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Contributions to Health Insurance Premiums: When Does the Employer Pay 100 Percent?

December 2005

Written by: Alice Zawacki, Amy Taylor

Working Paper Number:

CES-05-27

Abstract

We identify the characteristics of establishments that paid 100 percent of health insurance premiums and the policies they offered from 1997-2001, despite increased premium costs. Analyzing data from the MEPS-IC, we see little change in the percent of establishments that paid the full cost of premiums for employees. Most of these establishments were young, small, singleunits, with a relatively high paid workforce. Plans that were fully paid generally required referrals to see specialists, did not cover pre-existing conditions or outpatient prescriptions, and had the highest out-of-pocket expense limits. These plans also were more likely than plans not fully paid by employers to have had a fee-for-service or exclusive provider arrangement, had the highest premiums, and were less likely to be self-insured.

Document Tags and Keywords

Keywords Keywords are automatically generated using KeyBERT, a powerful and innovative keyword extraction tool that utilizes BERT embeddings to ensure high-quality and contextually relevant keywords.

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:
cost, expenditure, insurance, spending, expense, policy, enrollment, coverage, premium, healthcare, health insurance, coverage employer, insured, benefit, enrollee, insurance plan, insurer, insurance premiums

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:
Center for Economic Studies, National Bureau of Economic Research, Medical Expenditure Panel Survey, Agency for Healthcare Research and Quality, AHRQ Medical Expenditure Panel Survey Insurance Component

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