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Dependent Coverage and Parental "Job Lock": Evidence from the Affordable Care Act

Author

Listed:
  • Hannah Bae
  • Katherine Meckel
  • Maggie Shi

Abstract

Coverage for dependents is a common feature of employer-sponsored insurance. While prior work shows that employees trade off job mobility for their own coverage, there is less evidence on the intra-family spillovers of dependent coverage onto parental labor supply. We study this question using a panel of insurance claims that links de- pendent insurance enrollment with a proxy for parental job retention. We develop a regression discontinuity design that exploits variation in coverage eligibility by dependent birth date from the Affordable Care Act, and find that a one percent increase in the dependent enrollment likelihood leads to a 0.2 percent increase in parental job retention. Job lock induced by dependent coverage is greater for parents who were more likely to be on the margin of a job exit, for families who value dependent coverage more, and for employees of firms with a wider range of insurance options.

Suggested Citation

  • Hannah Bae & Katherine Meckel & Maggie Shi, 2022. "Dependent Coverage and Parental "Job Lock": Evidence from the Affordable Care Act," NBER Working Papers 30200, National Bureau of Economic Research, Inc.
  • Handle: RePEc:nbr:nberwo:30200
    Note: AG CH EH PE
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    Cited by:

    1. Aouad, Marion, 2023. "The intracorrelation of family health insurance and job lock," Journal of Health Economics, Elsevier, vol. 90(C).

    More about this item

    JEL classification:

    • H0 - Public Economics - - General
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I28 - Health, Education, and Welfare - - Education - - - Government Policy

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