Changes in Offer and Take-up of Employer Sponsored Health Insurance for Low- and High- Earnings Occupations in the First Year of the Employer Shared Responsibility Provision

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Working Paper Number: SEHSD-WP2017-51

Introduction

Beginning in 2015, the Employer Shared Responsibility Provision of the Patient Protection and Affordable Care Act (ACA) required large employers to offer affordable health insurance to their full-time employees or pay a penalty. The provision is likely to have a greater effect on low-earning workers because the majority of high-earning workers already were provided such coverage. The authors examine changes in offer and eligibility of employer-sponsored insurance (ESI) across major occupations and low-earning occupations. Are workers in low-earning occupations benefiting from expanded offering of ESI?

Page Last Revised - October 8, 2021