Insurance Fee For Big Businesses Helps Fund Obamacare : Shots - Health News Size does matter under the Affordable Care Act. Large companies such as Cleveland's Sherwin-Williams aren't likely to use the individual insurance marketplaces, but they will help pay for them.

Insurance Fee For Big Businesses Helps Fund Obamacare

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Health benefits for employees of larger companies are typically some of the most generous in the nation. Most of those workers won't be using the exchanges set up by the Affordable Care Act, but they will help pay for them. Sarah Jane Tribble of member station WCPN in Cleveland reports on a new fee that affects many large employers.

SARAH JANE TRIBBLE, BYLINE: The world of health care, like any, is full of haves and have-nots. It's not hard to the haves at Sherwin-Williams' corporate headquarters in downtown Cleveland where about 2,500 employees have access to an in-house health and wellness center. The company encourages them to take a break from their work and go to an exercise class, hop on an elliptical trainer or go for a run on the treadmill.

It's part of Sherwin-Williams investment in employees for the long term. Like other self-insured employers, it has a strong incentive to keep workers healthy. That's because any healthcare claims by employees are paid directly by the company. The corporation is betting it will be better off paying those costs rather than paying a certain price per month to an insurance company.

MARTHA LANNING: The key is to have healthy, engaged, productive, present employees.

TRIBBLE: That's Martha Lanning, the company's director of health and wellness plans. Sherwin-Williams and its employees are not likely to use the individual marketplace created by Obamacare, but they will help pay for it. Lanning says companies like Sherwin-Williams must devote staff members to sorting through the legal and administrative issues connected to the Affordable Care Act. These efforts cost money and, she says...

LANNING: We also have to pay this transitional reinsurance fee that totals for us, with some other aspects of the Affordable Care Act, about $4 million in 2014.

TRIBBLE: The government collects $63 from large employers for each employee and for each dependent it insures. That money goes into a fund for health insurance companies. The fund reimburses insurance companies for some extra costs in providing coverage to high-risk people on the Obamacare exchanges. You might think of it as a subsidy from big business for making insurance coverage available to everyone without regard to preexisting conditions.

Mark Hall, a professor of law and public health at Wake Forest University, says it's a sensible solution to a problem, he says, is temporary.

MARK HALL: The great feature of the Affordable Care Act is it now makes everyone qualify for coverage, but that means the first people to sign up or to show up are going to be the folks who need it the most. So we expect, particularly at the outset, that there is going to be a heavy load on the insurance pool of high-cost people.

TRIBBLE: The good news for large employers is that the fee is set to gradually set to disappear over the next three years. But Helen Darling, who heads a D.C.-based business advocacy group, worries it won't.

HELEN DARLING: Once something is in law and somebody's got an idea about a new tax, you're always nervous that that's going to become a way to finance something else and something that is supposed to go away and be sunsetted wouldn't be because they needed the money.

TRIBBLE: For a company like Sherwin-Williams with $10 billion in sales last year and a net income increase of 70 percent over the last three years, the added cost seems modest, at most. In fact, a recent survey by Mercer, the consulting company, found 55 percent of human resource executives at large businesses felt the Affordable Care Act was having no real effect on their profits.

Mercer also found that most large employers are passing on part of the ACA fees to workers. Sherwin-Williams, for its part, is committed to providing insurance to its employees, says Lanning.

LANNING: It's going to be the differentiating factor for businesses moving forward.

TRIBBLE: After all, she adds, the key to an engaged and productive workforce is its health.

For NPR News, I'm Sarah Jane Tribble in Cleveland.

CORNISH: This story is part of a reporting partnership with NPR, WCPN and Kaiser Health News.


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