njbia 2014 health benefits survey presented by christine stearns vice president of health and legal...
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NJBIA 2014 HEALTH BENEFITS SURVEYPresented by Christine Stearns
Vice President of Health and Legal Affairs for the New Jersey Business & Industry Association
October 30, 2014
About the survey• Conducted in July and August 2014• 583 respondents• 80 percent of respondents from North and Central Jersey• 84 percent had only one business location
Overview• Overwhelming majority of businesses provide health
benefits• Small businesses faced the largest cost increase:
24 percent over last year• Despite challenges, large majority expect to continue
benefits next year• Escalating health benefit costs are the biggest threat to
providing coverage in the future
Cost increases by employer size
Series10%
5%
10%
15%
20%
25%
30%
24%
16%
13%
8%7%
1-2425-4950-99100-249250+
# of em-ployees
Average Cost of Health CoverageEmployee Only
$7,416
Parent/Child
$11,352
Husband/Wife
$15,660
Family Plan
$19,116
Company Size
Employee Only
Parent/Child
Husband/Wife
Family
1-24 $7,560 $10,800 $16,008 $19,272
25-49 $5,892 $9,960 $12,456 $17,244
50-99 $6,708 $11,556 $13,812 $18,876
100-249 $8,136 $15,702 $18,660 $25,416
250+ $9,960 $16,008 $20,340 $13,440
Likelihood to discontinue coverage
8%9%
17%
22%
44%
1-24Employees
Very Not sureSomewhat Not veryNot at all
0.09
0.88
250+ Employees
VeryNot sureSomewhatNot veryNot at all
Reasons for discontinuing coverage
Mandate does not apply
Complexity
Not enough employees
ACA penalty costs less
Cost
0% 10% 20% 30% 40% 50% 60% 70% 80% 90%100%
12%
14%
14%
15%
90%
Employer contribution
1-24 25-49 50-99 100-249 250+0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
48%52% 50%
64%61%
81%
73% 72%
82%
69%
Dependent coverageEmployee coverage
Initial cost increases in 2014
1-24 25-49 50-99 100-249 250+0%
5%
10%
15%
20%
25%
30%
35%32%
25%23%
17%15%
24%
16%
13%
8% 7%
Initial cost increase Final cost increase
How employers contained costs
Increased cost sharing
Increased employee share
Changed carriers
High-deductible plan
Reduced benefits
0% 10% 20% 30% 40% 50% 60%
53%
29%
26%
25%
19%
How employers paid for cost increase
Cut employees
Increased productivity
Delayed business investment
Limited wage increases
Lowered profits
0% 5% 10%15%20%25%30%35%40%45%50%
12%
13%
22%
35%
45%
Conclusions• Employment market drives access
• Employers see providing health benefits is seen a good business decision.
• Commitment to providing benefits is strong• Employers plan to continue to offer healthcare coverage despite
cost increases.
• Cost is the biggest threat to private-sector coverage• For those employers that are considering discontinuing coverage,
excessive cost increases are the reason.
• Value is key to containing costs• Getting good results for the costs of providing healthcare coverage.
NJBIA 2014 HEALTH BENEFITS SURVEYPresented by Christine Stearns
Vice President of Health and Legal Affairs for the New Jersey Business & Industry Association
October 30, 2014