The ISRP is a lump sum that the employer pays each year, and if workers have more than one person enrolled in their plan, each worker must pay the full amount. For the same reasons that employers cannot use an ISRP for employees' health insurance because the ACA limits the ISRP to employer-sponsored coverage, they cannot use the ISRP for benefits like medical, dental, and vision. The ISRP is the only insurance benefit that can be taxed and regulated by the Internal Revenue Service. The other problem with ISRP payments, though, is that if the employer does not make payments, workers get nothing from the federal government to pay for their medical care.
The government has made several attempts at regulating ISRP payments, in some cases through fines or penalties. The IRS, in its enforcement efforts, found that the IRS overpaid for a lot of things, and it was the IRS that started the trend of making ISRP payments into the millions of dollars. The problem with the IRS crackdown is that the IRS does not have enough money to be able to enforce every individual dollar it pays out.
As an economist pointed out last week, it may be possible to get a higher percentage of a tax refund if the IRS overspends on an individual and there is no evidence that the IRS does overpay when it makes health insurance payments. As such, the amount of money the IRS loses on ISRP payments may not actually increase the amount of money the IRS gets back by having to pay out the entire amount of the tax. The problem also exists with the federal government's ability to collect fines. As such, in the face of these obstacles to the implementation of ISRP payments with the federal government, some employers have taken the option of making an ISRP payment to their employees and used it as an indirect way of avoiding a tax or fines.
The result of doing this is that if an employer doesn't make an ISRP payment to its employees who have an insurance policy, their insurance company is the only one to get the money back from the government. It's worth noting that even with an employee having an insurance policy whose employer doesn't make an ISRP payment, that employee has still benefited from the employer's payment of the ISRP to him. However, lomefloxacin(maxaquin) society that is already suffering the consequences of inadequate medical training, this policy is bound to increase the costs of all types of medical care. Another approach would be to use tax credits to encourage people to get to work in the first place.