This report examines state-level trends in employer-sponsored insurance (ESI) and the factors that influence ESI.
The Affordable Care Act (ACA) includes provisions to improve access to affordable health insurance, including access to employer sponsored insurance (ESI). However, concerns have been raised that the ACA could have unintended consequences that would cause declines in ESI. To provide a baseline for understanding the impacts of the ACA on ESI, this report examines and compares trends during two time periods: a period before and including the recession (2004/2005 to 2008/2009), and a period including and since the recession (2008/2009 to 2012/2013). While the majority of nonelderly Americans with health insurance are covered by employer-sponsored insurance (ESI), the percentage of the U.S. population with ESI has been declining for more than a decade — a trend that accelerated during the time of the Great Recession (December 2007 to June 2009).
State-Level Summary Tables
The report is accompanied by state-level summary tables of key ESI characteristics. These can be downloaded as one file for all 50 states and the District of Columbia, or chosen individually by clicking on the map below.