l excise tax to be charged, beginning in 2020, on medical insurance premiums in excess of specified amounts. This excise tax reflects provisions of The Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (the "Affordable Care Act") and related federal regulations. For the year ended Decem

s causing higher insurance premiums, leading to the slow erosion of private market coverage and a greater enrollment burden for government programs. The Patient Protection and Affordable Care Act, enacted in early 2010, includes the biggest changes to healthcare since 1965 and will eventually expand health insurance coverage by ~10%, to 32 mil