This report examines state-level trends in employer-sponsored insurance (ESI) and the factors that influence ESI. Download the report.

Most nonelderly Americans who have health insurance coverage obtain it through an employer, whether through their own employer or through the employer of a family member to whom they are related as a dependent.  However, ESI coverage eroded substantially during the time period of this study (1999/2000 to 2010/2011).   This report examines national and state-level changes in ESI both overall and along several dimensions: by family income, policyholder vs. dependent status, employer/employment characteristics, and premium costs. This report also serves to establish a baseline to facilitate monitoring the impact of the Affordable Care Act (ACA) on key national and state-level ESI indicators.   

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 from this drop-down list.

Select a state from the drop-down menu below to view state-specific ESI fact sheet two- pagers: