Federal Employees, Obamacare and Avoiding A Tax Penalty

By on December 30, 2014 in Current Events, Pay & Benefits with 168 Comments

Some Americans will be in for a surprise. Despite massive publicity about the Affordable Care Act (Obamacare) and the impact it will have on individuals, some people do not pay much attention and may be in for a surprise.

There will be substantial financial penalties for those who do not have health insurance. The Internal Revenue Service will be handing out the penalties starting in 2016. There is a February 15, 2015 deadline to buy insurance. If a person does not have health insurance by that date,  those without coverage could be hit with fines of $325 per adult or two percent of family income, whichever is higher.

Most federal employees have health insurance. The Federal Employees Health Benefits Program (FEHB) provides health insurance with a wide range of health insurance options and with substantial contributions from the federal government to reduce the cost of the insurance. For those who wish to take the time to see the entire cost of health insurance under the FEHB, rather than just the cost to an individual employee, check out the total cost of health insurance under the federal employee program at FedsDataCenter.com. As an example, the total monthly cost of the standard Blue Cross and Blue Shield Service Benefit Plan for a family is $1,434.07 per month. The share paid by the employee is $462.17.

Impact on Federal Employees

How do federal employees with insurance under the FEHB ensure they are not fined?

Blue Cross has sent out a notice to all members noting that the company will send out a statement to each policyholder that lists the individuals who have coverage under your health insurance contract. This statement will prove that you have health insurance under a Blue Cross plan. In addition, the company is required to report information on each member to the Internal Revenue Service (IRS). The company will provide the following information to the IRS:

  • Your name, address and tax identification number (TIN) if you are the person who is insured.
  • The name and TIN of each dependent covered under your policy.
  • For each member covered, the months each person has been enrolled in the plan.
  • The name, address and employer identification number (EIN) of the agency that sponsors your health insurance coverage.

Each policy holder will be receiving a letter to verify that the information to be provided to the IRS is correct. You will also be asked to provide any additional information that is not on file and which will then be added to the information maintained by Blue Cross and forwarded to the IRS.

For those who do not like providing this much personal information to the health insurance company and to the tax collecting agency of the federal government, keep this in mind: If you do not provide the information, you could be charged $50 by the IRS for failing to provide the information to the health insurance company. And, of course, failing to provide the information could result in having to pay a fine (or paying another tax if you prefer to use that term) of $325 per adult or two percent of your family income, whichever is higher.

More information on how the ongoing health care law will impact federal employees is available from the Office of Personnel Management.

© 2016 Ralph R. Smith. All rights reserved. This article may not be reproduced without express written consent from Ralph R. Smith.


About the Author

Ralph Smith has several decades of experience working with federal human resources issues. He has written extensively on a full range of human resources topics in books and newsletters and is a co-founder of two companies and several newsletters on federal human resources.