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Employer Insurance Costs Rising for Workers

By Steven Reinberg
HealthDay Reporter

THURSDAY, Dec. 2 (HealthDay News) -- Although premiums for employer health insurance have risen 41 percent since 2003, new research says that employees are getting less bang for their buck.

In addition, individual deductibles have skyrocketed 77 percent, according to the report from The Commonwealth Fund.

"Health insurance has become increasingly unaffordable for families during the years before enactment of the Affordable Care Act," Commonwealth Fund President Karen Davis said during a Tuesday afternoon press conference.

"During that time, benefits were scaled back as employers and workers struggled to keep up in a difficult economy," she said. "The new law provides us with the opportunity to reverse these unsustainable increases and ensure that families in every state have access to affordable, comprehensive health insurance."

The report says that if costs continue to rise at the same pace as they did from 2003 to 2009, annual premiums shared by employers and employees would increase 79 percent, costing an average family $23,342 by 2020.

However, if health care reform can slow increases by 1 percent, family premiums would be $2,323 lower by 2020. Slowing premium growth by 1.5 percent would mean $3,403 in savings, according to the report.

The increases in premiums from 2003 to 2009 varied from state to state, ranging from a 21 percent increase in Delaware to a 59 percent increase in Louisiana.

In 2009, insurance premiums were highest in Alaska, Connecticut, Massachusetts, Vermont, Wisconsin and Wyoming, with family premiums of more than $14,000 a year.

The states with the lowest premiums included: Alabama, Arkansas, Hawaii, Idaho, Kansas, Montana, North Dakota, Ohio, Oklahoma, South Dakota and Utah, which ranged from $11,000 to $12,000 a year in 2009, the report found.

Deductibles rose in almost all states during the same period, increasing an average of 77 percent. In addition, more workers are paying deductibles. In 2009, 74 percent paid deductibles, compared with 52 percent in 2003, according to the report.

Health insurance premiums have been going up three times faster than average incomes. By 2009, total premiums equaled or exceeded 18 percent of household income for workers in 26 states, which is up from three states in 2003.

No state's premiums were less than 14 percent of income in 2009, the report found.

These increases hit families in the South-central and Southern states the hardest, where premiums are high and incomes generally lower than the national average, the report said.

"For many, health insurance has simply become unaffordable," report author and Commonwealth Fund Vice President Cathy Schoen said during the press conference.

The report said many of these problems may be alleviated by provisions of the Affordable Care Act, signed into law by President Barack Obama in March, since:

  • Restrictions on administrative costs will direct more premium dollars to medical care.
  • States have the authority to review and question unreasonable premium increases.
  • States can exclude insurers from the health insurance exchanges if they have a pattern of unreasonable premium increases.
  • Beginning in 2014, health insurance exchanges will help assure employees and small employers that insurance plans include benefits and protection against high medical bills.
  • Starting in 2014, more affordable health insurance plans will be available to low- and moderate-income families and include federal premium credits to help buy insurance and expand Medicaid coverage to low-wage workers and their families.
  • System reforms will provide dollar incentives to doctors and health systems to give better care and reduce waste and duplication.

The new report, released Thursday, is titled State Trends in Premiums and Deductibles, 2003-2009: How Building on the Affordable Care Act Will Help Stem the Tide of Rising Costs and Eroding Benefits.

More information

For details on the Affordable Care Act, visit

SOURCES: Dec. 1, 2010, teleconference with Karen Davis, president, Cathy Schoen, vice president, both with The Commonwealth Fund; Dec. 2, 2010, Commonwealth Fund report: State Trends in Premiums and Deductibles, 2003-2009: How Building on the Affordable Care Act Will Help Stem the Tide of Rising Costs and Eroding Benefits

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