The researchers used the Medical Expenditure Panel Survey Insurance Component (MEPS-IC) in order to assess changes in the small group health insurance market, in particular focusing on data from the years following the Affordable Care Act’s implementation.
“Small businesses have always been less likely to offer coverage than larger businesses,” the report stated.
“In contrast to some predictions, the small-group insurance market stabilized in the wake of the ACA. The stability in employer offer rates may reflect reduced costs and volatility as a result of market reforms that eliminated underwriting, set minimum loss ratios, and established community-rated premiums and standard benefits packages, among other changes.”
The share of small businesses—which have less than 50 employees—that offered insurance hovered around approximately 50 percent from 2013 to 2020, the researchers found.
The report broke down these employers even further, dividing them into three subsections based on the number of employees and observing what share of employees had employer-sponsored health insurance.
Among the companies that boasted 25 to 99 employees, 81.2 percent of employees received health insurance through their employer in 2013, compared to 80.7 percent with employer-sponsored health insurance in 2020. On the opposite end of the spectrum, among employers with ten employees or fewer 36.2 percent of employees were covered by their employer and this dropped to 30.2...
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