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Maryland Delays Obamacare Small Business Exchange, Jeopardizes Tax Credits

1:02 PM, Nov 13, 2013 • By JERYL BIER
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In mid-October, the Maryland Health Benefit Exchange quietly postponed all of the forums it had scheduled to inform small businesses about the Small Business Health Options Program (SHOP), as we reported.  Now, in a Friday press release, the Maryland board overseeing the state's Obamacare website announced it had postponed the opening of the SHOP exchange itself from January 1 until April 1, 2014, which could impact businesses that are counting on the tax credits heavily promoted by the Obama administration to help small businesses provide coverage to their employees:

Maryland has a well- functioning small group market which offers the same prices as those that will be offered through the small group exchange, known as the SHOP. The Board approved a plan to open the SHOP on April 1, 2014, which will allow more time for testing and coordination over the next several months.

Although the press release says that Maryland's small group market offers the same prices as SHOP plans, it does not mention that beginning in 2014, the health insurance tax credits available to businesses are only available to plans purchased via the SHOP exchanges, as noted at Healthcare.gov, and as we reported back in July.  Coverage for small businesses through Maryland's SHOP was previously able to start as early as March 1, 2014, but now that the opening of the marketplace has been delayed until April 1, the earliest date coverage can begin is unclear.  A business that desires to take advantage of the tax credits would either have to delay coverage until SHOP plans are available, or buy a plan through the conventional insurance system, and then reapply through SHOP once the exchange opens.  In either case, the tax credit would only be available for the portion of the year that SHOP coverage is in effect.

The Maryland Health Connection website itself is also still promoting the tax credits.   It does not indicate what effect the delay will have on the ability of businesses to qualify, though it also notes that "[t]he health care tax credits and deductions are available only if you get coverage through the SHOP."

Since only premiums paid on coverage obtained through SHOP qualify for the tax credit, the calculator provided on the site to come up with a business's estimated annual tax credit is not accurate for coverage obtained during 2014 because it does not take the partial year into account.

Although the Maryland Health Connection website does not address the effects of the delay, a presentation prepared for a Maryland Health Benefit Exchange Board Meeting on Friday, November 8, asserts that "Tax credits will not be lost – available for 2 years from first receipt."  This is an apparent reference to the fact that the tax credit is limited to two consecutive years, beginning the year coverage starts.  However, according to proposed rules by the IRS published in the federal register, the two-year limit is being interpreted as two tax years, not a 24-month period that may overlap into three different years [emphasis added]:

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