Cost and Coverage: The Impact of Implementing Various State Health Care Reform Proposals Nationally. A National Employer Mandate


ASPE worked with The Lewin Group to model the coverage and cost impact of a national employer mandate.  The first analysis is modeled after the Massachusetts “fair share contribution” requirement, with a $295 assessment per employee for firms with 11 or more employees.  In order to avoid the assessment, firms must offer coverage to all employees.  Employees of firms paying the assessment are not automatically enrolled into an alternative insurance program and they remain uninsured.  In addition to the $295 assessment, we include coverage and cost estimated for an assessment of a 4% payroll tax. 

We also provide the coverage and cost analysis for more significant assessments, ranging from a 6% to a 10% payroll tax, which generates enough revenue to automatically enroll employees of firms paying the tax into a public insurance program.  

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