Health insurance availability at the workplace: how important are worker preferences?

Analysts have frequently interpreted the uneven distribution of health insurance across firms of varying size as evidence of insurance market failure in the small group market. We explore an additional explanation by considering the relationship between employee preferences for health insurance and...

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Bibliographic Details
Published in:Journal of Human Resources Vol. 34; no. 4; pp. 770 - 786
Main Authors: Monheit, Alan C., Vistnes, Jessica Primoff
Format: Article
Published: University of Wisconsin Press Fall99
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Online Access:View this record in EBSCOhost
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Summary:Analysts have frequently interpreted the uneven distribution of health insurance across firms of varying size as evidence of insurance market failure in the small group market. We explore an additional explanation by considering the relationship between employee preferences for health insurance and its availability at the workplace. We apply a simple model of job choice to data from the 1987 National Medical Expenditure Survey to examine whether workers with weak preferences for health insurance sort themselves into jobs without coverage. Our results for a sample of single workers are consistent with such sorting behavior. Reprinted by permission of the publisher.