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I'm not trying to be dense, I don't understand why this doesn't make sense. My employer offers salary, insurance, bonus, perks etc. and others do the same. I lo

I'm not trying to be dense, I don't understand why this doesn't make sense. My employer offers salary, insurance, bonus, perks etc. and others do the same. I look at my options and take the offer I value the most. What part of the contract doesn't make sense? Most contracts have two parties with different incentives

lotsofpulp 7y ago
The part where because company A employs 5,000 people, and can segregate their employees into a healthier than average pool (since they're working, they usually are), they get access to lower cost health insurance to pay their employees with, and company B, a new startup trying to compete, has to pay higher insurance premiums on healthcare.gov because they don't have the established group of lives to create a separate insurance pool, and because they can't afford the overhead of administrative work involved with providing health insurance benefits.
Ididntdothis 7y ago
It’s all good. But it doesn’t make sense that the employer can choose to get a tax benefit. Every employee/person should have this tax benefit available no matter what the employer does. Your employer still can subsidize this, no problem.
bluGill 7y ago
It makes the contract more confusing, and often you don't even have complete information. You get two offers for different amounts, both with insurance - which is the better offer? If the higher offer includes worse insurance it may be the worse offer, but it is really hard to figure this out. In fact in many cases they won't even tell you enough about their insurance plan until after you accept so you didn't compare well. Even if we ignore the above, is the plan they offer right for you? If you don't have a doctor you can save a lot of money just taking an in-network doctor they assign to you - so long as they have enough doctors in network, and doctors are qualified it doesn't matter how many other doctors could see you. Or maybe you have one you like and are willing to pay extra for that. Both are reasonable choices for different people - but you don't get to choose. I'd personally take an extra $5/month in my pocket in exchange for a small in-network list of doctors (so long as it is large enough that I can get help when I need it), my wife is pickier and would pay an extra $10 to choose whatever doctors seems good at the moment - both are valid choices (I'm not sure what we would do if we actually had any choice in the matter: the conversation is only hypothetical now)

lotsofpulp 7y ago

The part where because company A employs 5,000 people, and can segregate their employees into a healthier than average pool (since they're working, they usually are), they get access to lower cost health insurance to pay their employees with, and company B, a new startup trying to compete, has to pay higher insurance premiums on healthcare.gov because they don't have the established group of lives to create a separate insurance pool, and because they can't afford the overhead of administrative work involved with providing health insurance benefits.

Ididntdothis 7y ago

It’s all good. But it doesn’t make sense that the employer can choose to get a tax benefit. Every employee/person should have this tax benefit available no matter what the employer does. Your employer still can subsidize this, no problem.

bluGill 7y ago

It makes the contract more confusing, and often you don't even have complete information. You get two offers for different amounts, both with insurance - which is the better offer? If the higher offer includes worse insurance it may be the worse offer, but it is really hard to figure this out. In fact in many cases they won't even tell you enough about their insurance plan until after you accept so you didn't compare well. Even if we ignore the above, is the plan they offer right for you? If you don't have a doctor you can save a lot of money just taking an in-network doctor they assign to you - so long as they have enough doctors in network, and doctors are qualified it doesn't matter how many other doctors could see you. Or maybe you have one you like and are willing to pay extra for that. Both are reasonable choices for different people - but you don't get to choose. I'd personally take an extra $5/month in my pocket in exchange for a small in-network list of doctors (so long as it is large enough that I can get help when I need it), my wife is pickier and would pay an extra $10 to choose whatever doctors seems good at the moment - both are valid choices (I'm not sure what we would do if we actually had any choice in the matter: the conversation is only hypothetical now)