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Limited Insurance Portability and Job Mobility: The Effects of Public Policy on Job-Lock

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Author Info
Jonathan Gruber
Brigitte C. Madrian

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Abstract

The link between health insurance and the workplace in the U.S. has led to concern over the possibility of insurance-induced reductions in job mobility or 'job-lock". Designing health insurance reforms which retain employer-based insurance coverage but mitigate the extent of job-lock requires an understanding of the policy dimensions to which job-lock is most receptive. We study a policy of limited insurance portability which has been adopted by a number of states and the federal government over the last 20 years. These "continuation of coverage' mandates grant individuals the right to continue purchasing health insurance through their former employers for some period of time after leaving their jobs. We find that the passage of these mandates caused a significant increase in the job mobility of prime age male workers. This suggests that a sizeable share of job-lock arises from short run concerns over portability rather than from long run problems.

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Paper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 4479.

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Date of creation: Sep 1993
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Handle: RePEc:nbr:nberwo:4479

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Find related papers by JEL classification:
H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
I10 - Health, Education, and Welfare - - Health - - - General

References listed on IDEAS
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  1. Ann P. Bartel & George J. Borjas, 1977. "Middle-Age Job Mobility: Its Determinants and Consequences," NBER Working Papers 0161, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  2. Gruber, J., 1992. "State Mandated Benefits and Employer Provided Health Insurance," Working papers 92-18, Massachusetts Institute of Technology (MIT), Department of Economics.
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  3. Madrian, Brigitte C, 1994. "Employment-Based Health Insurance and Job Mobility: Is There Evidence of Job-Lock?," The Quarterly Journal of Economics, MIT Press, vol. 109(1), pages 27-54, February. [Downloadable!] (restricted)
    Other versions:
  4. 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)
    Other versions:
Full references

Cited by:
(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. Liu, Kang Ernest & Chang, Hung-Hao & Chern, Wen S., 2008. "Changes in Fruit and Vegetable Consumption over Time and across Regions in China: A Difference-in-Differences Analysis with Quantile Regression," 2008 Annual Meeting, July 27-29, 2008, Orlando, Florida 6531, American Agricultural Economics Association (New Name 2008: Agricultural and Applied Economics Association). [Downloadable!]
  2. Brigitte C. Madrian, 1993. "Employment-Based Health Insurance and Job Mobility: Is There Evidence ofJob-Lock?," NBER Working Papers 4476, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
    Other versions:
  3. Douglas Holtz-Eakin, 1993. "Is Health Insurance Crippling the Labor Market?," Economics Working Paper Archive 97, Levy Economics Institute, The. [Downloadable!]
  4. Jonathan Gruber, 1996. "Health Insurance for Poor Women and Children in the U.S.: Lessons from the Past Decade," NBER Working Papers 5831, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  5. Susan Athey & Guido W. Imbens, 2002. "Identification and Inference in Nonlinear Difference-In-Differences Models," NBER Technical Working Papers 0280, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
    Other versions:
  6. Dan A. Black, 1996. "Family Health Benefits and Worker Turnover," Labor and Demography 9604001, EconWPA. [Downloadable!]
  7. Cathy J. Bradley & Heather Bednarek & David Neumark, 2001. "Breast Cancer Survival, Work, and Earnings," NBER Working Papers 8134, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  8. 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:
  9. David J. Vanness, 2003. "A structural econometric model of family valuation and choice of employer-sponsored health insurance in the United States," Health Economics, John Wiley & Sons, Ltd., vol. 12(9), pages 771-790. [Downloadable!]
  10. Jonathan Gruber & Brigitte C. Madrian, 1995. "Non-Employment and Health Insurance Coverage," NBER Working Papers 5228, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  11. Douglas Holtz-Eakin, . "Job-Lock: An Impediment to Labor Mobility? Is Health Insurance Crippling the Labor Market?," Economics Public Policy Brief Archive 10, Levy Economics Institute, The. [Downloadable!]
  12. Douglas Holtz-Eakin & John R. Penrod & Harvey S. Rosen, 1994. "Health Insurance and the Supply of Entrepreneurs," NBER Working Papers 4880, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
    Other versions:
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