ROSELAND, N.J., March 5, 2013 /PRNewswire/ -- ADP ®, a leading provider of employee health care benefits administration and human capital management (HCM) services, today announced the findings of a new ADP Research Institute sm study indicating that if 2012 health benefit participation rate patterns persist into next year, then a portion of newly eligible employees may opt to remain uninsured because they perceive the cost of insurance is too significant a percentage of their annual income.
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ADP's " Planning for Health Care Reform: How Income Impacts Employee Health Benefits Participation," is a companion study to the previously published " ADP's 2012 Study of Large Employer Health Benefits " and is based on actual, real-world data for approximately one million employees and more than two million covered lives. The new study provides a comprehensive examination of the impact of income on employee health benefits participation.With data showing how employee income and health benefit plan participation are closely intertwined, the study details the potential impact and ramifications of the Affordable Care Act (ACA) on employers who will need to comply with new mandates beginning in 2014. Specifically, the ADP Research Institute study findings show that employees with W-2 wages greater than 400% of the Federal Poverty Level (FPL), or roughly $45,000 for a single individual under 2012 guidelines, consistently participate in health coverage at a rate of 81%. However, as income declines below 400% of the FPL, health plan participation rates decline sharply to just 37% for single employees earning between $15,000 and $20,000 per year. "While no one can predict the future, the ADP Research Institute findings suggest that lower income employees may avoid participation in a health plan that consumes a significant percentage of their income," said Tim Clifford, president of ADP Benefits Administration Services. "Clearly, employer to employee communications will be essential in explaining the options moving forward." Other key findings of the ADP Research Institute study include:
- Across the entire study population, approximately 8.6% of single, full-time employees pay 9.5% or more of their W-2 earnings to obtain health coverage. However, among a certain subset of employers, nearly one out of every four employees spent more than 9.5% of their wages on health coverage. According to the ACA, beginning in 2014, employers may begin paying an annual penalty of $3,000 (calculated monthly) for every employee for which the premium for self-only coverage exceeds 9.5% of their wages (with respect to each full-time employee who receives a federal premium credit for public exchange coverage, assuming the employer offers health insurance coverage to at least 95% of full-time employees).
- Employees earning $22,340 or more per year (200% of the FPL for a single wage earner) may still be better off obtaining coverage through their employer's group health plan, despite affordability issues, rather than participating in a public health exchange with government-provided subsidies.