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Health Care Health Care Coverage for Small Coverage for Small Businesses in Businesses in Colorado Colorado Hot Issues in Health Care Hot Issues in Health Care 2004 2004 Schulte Consulting Schulte Consulting

Health Care Coverage for Small Businesses in Colorado Hot Issues in Health Care 2004 Schulte Consulting

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Page 1: Health Care Coverage for Small Businesses in Colorado Hot Issues in Health Care 2004 Schulte Consulting

Health Care Health Care Coverage for Small Coverage for Small

Businesses in Businesses in ColoradoColoradoHot Issues in Health Care Hot Issues in Health Care

20042004

Schulte ConsultingSchulte Consulting

Page 2: Health Care Coverage for Small Businesses in Colorado Hot Issues in Health Care 2004 Schulte Consulting

LayoutLayout

What is small business health care What is small business health care coverage?coverage?

How many people receive health care How many people receive health care coverage through a small business?coverage through a small business?

What has happened to small business What has happened to small business health care coverage over time?health care coverage over time?

Why do small businesses offer coverage Why do small businesses offer coverage to their workersto their workers

Why do employees enroll in coverage?Why do employees enroll in coverage?

Page 3: Health Care Coverage for Small Businesses in Colorado Hot Issues in Health Care 2004 Schulte Consulting

What is small business What is small business health care coverage?health care coverage?

Health care coverage for businesses Health care coverage for businesses with 1-50 employeeswith 1-50 employees

Page 4: Health Care Coverage for Small Businesses in Colorado Hot Issues in Health Care 2004 Schulte Consulting

How many people receive How many people receive coverage through a small coverage through a small

business?business? What percent of Coloradans work for What percent of Coloradans work for

a small business?a small business? What percent of small businesses What percent of small businesses

offer health care coverage to their offer health care coverage to their employees?employees?

What percent of Coloradans receive What percent of Coloradans receive health care coverage through a health care coverage through a small business?small business?

Page 5: Health Care Coverage for Small Businesses in Colorado Hot Issues in Health Care 2004 Schulte Consulting

What percent of Coloradans What percent of Coloradans work for a small business?work for a small business?

29% 28%

71% 72%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Colorado U.S.

50+<50

Page 6: Health Care Coverage for Small Businesses in Colorado Hot Issues in Health Care 2004 Schulte Consulting

What percent of small What percent of small businesses offer health care businesses offer health care

coverage to their coverage to their employees?employees?

46% 45%

54% 55%

0%

20%

40%

60%

80%

100%

120%

Colorado U.S.

Small businesses that donot offer coverageSmall businesses thatoffer coverage

Page 7: Health Care Coverage for Small Businesses in Colorado Hot Issues in Health Care 2004 Schulte Consulting

What percent of Coloradans What percent of Coloradans receive health care receive health care

coverage through a small coverage through a small business?business?

Small employer coverage, 11%

Large employer coverage, 51%

Individual, 6%

Medicaid, 6%

Medicare, 9%

Uninsured, 16%

Page 8: Health Care Coverage for Small Businesses in Colorado Hot Issues in Health Care 2004 Schulte Consulting

What has happened to What has happened to small business over time?small business over time?

Annual single premiums

$0$500

$1,000$1,500$2,000$2,500$3,000$3,500$4,000

1996

1997

1998

1999

2000

2001

2002

Colorado U.S.

Percent offering

0%

10%

20%

30%

40%

50%

60%

1996

1997

1998

1999

2000

2001

2002

Colorado U.S.

Page 9: Health Care Coverage for Small Businesses in Colorado Hot Issues in Health Care 2004 Schulte Consulting

Do small businesses pay Do small businesses pay higher premiums than large higher premiums than large

businesses?businesses?Annual premium for single coverage

$0

$500

$1,000

$1,500

$2,000

$2,500

$3,000

$3,500

$4,000

Colorado U.S.

<50 employees50+ employees

Page 10: Health Care Coverage for Small Businesses in Colorado Hot Issues in Health Care 2004 Schulte Consulting

Why do small business offer Why do small business offer health care coverage?health care coverage?

Business sizeBusiness size Income level of employeesIncome level of employees Competition with large businesses Competition with large businesses

for laborfor labor

Page 11: Health Care Coverage for Small Businesses in Colorado Hot Issues in Health Care 2004 Schulte Consulting

What has happened to What has happened to small business employees small business employees

over time?over time?Employee contriubtion to

single coverage

$0$100

$200$300$400

$500$600

1996 1998 2000 2002

Colorado U.S.

Percent employees enrolling

0%

20%

40%

60%

80%

1996 1998 2000 2002

Colorado U.S.

Page 12: Health Care Coverage for Small Businesses in Colorado Hot Issues in Health Care 2004 Schulte Consulting

Why do employees enroll in Why do employees enroll in coverage?coverage?

Income levelIncome level Coverage through spouse’s employerCoverage through spouse’s employer

Page 13: Health Care Coverage for Small Businesses in Colorado Hot Issues in Health Care 2004 Schulte Consulting

Three things to Three things to rememberremember

11% of Coloradans are covered by 11% of Coloradans are covered by small business coveragesmall business coverage

Small businesses pay health Small businesses pay health insurance premiums that are similar insurance premiums that are similar to large businessesto large businesses

Businesses and employees to not Businesses and employees to not respond much to price changesrespond much to price changes