolly] and the House leadership," he said.
© 2009 CBS Interactive Inc. All Rights Reserved.
12 Comments Add a Comment
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moldremoval says:
Really good site.Thanks for letting me to comment in it.
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Secaii says:
What's this "Cadillac" of plans bit? Our federal health care plans are NO walk through a flowery meadow! I've had to switch to other plans due to sloppy management when it comes to payment. We fed employees don't have GREAT dental and vision care, only the bare basics. If you want a Cadillac health care plan, go work for Boeing! Seriously. The unfortunately part with them is when you retire, you don't get to carry medical into your retirement.
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Freethinker44 says:
Can anyone comment on what, exactly, would be taxed? I am a government employee who is enrolled in Feveral Blue Cross/Blue Shield, family plan, standard option. About $350 per month is taken out of my paycheck for this FEHB coverage. Would the tax be on the $350 per month that I pay? Would they tax the portion of the premium that the government pays? Would they tax the monetary value of any health care my family actually receives? Or would they tax the monetary value of health care that my family qualifies for, whether we actually go to the doctor or not?

What would be taxed? Does anyone know?
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PitbullDad1 says:
CBS NEWS' cavalier use of the term "bureaucratic" reflects its total disdain of public servants when it stated:

"...administered by the Office of Personnel Management (OPM) -- the same bureaucratic office that administers the FEHBP. ..."

What were you thinking?

Apologies are in order.
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JEngdahlJ says:
Many different variables might push health plans into "Cadillac" territory, including geographic location, plan demographics, and other characteristics of the insured population. More at http://www.healthcaretownhall.com/?tag=cadillac-plan
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redwilma says:
It seems clear to me that health insurance companies are bloated middlemen that we don't really need. We need to pool it to get health insurance and one great big pool would be best. If I was an insurance company employee, I'd be looking around for another job. Single payer is coming. It's so clearly best for us. Insurance companies take 70% of all healthcare costs; with medicare, it's 3%. We want the money going to the healthcare providers not insurance workers (no offense) who don't really do anything but figure out how to bill us and what's not covered.
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dremn1 says:
Anybody tired of unions. Please go away
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Old_Engineer says:
What problem cannot be solved with a tax on somebody else? Climate itself will be changed for the better if we only tax energy enough and cripple our economy. And best of all, if we only have the audacity to tax health care at a sufficiently high rate, we will reap trillions in revenues to pay for health care. This is brilliant. If we only had the ingenuity to tax government, we could easily pay for all the government we want.
I'm not missing anything, am i?
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mav547166 replies:
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Government does tax it self. They take a third of a Servicemen's(or any government employee for that matter) pay for taxes, FICA, and social security.
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Patriotson says:
Unions tried card check to create mandatory union membership and now they are whinning because they are going to have to pay a tax like every other sucker citzen of the US.
The Obamacare will be the largest taxing bill that will include the middle class and others because Obama admin cannot tell the truth to the citizens of the US.
Just wait and see, you havn't seen anything yet! This is only the beginning of the ajenda to bring socialism and class warfare to the shores of this country.
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1notrub11 says:
Oh no! Trouble in Eden.
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