Researchers Explore Patterns of Individual Health Insurance Coverage

Patterns of individual health plan coverage among non-elderly adults

Researchers at the Edmund S. Muskie School of Public Service at the University of Southern Maine, with colleagues at the University of Missouri - St. Louis, explored the role of the individual health insurance market as a source of health insurance coverage for non-elderly adults in the United States.

This project was part of the Robert Wood Johnson Foundation (RWJF) national program Changes in Health Care Financing and Organization (HCFO).

Key Findings:

  • Some 5.9 percent of those surveyed had individual health insurance at the time of the interview. Of these, almost 74 percent were employed.
  • Almost half of all spells of individual insurance lasted less than six months. People working for a small business and those who were self-employed generally had longer spells of individual insurance.
  • Some 13 percent of people surveyed reported at least one spell of individual insurance during the four-year survey period. Most had only one spell, but almost one-third had two spells and nearly 10 percent had three or more.

Key Conclusions:

  • The individual insurance market is relatively heterogeneous, with most individual-coverage spells bridging gaps in employer-based coverage.
  • These findings support previous speculation that the individual insurance market is volatile, therefore increasing marketing and administrative costs for the insurance industry.

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