[1][2][3][4] The term derives from the Cadillac automobile, which has represented American luxury goods since its introduction in 1902,[1] and as a health care metaphor dates to the 1970s.
[1] The term gained popularity in the early 1990s during the debate over the Clinton health care plan of 1993,[1] and was also widespread during debate over possible excise taxes on "Cadillac" plans during the health care reforms proposed during the Obama administration.
The researchers found that 3.7% of the variation in the cost of family coverage in employer-sponsored health plans is attributable to differences in the actuarial value of benefits.
"[5] The Patient Protection and Affordable Care Act (PPACA, as amended by the Health Care and Education Reconciliation Act of 2010),would have imposed an annual 40% excise tax on plans with annual premiums exceeding $10,800 for individuals or $29,500 for a family starting in 2020, to be paid by insurers.
[13] Labor unions opposed this tax because they believed it would be "very disruptive" to their healthcare plans, and asked that their members be eligible for the same federal subsidies available to low-income workers in the new health exchanges.