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Family Health Benefits and Worker Turnover

  • Dan A. Black

    (University of Kentucky)

In this paper, I examine the impact of employer-provided health benefits on job turnover. Because many employer-provided plans extend coverage to a worker's entire family, the value of an employer's employment offer to a worker depends on whether the worker's spouse provides the family with health benefits. If a worker's spouse has an employer-provided health insurance for their family, the worker will value employment offers with and without health insurance benefits differently than a worker whose spouse does not have employer-provided health benefits. Importantly, this distortion arises from the reliance on employer-provided benefits and is independent of any pre-existing conditions clauses or issues concerning the portability of health plans. The estimates suggest that spouse-provided benefits substantially increase the likelihood of turnover.

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Paper provided by EconWPA in its series Labor and Demography with number 9604001.

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Date of creation: 01 Apr 1996
Date of revision:
Handle: RePEc:wpa:wuwpla:9604001
Note: Type of Document - Binary Word for Windows (V.6) Document; prepared on IBM PC - compatible; to print on HP LaserJet IIIP (PCL);
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  1. Brigitte C. Madrian, 1994. "Employment-Based Health Insurance and Job Mobility: Is there Evidence of Job-Lock?," The Quarterly Journal of Economics, Oxford University Press, vol. 109(1), pages 27-54.
  2. Douglas Holtz-Eakin, 1994. "Health Insurance Provision and Labor Market Efficiency in the United States and Germany," NBER Chapters, in: Social Protection versus Economic Flexibility: Is There a Trade-Off?, pages 157-188 National Bureau of Economic Research, Inc.
  3. Jonathan Gruber & Alan B. Krueger, 1990. "The Incidence of Mandated Employer-Provided Insurance: Lessons from Workers' Compensation Insurance," NBER Working Papers 3557, National Bureau of Economic Research, Inc.
  4. Stephen A. Woodbury & Wei-Jang Huang, 1991. "The Tax Treatment of Fringe Benefits," Books from Upjohn Press, W.E. Upjohn Institute for Employment Research, number ttfb, November.
  5. Gruber, J. & Madrian, B.C., 1994. "Limited Insurance Portability and Job Mobility: The Effects of Public Policy on Job-Lock," Working papers 94-03, Massachusetts Institute of Technology (MIT), Department of Economics.
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  7. Diamond, Peter, 1992. "Organizing the Health Insurance Market," Econometrica, Econometric Society, vol. 60(6), pages 1233-54, November.
  8. Steven G. Allen & Robert L. Clark & Ann A. McDermed, 1993. "Pensions, Bonding, and Lifetime Jobs," Journal of Human Resources, University of Wisconsin Press, vol. 28(3), pages 463-481.
  9. Frank A. Scott & Mark C. Berger & Dan A. Black, 1989. "Effects of the Tax Treatment of Fringe Benefits on Labor Market Segmentation," ILR Review, Cornell University, ILR School, vol. 42(2), pages 216-229, January.
  10. Ippolito, Richard A, 1985. "The Labor Contract and True Economic Pension Liabilities," American Economic Review, American Economic Association, vol. 75(5), pages 1031-43, December.
  11. Mortensen, Dale T, 1988. "Wages, Separations, and Job Tenure: On-the-Job Specific Training or Matching?," Journal of Labor Economics, University of Chicago Press, vol. 6(4), pages 445-71, October.
  12. Alan C. Monheit & Philip F. Cooper, 1994. "Health Insurance and Job Mobility: Theoryand Evidence," ILR Review, Cornell University, ILR School, vol. 48(1), pages 68-85, October.
  13. Rebecca A. Luzadis & Olivia S. Mitchell, 1989. "Explaining Pension Dynamics," NBER Working Papers 3084, National Bureau of Economic Research, Inc.
  14. Long, James E & Scott, Frank A, 1982. "The Income Tax and Nonwage Compensation," The Review of Economics and Statistics, MIT Press, vol. 64(2), pages 211-19, May.
  15. Gruber, Jonathan, 1994. "The Incidence of Mandated Maternity Benefits," American Economic Review, American Economic Association, vol. 84(3), pages 622-41, June.
  16. Woodbury, Stephen A, 1983. "Substitution between Wage and Nonwage Benefits," American Economic Review, American Economic Association, vol. 73(1), pages 166-82, March.
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