• Scott Clendaniel

New Annual Assessment for New Jersey Individual and Large Group Health Insurance

New Jersey Governor Phil Murphy signed Assembly Bill

4389 into law on Friday, July 31. The New Jersey law,

effective January 1, 2021, imposes a 2.5% tax on the net

premiums collected for individual and large group health

plans and is estimated to generate nearly $220 million

annually. The funds will be used make insurance more

affordable for working and middle-class consumers.


Background

Section 9010 of the Affordable Care Act imposed a health

insurance tax (“HIT”) on insurers beginning in 2014. The

HIT is an annual fee that applies to insurers that offer fully

insured health coverage in the individual market, group

market and public programs. While Congress imposed a

one-year moratorium on the HIT for 2017, the HIT resumed

in 2018 and was subsequently repealed beginning in 2021.

Assembly Bill 4389 was introduced on July 9, 2020, to

replace the HIT upon its expiration in January. On July 31,

Governor Murphy signed the Bill into law.


The New Jersey Health Insurer Assessment

(“HIA”)

The new legislation requires insurance carriers to report to

the Department of Banking and Insurance the net value of

premium they write during the past year for individual and

large group health plans. Premium from small group plans,

Medicaid and Medicare policies, nonprofit dental plans and

certain self-funded group employer coverage are not included

in the assessment. Insurers will be required to pay a 2.5%

assessment on the value of these premiums. The money

collected will be used to increase affordability and greater

access to health insurance for the uninsured through a number

of means including subsidies, reinsurance and other efforts.

The intent is to offer additional financial help to NJ residents

when the state launches its own Marketplace in the fall.


Employer Impact

New Jersey rates for 2021 health plans will be announced

by the carriers shortly. There is growing concern about the

2021 rates which will include the HIA, given the impact of

COVID-19 on individuals and businesses of all sizes. We are

likely to see this increase passed through to employers in a

time when they are already struggling in the pandemic. We

will continue to monitor this situation and keep you apprised.

United Benefits Partners, Inc.

United Benefits Partners is an innovative employee benefits marketing firm that combines senior level carrier knowledge with modern technology and service platforms to create a complete benefits experience.

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