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State Mandated Benefits and Employer Provided Health Insurance

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Author Info
Jonathan Gruber

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Abstract

One popular explanation for this low rate of employee coverage is the presence of numerous state regulations which mandate that group health insurance plans must include certain benefits. By raising the minimum costs of providing any health insurance coverage, these mandated benefits make it impossible for firms which would have desired to offer minimal health insurance at a low cost to do so. I use data on insurance coverage among employees in small firms to investigate whether this problem is an important cause of employee non-insurance. I find that mandates have little effect on the rate of insurance coverage; this finding is robust to a variety of specifications of the regulations. I also find that this lack of an effect may be because mandates are not binding, since most firms appear to offer these benefits even in the absence of regulation.

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Paper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 4239.

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Date of creation: Dec 1992
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Handle: RePEc:nbr:nberwo:4239

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Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
  1. Rosen, Sherwin, 1974. "Hedonic Prices and Implicit Markets: Product Differentiation in Pure Competition," Journal of Political Economy, University of Chicago Press, vol. 82(1), pages 34-55, Jan.-Feb.. [Downloadable!] (restricted)
  2. George J. Borjas & Glenn T. Sueyoshi, 1991. "A Two-Stage Estimator for Probit Models with Structural Group Effects," University of California at San Diego, Economics Working Paper Series 91-37, Department of Economics, UC San Diego.
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  3. Manning, Willard G, et al, 1987. "Health Insurance and the Demand for Medical Care: Evidence from a Randomized Experiment," American Economic Review, American Economic Association, vol. 77(3), pages 251-77, June. [Downloadable!] (restricted)
  4. Coate, Stephen, 1995. "Altruism, the Samaritan's Dilemma, and Government Transfer Policy," American Economic Review, American Economic Association, vol. 85(1), pages 46-57, March. [Downloadable!] (restricted)
  5. Rothschild, Michael & Stiglitz, Joseph E, 1976. "Equilibrium in Competitive Insurance Markets: An Essay on the Economics of Imperfect Information," The Quarterly Journal of Economics, MIT Press, vol. 90(4), pages 630-49, November.
  6. Summers, Lawrence H, 1989. "Some Simple Economics of Mandated Benefits," American Economic Review, American Economic Association, vol. 79(2), pages 177-83, May. [Downloadable!] (restricted)
  7. Feldstein, Martin S, 1973. "The Welfare Loss of Excess Health Insurance," Journal of Political Economy, University of Chicago Press, vol. 81(2), pages 251-80, Part I, M. [Downloadable!] (restricted)
  8. Jonathan Gruber, 1992. "The Efficiency of a Group-Specific Mandated Benefit: Evidence From Health Insurance Benefits for Maternity," NBER Working Papers 4157, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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(explanations, Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.)

  1. Dhaval M. Dave & Swati Mukerjee, 2008. "Mental Health Parity Legislation, Cost-Sharing and Substance Abuse Treatment Admissions," NBER Working Papers 14471, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  2. Sara Markowitz & Jonathan Klick, . "Are Mental Health Insurance Mandates Effective?: Evidence from Suicides," Working Papers Rutgers University, Newark 2004-003, Department of Economics, Rutgers University, Newark. [Downloadable!]
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  3. Jonathan Gruber & Brigitte C. Madrian, 1993. "Limited Insurance Portability and Job Mobility: The Effects of Public Policy on Job-Lock," NBER Working Papers 4479, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
    Other versions:
  4. Sherry Glied & Mark Stabile, 1997. "Avoiding Health Insurance Crowd-Out: Evidence from the Medicare as Secondary Payer Legislation," NBER Working Papers 6277, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
    Other versions:
  5. Stan McMillen & Kathryn Parr & Xiumei Song & Brian Baird, 2004. "The Kerry-Bush Health Care Proposals: A Characterization and Comparison of their Impacts on Connecticut (Technical Appendix)," CCEA Studies 2004-06, University of Connecticut, Connecticut Center for Economic Analysis. [Downloadable!]
  6. Jonathan Gruber & Brigitte C. Madrian, 1993. "Health Insurance Availability and the Retirement Decision," NBER Working Papers 4469, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
    Other versions:
  7. Jonathan Gruber, 1992. "The Efficiency of a Group-Specific Mandated Benefit: Evidence From Health Insurance Benefits for Maternity," NBER Working Papers 4157, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
    Other versions:
  8. Amy Finkelstein, 2002. "Minimum Standards and Insurance Regulation: Evidence from the Medigap Market," NBER Working Papers 8917, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  9. M. Kate Bundorf & Melinda Henne & Laurence Baker, 2007. "Mandated Health Insurance Benefits and the Utilization and Outcomes of Infertility Treatments," NBER Working Papers 12820, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  10. Jonathan Gruber & Brigitte Madrian, 1993. "Health Insurance and Early Retirement: Evidence from the Availability of Continuation Coverage," NBER Working Papers 4594, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  11. Joseph Gyourko & Joseph Tracy, 1999. "A look at real housing prices and incomes: some implications for housing affordability and quality," Economic Policy Review, Federal Reserve Bank of New York, issue Sep, pages 63-77. [Downloadable!]
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