JUST THE FACTS
86% of America’s businesses are exempt from the shared responsibility requirement to
Payrolls of $500,000 or below are completely exempt; payrolls between $500,000
and $750,000 face only a graduated fee if they opt not to provide health
98.8% of small business owners will pay no surcharge because the limits are set so
high—with the surcharge assessed only on the portion of any income over $1 million for
a couple or $500,000 for an individual.
The Health Insurance Exchange is initially targeted to serve small business employees
and the uninsured. Small businesses gradually increase their participation:
o in 2013, firms with up to 25 employees can enter the exchange;
o in 2014, firms with up to 50 employees can enter;
o in 2015, firms with up to 100 employees can enter; and
o in 2015 and beyond, the Commissioner can allow larger employers as
OFFICE OF SPEAKER NANCY PELOSI
OCTOBER 29, 2009
SMALL BUSINESS GUIDE
Millions of small businesses together power the American economy. During economic
crisis, these businesses operate close to the margin, or don’t survive at all. But their
innovation and entrepreneurship put them in the lead in helping our economy recover.
For American small businesses, health care has been an unrelenting headache, with:
small businesses’ health care costs growing 129% since 2000,
workers paying an average of 18% for premiums than those with larger firms, and
administrative costs eating up two and half times more of their premiums than
larger businesses pay.
In fact, less than half of America’s smallest firms can afford to offer any health care
benefits at all. That means 28 million uninsured Americans are small business owners,
employees, and their families. That’s 60% of our nation’s entire uninsured population.
But help is on the way.
Health insurance reform means access to affordable and quality health care for
America’s small businesses--and assistance in providin