ADP Research Institute 2013 ADP Annual Health Benefits Report Reveals Young and Low Wage Workers Face the Greatest Health Care Challenges

ROSELAND, New Jersey -- June 26, 2013 -- ADP®, a leading provider of employee healthcare benefits administration and human capital management services, today announced the findings of a new annual ADP Research Institute® report, which highlights significant trends in employer-provided healthcare benefits since 2010. Based on four years of actual anonymous and aggregated health benefits data from the same group of 175 U.S.-based companies with 1,000 or more employees, the report will provide an unprecedented benchmark against which to measure the impact of the Affordable Care Act (ACA) on employer-provided benefits leading up to the implementation of the ACA's Shared Responsibility provisions and the opening of public insurance exchanges in 2014.
The ADP Annual Health Benefits Report: 2013 Benchmarks and Trends for Large Companies brings to light the relative impacts of the initial enacted provisions of the ACA, health plan premium dynamics, changing economic conditions and changing workforce demographics. It is intended to provide employers with strategic insights as they enter into uncharted territory as Health Care Reform is implemented, and to help form a solid foundation upon which organizations can build effective benefits strategies for the future.
"ADP's 2013 Annual Health Benefits Report suggests that younger generations and lower wage workers are facing the greatest healthcare challenges in terms of eligibility and cost, and these are employees that employers will need to carefully consider when designing and communicating their 2014 benefits programs," said Tim Clifford, president of ADP Benefits Administration Services. "In an effort to reduce the risk in their pool of covered workers and potentially reduce costs for the total covered population, employers may choose to extend coverage to employees who were not previously eligible. They may also opt to change the contribution tiers of coverage, adjust part-time/full-time hiring strategies or adjust their contribution to the coverage of dependents. All of these strategies could have far-reaching effects on U.S. businesses, employee compensation and the overall economy." 
Other key findings of the 2013 ADP Annual Health Benefits Report include:
Health Plan Premiums Rising - But Moderating
The average monthly premium rose approximately 14% from 2010 to 2013. However, after a spike of nearly 8% between 2010 and 2011, the rate of increase moderated. Premiums rose approximately 3% in the last year. In 2013, the average monthly health plan premium was $832*.
While health plan premiums rose for employees of all ages, the steepest increase was among those under 30.
Young Workers Less Likely to Be Eligible for and Enroll in Health Plans
Between 2010 and 2013, the percentage of full-time employees who were eligible for employer-provided health benefits remained relatively steady at an average of 88%, and participation rates remained stable at an average of 65%. Although health benefits eligibility has declined slightly in every age group since 2010, younger workers faced the largest decrease, which may indicate that jobs taken by younger people were less likely to offer health benefits. When employees under age 30 were offered benefits, however, only half participated in their employer's health benefits program in 2013. The ability to obtain health coverage through aparent's health plan up to age 26 may be a partial explanation for this phenomenon.
Health Costs Represent the Greatest Burden for Low Wage Workers
While the cost of healthcare premiums as a percentage of income increased across all income levels, it increased more rapidly for lower-wage employees than any other group. In 2013, health costs represented, on average, 8.4% of income for an employee earning between $15,000 and $20,000 versus 2.1% for an employee earning more than $120,000. This equates to higher total premium costs for higher income employees, but, when adjusted for total covered lives, these higher costs are a result of high income employees covering more dependents.
Wide Range of Cost Disparity between States
An analysis of 21 states with the largest employee populations showed the cost of health plan premiums -- as well as premium increases -- varied widely from state to state. In 2013, of the 21 states analyzed, New Jersey had the highest monthly premium, $968, and North Carolina had the lowest, $733. Also in 2013, the employer's share of the health plan premium ranged from 79% in New York to 72% in Colorado.
"Today, more than ever before, employers need actionable, strategic healthcare benefits insights to make the right decisions for their businesses and their employees," said Ahu Yildirmaz, Ph.D., senior director, ADP Research Institute. "By analyzing ADP's actual and anonymous client data, the ADP Research Institute has the unique ability to help employers to make strategic benefits decisions and also establish a critical baseline against which to assess the future impact of the ACA upon health benefits and workforce management." To obtain a free copy of the ADP Annual Health Benefits Report: 2013 Benchmarks and Trends for Large Companies, please click here or visit
About this Study
The ADP Research Institute used anonymous, employee-level yearly panel data from a set of employers spanning 2010 to 2013. This research considered the same set of companies each year in order to provide consistent comparisons across years. In total, the "matched" set of 175 U.S.-based companies was comprised of more than 600,000 employees each year, on average. All companies used in this study had 1,000 or more employees for at least one of the four years and no fewer than 800 in any given year. For this study, the ADP Research Institute analyzed only nonunion, full-time employees.
About the ADP Research Institute
The ADP Research Institute provides insights to leaders in both the private and public sectors around issues in human capital management, employment trends, and workforce strategy. The Institute's other recent healthcare benefits studies released in 2013 include "Planning for Health Care Reform: How Income Impacts Employee Health Benefits Participation" and the "ADP 2012 Study of Large Employer Health Benefits" both of which are based on actual, real-world data for approximately one million employees and more than two million covered lives.
About ADP
Employers around the world rely on ADP® (NASDAQ: ADP) for cloud-based solutions and services to help manage their most important asset – their people. From human resources and payroll to talent management to benefits administration, ADP brings unmatched depth and expertise in helping clients build a better workforce. A pioneer in Human Capital Management (HCM) and business process outsourcing, ADP serves more than 610,000 clients in 100 countries.
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