Employer: Small business, no coverage
12 employees, $550k payroll, doesn't offer insurance.
Result
−$22,500
How it's calculated
| # | Step | Arithmetic | Value |
|---|---|---|---|
| 1 | Annual payroll | $550,000 | |
| 2 | Health premiums paid before | $0 | |
| 3 | Payroll above the $250,000 exemption | max(0, $550,000 − $250,000) | $300,000 |
| 4 | Health payroll tax at 7.5% | $22,500 | |
| 5 | Change (positive = employer saves) | $0 − $22,500 | −$22,500 |
Inputs used
| Input | Kind | Value |
|---|---|---|
| Payroll exempt per employer | policy, high confidence | $250,000 |
| Employer health payroll tax rate | policy, high confidence | 7.5% |
Trade-off: A new cost of $22,500 a year (4.1% of payroll). Its workers gain coverage they didn't have.
Sources: KFF (2025)