Survey: Small Business Owners Have Poor Grasp of Health Reform

A survey by online health benefits seller eHealthInsurance of 439 small business clients finds most do not understand applicable provisions of the Affordable Care Act.


A survey by online health benefits seller eHealthInsurance of 439 small business clients finds most do not understand applicable provisions of the Affordable Care Act.

The act requires employers with 50 or more full-time employees to provide coverage. Only two of the surveyed clients were large enough to fall under the requirement, yet 34 percent believed they had to provide coverage, and another 35 percent didn’t know. Thirty-one percent correctly knew that they were not required to pay a tax if they did not offer insurance because of the size of their business.

More than three-quarters of surveyed small businesses were not familiar with reform-mandated insurance exchanges, designed to be one-stop shopping sites for health benefits for employees and those who don’t have work-related benefits.

Sixty-eight percent of surveyed employers have no plans to drop coverage for employees in 2014, 29 percent would consider dropping coverage and 3 percent expect to drop it.

More than three-quarters of respondents are not doing long-term planning on how health reform, including insurance exchanges, may affect their business. In addition, 51 percent would consider increasing employees’ share of premium costs and 39 percent would consider increasing the deductible. More results are available here.

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