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Long-Run Earnings Volatility and Health Insurance Coverage: Evidence from the SIPP Gold Standard File

October 2011

Written by: Matthew Rutledge

Working Paper Number:

CES-11-35

Abstract

Despite the notable increase in earnings volatility and the attention paid to the growing ranks of the uninsured, the relationship between career earnings and short- and mediumrun health insurance status has been ignored due to a lack of data. I use a new dataset, the SIPP Gold Standard File, that merges health insurance status and demographics from the Survey of Income and Program Participation with career earnings records from the Social Security Administration (SSA) and the Internal Revenue Service (IRS) to examine the relationship between long-run family earnings volatility and health insurance coverage. I find that more volatile career earnings are associated with an increased probability of experiencing an uninsured episode, with larger effects for men, young workers, and the unmarried. These findings are consistent with the 'scarring' literature, and suggest the importance of safety-net measures for job losses and health insurance coverage.

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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:
earnings, insurance, retirement, salary, welfare, poverty, coverage, health, medicaid, insurance employer, uninsured, retiree, insured, health insurance, unemployment insurance, benefit, unemployed, insurance coverage, cohort, career

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:
Characteristics of Business Owners, Internal Revenue Service, Social Security Administration, Current Population Survey, Survey of Income and Program Participation, Boston College, Social Security, PSID, Detailed Earnings Records, Summary Earnings Records, Federal Insurance Contribution Act, W-2

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