Lucrum, may I suggest that it is not in your interest to have your health coverage furnished by your employer. You'd be better off if you had the same coverage at the same rate, but the policy belonged to you and was completely portable. (The employer mandate should not be delayed; it should be dropped! It makes no sense.) However here is the rub, your employer gets a tax deduction, but you don't. You need to be a corporation if you want to be treated well.
It is rather bizarre to think that this kludged together thing that y'all call obamacare, and that I call Obamneycare, was actually the brain child of a "conservative" -- i.e., far right wing, whacko, Republican think tank. Come to think of it, it is not so bizarre as I thought!
It is modeled after the Swiss system -- the next most expensive healthcare on Earth. The Swiss figured their system out a long time ago, and got it implemented correctly. But of course the U.S. couldn't just be content to copy a successful system. Being the "Strongest" and "Most Free" Nation on Earth, Amurica had to prove its superiority by introducing a few wrinkles into the Swiss version. Most importantly, the Amuricans had to create a system that would preserve the outsized profits of the medical industry. Anything less would have been, well, un-Amurican.
The principle behind the Swiss system is the creation of a giant group of all citizens residing in Switzerland. (I haven't a clue what the Swiss do with their sick, non-citizen Turkish street sweepers, but I assume they do the same as we do with our sick, 29-hour a week Walmart stockers,i.e., let them die peacefully on their Salvation Army cots, and replace them with a healthier minimum wage worker.) The Swiss system is mandatory, citizens only -- no Turks -- and includes cradle to grave coverage. The stupid Swiss have to pay only one premium, not two like in the Amurican, private/medicare dual-premium system.
In Switzerland, highly regulated -- yuck!-- private insurance companies offer policies with standard coverage, and they are not allowed to make a profit on the standard coverage -- how communist is that! But they can offer supplemental coverage at a profit, perhaps with an enticing extra perk here or there --fondue served bed side-- and prices can vary canton to canton, and carrier to carrier. Those living on Lake Lugano will usually opt to add private room/massuess/concierge coverage. Final result, in Switzerland you get non-cancelable, comprehensive group coverage that is mandatory and the whole country is in the group, young and old alike.
Well, as I say, this Swiss plan was the inspiration behind our present day ACA. The Nutso Think Tank, aka "The Heritage Foundation," seized on the Swiss plan, tweaked it to make it more "business friendly" and shopped it around Washington. When the Obama Administration decided to go with the Swiss cum Heritage Foundation plan they could not resist another tweak, and of course, not to be outdone, Congress added their own tweak. That's how we arrived at what is now the Triple Tweaked ACA. The Swiss, however, proved to be smarter than the morons in Washington -- a not difficult accomplishment.
What did we do? We put all the healthy into our big group and handed it to the insurance companies. We also put everybody with a paycheck into another pretty big group and had them pay, on top of their big group premium, a second premium (medicare) that we collect for their entire working years and all of their remaining elderly years until they croak -- hence our "business friendly," dual-premium, healthcare melange, or is mirepoix a better descriptor?
We put all the sick folks into a special, smaller second group we call medicare and let the insurance companies off the hook-- "business friendly", remember. The medicare group's expenses are paid from the extra premiums they paid on top of their regular insurance, and if the pot of money runs out before they croak, we bilk the taxpayers for the difference. We also generously give these sick and dying folks the opportunity to buy private policies, on top of their medicare premiums that will cover their deductibles, or most of them, and a good part of their drug costs up to the infamous doughnut hole. Of course, the requisite business friendly character of these supplemental insurance policies remains intact.
Amurica, god bless her, is the perfect business climate for a health insurer. Insure the healthy and let the sick be covered by a separate policy (medicare) backstopped by the taxpayer. Even the Chamber of Commerce could not think of anything more "business friendly" than this.
The other thing we did, which is beyond clever, was to mandate coverage through employers to continue and even provide a tax deduction to encourage it, though once you have universal coverage there is no sense whatsoever in tying insurance to an employer. Certainly the Swiss don't do that! Their coverage is completely portable -- but then what do the Swiss know? They don't even have an aircraft carrier! The Swiss think that it doesn't pay to waste your resources on wars, and that if you leave others alone, they will leave you alone. With that kind of attitude, how on earth do they stay free from weapons of mass destruction. I wouldn't be surprised if there were at this very moment a muslim terrorist ready to prick a sarin balloon right in the middle of the Dolder Grand Lobby!
And that folks is the difference between the Swiss system that works, but isn't cheap at 50% less than U.S costs, and the genius of the U.S. version that hands all the healthy to the insurance companies, and leaves the sick to a separate system, medicare, backstopped by the taxpayer. Yes, indeed, Amurica really IS the most business friendly place on Earth!