To: The Honorable Thomas V. Mike Miller, Jr.
The Honorable Michael E. Busch
Members of the Maryland General Assembly

From: Ellen Valentino

Date: December 27, 2004

Re: HMO Premium Tax

There is no problem that creates more emotion and concern for the small business community than the rising cost of health insurance. The rising costs and double digit increases over the past four years is ranked as the single most important problem facing Main Street business owners.

A 2% premium tax on small business owners and employees who have HMO polices would be a significant tax increase and likely too much to bear for many.

Over the past 4-years we have opposed this tax and our opposition is based solely on the cost of health care and the impact this new tax will have on the small business community. Please remember that premium taxes are paid by policyholders not HMO Corporate Officers, this is not a loophole closing, it is a new tax that calculates out to be approximately per year an increase of $193.00 per family policy; $125.00 per individual and dependent policy; $145.00 per individual and spouse policy, and $70.00 per individual policy.

NFIB supports Malpractice Reform but rejects a solution that taxes small business owners and their health care policies.


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The National Federation of Independent Business (NFIB) is the nation's largest small-business advocacy group. A nonprofit, nonpartisan organization founded in 1943, NFIB represents the consensus views of its 600,000 members in Washington and all 50 state capitals.

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