Martha said:
Are you sure you read Wyden's plan? This is not how it works. Employers pay a charge based upon their revenues and the number of FTE jobs. This charge is pretty small for small employers. See the Lewin report.
There's one more thing I wanted to go over with you, but I was too sleepy last night to get into it...
It seems like the HAA model assumes that the cost of brokers is tangible. Basically, they assume that all commission money is just basically wasted money, so if they eliminate that cost, all the better for Americans, right? However many people really don't understand what brokers do. We don't just simply make a sale, collect our commisison and then sit back and do nothing. We are extremely actively involved in administrative tasks such as taking care of enrollments, terminations, and billing and claim issues. In fact, we act as a surrogate HR department for many of our small employers that we do business with.
My shop employes four people, including myself and my husband. Two of our employees do nothing but service work and administrative tasks. The HAA model does not take into account that the goverment is going to have to pick up on all of those costs. Sure, it says that the goverment will now be the ones doing all enrollments, but I think they are underestimating the costs of keeping track of enrollments, explaining people's coverage to them, etc...as well as keeping track of terminations, sending people their letters of termination and notifications, making sure it is all done properly, etc....not to mention helping out with claims issues. Often times, we prevent the insurance company from having to deal with confused people who don't understand how a claim was paid, and we totally take that burden off of the insurance companies, and we eat that cost as part of our cost of doing business.
Also, Brokers are among the top wage earners in the country. We are some of the few making more than $50,000/year (remember? the one's who subsidize your low income folks?). My shop grosses about $200,000/yr, and after paying our employees and expenses, our family income is around $75,000. If you take away our jobs, you not only force thousands of brokers into unemployment, but also all of their employees as well.
You also create unemployment for all of the sales staff and underwriters at all of the insurance companies. There will be no need for them because of guarantee issue of all coverage. This model does not seem to take into consideration the impact of the unemployment it is going to create.