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GAO: IRS Should Mitigate Limitations of Data to Be Used for the Age and Gender Adjustment for the Tax on High-cost Health Plans

September 1, 2017

Pursuit's Take

Starting in 2020, the Affordable Care Act is scheduled to impose a 40% tax on high-cost health plans when an employee’s annual cost of coverage exceeds a certain dollar limit. The limit may be adjusted if an employer’s workforce—based on age and gender—is likely to have higher than average health costs.

The adjustment is to be made based on the costs of the federal employee BlueCross BlueShield Standard plan, but GAO found that an adjustment based on this plan’s costs alone may not be effective due to the relatively high costs incurred by its young members.

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