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Pie chart with dollar image According to spokeswoman Cathryn Donaldson of America’s Health Insurance Plans, nearly 5 percent of consumer premiums go toward various government taxes .(Image: Shutterstock)

Thanks in part to an Affordable Care Act fee on health insurers that’s based on premium revenue, the 13 health care companies included in the Institute on Taxation and Economic Policy’s study of profitable Fortune 500 companies ended up paying an effective tax rate of 20.7 percent collectively in 2018. Across all industries, the effective tax rate was 11.3 percent.

Marlene Satter

Marlene Y. Satter has worked in and written about the financial industry for decades.

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