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Posting date: March 17, 2004
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Health Affairs, 10.1377/hlthaff.w4.128
Copyright © 2004 by Project HOPE


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Workers’ Perspectives On Mandated Employer Health Insurance

Claudia L. Schur 1*, Marc L. Berk 2, Jill M. Yegian 3

1 Claudia Schur is a principal research scientist, NORC at the University of Chicago, in Bethesda, Maryland.
2 Marc Berk is a vice president and senior fellow, NORC at the University of Chicago, in Bethesda, Maryland.
3 Jill Yegian is director, health insurance, at the California HealthCare Foundation in Oakland.

*Corresponding author.

  Abstract

There is renewed discussion of using employer mandates as a strategy for decreasing the number of uninsured Americans. California recently passed the Health Insurance Act of 2003, the first state-based "play-or-pay" legislation in nearly a decade. To better understand workers’ perceptions, the California HealthCare Foundation commissioned NORC at the University of Chicago to conduct a survey to assess workers’ views on mandated employer coverage. We found that the vast majority of workers support such a mandate--regardless of whether they are insured--although there is some variation regarding how extensive the mandate should be.

Key Words: Access To Care, Business Of Health, Consumer Issues, Health Reform, Insurance - Employer-Based System, Insurance Coverage, State/Local Issues, Health Spending


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