Employer Vs. Individual Health Insurance Under The Affordable Care Act

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Abstract/Contents

Abstract
An unintended consequence in the employer mandate of the Affordable Care Act (ACA) has resulted in millions of employees and their families not having access to affordable health insurance. This occurs because the definition of affordable insurance in the ACA in regards to employer-provided insurance only pertains to self-only premium contributions rather than family contributions, resulting in families being unable to access subsidies on the exchanges set up by the ACA. By looking at two case studies of actual companies and setting up a model to compare the health insurance cost of employer-provided insurance with the cost of individual insurance through the exchanges, this paper determines that the employer mandate has a negative impact on low and middle income employees’ abilities to obtain affordable health care insurance for themselves and their dependents and spouses. It is also shown that employers with a majority of low and middle-income workers could benefit from dropping employer coverage and having the employees obtain coverage through the individual insurance exchanges. However, because of the employer mandate, this benefit diminishes for large employers, which has created a two tiered benefit system, where employees of larger companies have significantly less opportunity to obtain affordable insurance for themselves and their families than employees of small companies. This paper suggests that significant changes need to be made to the ACA to ensure that all Americans have access to affordable health insurance.

Description

Type of resource text
Date created May 2015

Creators/Contributors

Author Johnson, Olivia
Primary advisor Duggan, Mark
Degree granting institution Stanford University, Department of Economics

Subjects

Subject Stanford Department of Economics and health care reform
Subject affordability
Subject employer-sponsored health insurance
Subject affordable care act
Genre Thesis

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User agrees that, where applicable, content will not be used to identify or to otherwise infringe the privacy or confidentiality rights of individuals. Content distributed via the Stanford Digital Repository may be subject to additional license and use restrictions applied by the depositor.

Preferred citation

Preferred Citation
Johnson, Olivia. (2015). Employer Vs. Individual Health Insurance Under The Affordable Care Act. Stanford Digital Repository. Available at: https://purl.stanford.edu/tc750gt9147

Collection

Stanford University, Department of Economics, Honors Theses

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