Pie chart with dollar imageAccording to spokeswoman Cathryn Donaldson of America's HealthInsurance Plans, nearly 5 percent of consumer premiums go towardvarious government taxes .(Image: Shutterstock)

Thanks in part to an Affordable Care Act fee on health insurers that's based on premiumrevenue, the 13 health care companies included in the Institute onTaxation and Economic Policy's study of profitable Fortune 500 companies endedup paying an effective tax rate of 20.7 percent collectively in2018. Across all industries, the effective tax rate was 11.3percent.

But, as Modern Healthcare points out, that ACA fee is going away, thanksto a spending bill signed by the president in December that repealsit in 2021 and going forward.

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Marlene Satter

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