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Employer health plan share falls for individuals: EBRI

Posted On: Nov. 03, 2009 1:55 PM CENTRAL | Add a comment

Employees with individual coverage in consumer-driven health plans are seeing their employers' contributions decline, while those with family coverage are seeing their employers' contributions increase, according to a survey released Tuesday by the Employee Benefit Research Institute.

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The survey by Washington-based EBRI also found that the percentage of employers making contributions to either health reimbursement arrangements or health savings accounts tied to CDHPs dropped from 67% last year to 63% this year.

Between 2006 and 2008, the percentage of workers with employee-only coverage whose employer contributed at least $1,000 to either their HRA or HSA increased from 26% to 37%; but in 2009, it fell to 32%. Meanwhile, the percentage of workers with individual coverage who received an employer contribution of less than $200 increased from 3% last year to 8% this year.

By contrast, the percentage of workers with family coverage who received a contribution of $1,000 or more increased from 59% last year to 73% this year. Nearly three-quarters of workers with family coverage in a CDHP now receive an annual employer contribution of $1,000 or more, EBRI estimates.

Among other findings in the survey:

  • The percentage of individuals remaining in CDHPs for three to four years increased from 9% in 2006 to 26% in 2009, and the percentage who remained in the plans for five years or more increased from 3% in 2006 to 9% in 2009.

  • The amount of money individuals have accumulated in their accounts has grown over time. Forty-seven percent had balances of at least $1,000 in 2009, compared with 43% in 2008, 44% in 2007 and 25% in 2006.

  • Only 4% of the adult U.S. population in 2009 are enrolled in CDHPs linked to HSAs or HRAs, up from 3% in 2008.

    The report, which presents findings from the 2008 and 2009 EBRI/MGA Consumer Engagement in Health Care Surveys and the 2006 and 2007 EBRI/Commonwealth Fund Consumerism in Health Care Surveys, was published in the November EBRI Notes and is available online at www.ebri.org.


    For reprints of this story, please contact Lauren Melesio at 212-210-0707 or email lmelesio@crain.com

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