Monitoring the Impact of the Affordable Care Act on Employers Before the Affordable Care Act, most of the nonelderly population had health coverage through an employer, but rates of employer-sponsored insurance (ESI) decreased nearly every year since 2000. The decline in ESI was even more drastic among small-firm workers. The share of full-time workers in the smallest firms and their dependents with employer-based coverage fell from 43 percent in 2000 to 33 percent in 2010. In contrast, coverage for full-time workers in firms with 1,000 or more employees and their dependents fell from 87 to 82 percent over the same period. ESI premiums have increased over time at a rate that exceeds National Health Expenditure Accounts growth. Among small firms with fewer than 50 workers, average single premiums grew from $3,375 in 2002 to $5,460 in 2012 (62 percent or an average annual rate of nearly 7 percent), and average family premiums increased at a slightly faster rate (71 percent). During this same period, the share of enrollees enrolled in a plan with a deductible and the average single deductible amount substantially increased.
Posted on: Sat, 01 Nov 2014 12:55:46 +0000
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