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people than anything else because there
                                                                                    is so much confusion in the market,”
                                                                                    Mirts said. “I had a guy say to me last
                                                                                    week that he didn’t even know that the
                                                                                    health care reform had started. Yes, it’s
                                                                                    started.”
                                                                                       Mirts said Enrollment First insures
                                                                                    more than 50,000 independent truck
                     “we speNd more time educatiNg people                           drivers, and many of them — especially
                     thaN aNYthiNg else because there is so                         those without major existing medical

                     much coNfusioN iN the market. i had a                          problems —have so far made the cal-
                     guY saY to me last week that he didN’t                         culation that they’ll come out ahead
                                                                                    paying the fines instead of buying
                    eVeN kNow that the health care reform                           the major medical insurance coverage
                           had started. Yes, it’s started.”                         required by the ACA.
                                                                                       “If you don’t have a medical prob-
                                       —hazeN mirts,                                lem now, why spend $400 a month to
                                                                                    buy health care?” he said. Some drivers
                                   ceo, eNrollmeNt first
                                                                                    are signing up for major medical plans,
                                                                                    but not as many as are buying so-called
                                                                                    “skinny” medical policies — those with
                                                                                    very limited benefits. Such policies have
                                                                                    been common in the trucking industry,
                                                                                    but they don’t comply with the ACA’s
                                                                                    requirements, Mirts said.
                                                                                       “They’re not against the law but
              of Enrollment First, a Tennessee-based   many people are putting off signing   they’re not credible plans,” he said.
              company that provides health insur-  up for insurance that meets the ACA’s   “They’re not good enough for the
              ance enrollment services to businesses   standard.                    Affordable Care Act.”
              and the individuals who work for them,   “Ninety-five dollars in this day and   To meet the ACA’s requirements,
              including independent contractors.   time isn’t a big deal to anyone, but next   plans have to cover a minimum set of
              Enrollment First, which specializes in   year, it’s going to be more,” Wage said.  services, including preventive health
              the transportation industry and works   Most people would already pay sig-  care. That’s a good thing for truck driv-
              with trucking firms in all 50 states,  is   nificantly more than $95 the first year.   ers, Mirts said. Many truck drivers have
              working with Wage to extend its ser-  For instance, a driver making $50,000   health problems related to the trucking
              vices to Arkansas drivers and company   year would pay a $500 penalty.   lifestyle — heart disease, overweight,
              owners.                               Part of the problem has been sign-  diabetes, lack of exercise. Being over-
                 “If they’re not enrolled by March   ing up for an individual health insur-  weight can cause sleep apnea, which is
              31, they will have to pay that tax on   ance plan through the health care   a major safety concern in the trucking
              their taxes next year, unless the govern-  insurance exchange. The now-infamous   industry. One study of rookie truck
              ment changes something again,” Mirts   website which came online last fall   drivers showed that those who were
              said.                              hasn’t been easy for many independent   “severely obese” were 43 to 55-percent
                 The law says individuals must have   Arkansas truck drivers. There are the   more likely to crash than drivers of nor-
              health insurance for eight months out   problems with the website itself, but   mal weight. Other studies have shown
              of a year to avoid paying the tax penal-  also, the majority of truck drivers don’t   truck drivers are more likely to smoke,
              ty. That means having coverage in place   own a personal computer, Mirts said.   be overweight, have high blood pressure
              by May 1, and enrollment by March 31.   Most have smart phones, but it’s even   and have sleep disorders — all of which
                 “After that, the next time they   harder to use the health insurance   can be managed with regular health
              could enroll is for October 1 effective   exchange through a phone, he said.  care.
              dates,” Mirts said.                   Truck drivers also tend to be more   Truck drivers are also exposed to
                 The tax — $95 or 1-percent of a   isolated than many people, Mirts said,   more contagious illnesses, Mirts said.
              person’s yearly income, whichever is   so it’s harder for them to stay current   “Truckers live in truck stops, in overly
              greater — doesn’t sound like much at   on the latest ACA developments.  germy areas. If you get a guy who gets
              first, though, and that’s one reason   “We spend more time educating   sick, who gets pneumonia, he’s out of

        40                                                                            arKansas trucKing report | issue 1 2014
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