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How much does health insurance cost? Comparison of premiums in administrative and survey data

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  • Larrimore, Jeff
  • Splinter, David

Abstract

Using newly available administrative data from the IRS, this paper studies the distribution of employer-sponsored health insurance premiums. Previous estimates, in contrast, were almost exclusively from household surveys. After correcting for coverage limitations of IRS data, we find average premiums for employer-sponsored plans are roughly $1,000 higher in IRS records than in the Current Population Survey. The downward bias in the CPS results from underestimating premiums of married workers and topcoding of high premiums.

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  • Larrimore, Jeff & Splinter, David, 2019. "How much does health insurance cost? Comparison of premiums in administrative and survey data," Economics Letters, Elsevier, vol. 174(C), pages 132-135.
    • Handle: RePEc:eee:ecolet:v:174:y:2019:i:c:p:132-135
    DOI: 10.1016/j.econlet.2018.11.001
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    1. Burtless Gary & Svaton Pavel, 2010. "Health Care, Health Insurance, and the Distribution of American Incomes," Forum for Health Economics & Policy, De Gruyter, vol. 13(1), pages 1-41, February.
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    4. Bradley Heim & Ithai Lurie & Kosali Simon, 2018. "Did the Affordable Care Act Young Adult Provision Affect Labor Market Outcomes? Analysis Using Tax Data," ILR Review, Cornell University, ILR School, vol. 71(5), pages 1154-1178, October.
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    6. The Food Industry Center, University of Minnesota, 2018. "The Food Industry Center 2018 Annual Report," Annual Reports 280379, University of Minnesota, The Food Industry Center.
    7. Burkhauser, Richard V. & Larrimore, Jeff & Simon, Kosali I., 2012. "A "Second Opinion" on the Economic Health of the American Middle Class," National Tax Journal, National Tax Association;National Tax Journal, vol. 65(1), pages 7-32, March.
    8. Hubert Janicki & Brett O’Hara & Alice Zawacki, 2013. "Comparing Methods For Imputing Employer Health Insurance Contributions In The Current Population Survey," Working Papers 13-41, Center for Economic Studies, U.S. Census Bureau.
    9. Facundo Alvaredo & Lucas Chancel & Thomas Piketty & Gabriel Zucman, 2018. "Distributional National Accounts," Post-Print halshs-03342488, HAL.
    10. Kolstad, Jonathan T. & Kowalski, Amanda E., 2016. "Mandate-based health reform and the labor market: Evidence from the Massachusetts reform," Journal of Health Economics, Elsevier, vol. 47(C), pages 81-106.
    11. Bollinger, Christopher R. & Hirsch, Barry & Hokayem, Charles M. & Ziliak, James P., 2018. "Trouble in the Tails? What We Know about Earnings Nonresponse Thirty Years after Lillard, Smith, and Welch," IZA Discussion Papers 11710, Institute of Labor Economics (IZA).
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    Cited by:

    1. Burkhauser, Richard V. & Corinth, Kevin & Elwell, James & Larrimore, Jeff, 2019. "Evaluating the Success of President Johnson's War on Poverty: Revisiting the Historical Record Using a Full-Income Poverty Measure," IZA Discussion Papers 12855, Institute of Labor Economics (IZA).
    2. Richard V. Burkhauser & Kevin Corinth & James Elwell & Jeff Larrimore, 2019. "Evaluating the Success of President Johnson’s War on Poverty: Revisiting the Historical Record Using an Absolute Full-Income Poverty Measure," NBER Working Papers 26532, National Bureau of Economic Research, Inc.
    3. Lurie, Ithai Z. & Miller, Corbin L., 2023. "Employer-sponsored health insurance premiums and income in U.S. tax data," Journal of Public Economics, Elsevier, vol. 224(C).
    4. Saki Sugano & Michio Yuda, 2024. "Beyond the public universal health insurance system: The effect of population aging on insurer’s responses," TUPD Discussion Papers 58, Graduate School of Economics and Management, Tohoku University.

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    More about this item

    Keywords

    Health insurance premiums; Nonwage benefits distribution; IRS data;
    All these keywords.

    JEL classification:

    • D3 - Microeconomics - - Distribution
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • J32 - Labor and Demographic Economics - - Wages, Compensation, and Labor Costs - - - Nonwage Labor Costs and Benefits; Retirement Plans; Private Pensions

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