1. This research is funded in part through a U.S. Health Resources and Services Administration, State Planning Grant to the Hawaii State Department of Health, Prime Contract No. 1 P09 OA 00046-01. Sub-Contract Research Corporation of the University of Hawaii, Project No. 659075. Research conducted by the University of Hawaii, Social Science Research Institute in collaboration with the Hawaii State Department of Health, Hawaii Institute for Public Affairs/Hawaii Uninsured Project and the Hawaii Health Information Corporation. Hawai ` i Employer Sponsored Health Insurance: MEPS-IC 2001 Health Resources and Services Administration State Planning Grant 4 th Technical Workshop Friday, September 26, 2003 Gerard Russo Associate Professor of Economics University of Hawaii

2. SOURCE: Agency for Health Care Research and Quality, Center for Financing, Access and Cost Trends, 2001 Medical Expenditure Panel Survey-Insurance Component. Health Insurance Premiums: MEPS-IC Medical Expenditure Panel Survey (MEPS) Insurance Component (IC) Agency for Health Care Research & Quality (AHRQ) Internal Revenue Service (IRS) Sampling Frame U.S. Census Bureau Data Tabulated by AHRQ for the State of Hawaii Employer Sponsored Insurance (ESI)

3. SOURCE: Agency for Health Care Research and Quality, Center for Financing, Access and Cost Trends, 2001 Medical Expenditure Panel Survey-Insurance Component. Internet Citations 2001 Employer-Sponsored Health Insurance Data. Private-Sector Data by Firm Size and State. August 2003. Agency for Healthcare Research and Quality, Rockville, MD. http://www.meps.ahrq.gov/MEPSDATA/ic/2001/Index201.htm http://www.meps.ahrq.gov/MEPSDATA/ic/2001/Index201.htm 2001 Employer-Sponsored Health Insurance Data. Private-Sector Data by Industry Groupings and State. September 2003. Agency for Healthcare Research and Quality, Rockville, MD. http://www.meps.ahrq.gov/mepsdata/ic/2001/index501.htm http://www.meps.ahrq.gov/mepsdata/ic/2001/index501.htm 2001 Employer-Sponsored Health Insurance Data. Private-Sector Data by Ownership Type and Age of Firm and State. September 2003. Agency for Healthcare Research and Quality, Rockville, MD. http://www.meps.ahrq.gov/mepsdata/ic/2001/index601.htmhttp://www.meps.ahrq.gov/mepsdata/ic/2001/index601.htm 2001 Employer-Sponsored Health Insurance Data. Private-Sector Data by Proportion of Employees Who Are Full-time or Low-wage and State. September 2003. Agency for Healthcare Research and Quality, Rockville, MD. http://www.meps.ahrq.gov/mepsdata/ic/2001/index701.htm http://www.meps.ahrq.gov/mepsdata/ic/2001/index701.htm

4. SOURCE: Agency for Health Care Research and Quality, Center for Financing, Access and Cost Trends, 2001 Medical Expenditure Panel Survey-Insurance Component. Number of Private Sector Establishments by Firm Size: Hawaii 2001

5. SOURCE: Agency for Health Care Research and Quality, Center for Financing, Access and Cost Trends, 2001 Medical Expenditure Panel Survey-Insurance Component. Distribution of Private Establishments by Firm Size: Hawaii and United States 2001

6. SOURCE: Agency for Health Care Research and Quality, Center for Financing, Access and Cost Trends, 2001 Medical Expenditure Panel Survey-Insurance Component. Number of Private Sector Employees by Firm Size: Hawaii 2001

7. SOURCE: Agency for Health Care Research and Quality, Center for Financing, Access and Cost Trends, 2001 Medical Expenditure Panel Survey-Insurance Component. Percent of Private Establishments that Offer Health Insurance by Firm Size: Hawaii and United States 2001

8. SOURCE: Agency for Health Care Research and Quality, Center for Financing, Access and Cost Trends, 2001 Medical Expenditure Panel Survey-Insurance Component. Percent of Private Establishments that Offer Health Insurance by Firm Size: Hawaii, US, Nevada and Michigan 2001

9. SOURCE: Agency for Health Care Research and Quality, Center for Financing, Access and Cost Trends, 2001 Medical Expenditure Panel Survey-Insurance Component. Distribution of Private Establishments by Industrial Classification: Hawaii and United States 2001

10. SOURCE: Agency for Health Care Research and Quality, Center for Financing, Access and Cost Trends, 2001 Medical Expenditure Panel Survey-Insurance Component. Distribution of Private-Sector Employees by Industrial Classification: Hawaii and United States 2001

11. SOURCE: Agency for Health Care Research and Quality, Center for Financing, Access and Cost Trends, 2001 Medical Expenditure Panel Survey-Insurance Component. Private Sector Single Premiums by Firm Size: Hawaii and United States 2001, ESI

12. SOURCE: Agency for Health Care Research and Quality, Center for Financing, Access and Cost Trends, 2001 Medical Expenditure Panel Survey-Insurance Component. Private Sector Single Premiums by Firm Size: Hawaii 2001, Employee and Employer Contributions

13. SOURCE: Agency for Health Care Research and Quality, Center for Financing, Access and Cost Trends, 2001 Medical Expenditure Panel Survey-Insurance Component. Employee Contributions as a Percent of Single Coverage Premiums by Firm Size: Hawaii and United States 2001

14. SOURCE: Agency for Health Care Research and Quality, Center for Financing, Access and Cost Trends, 2001 Medical Expenditure Panel Survey-Insurance Component. Private Sector Family Premiums by Firm Size: Hawaii and United States 2001

15. SOURCE: Agency for Health Care Research and Quality, Center for Financing, Access and Cost Trends, 2001 Medical Expenditure Panel Survey-Insurance Component. Private Sector Family Premiums by Firm Size: Hawaii 2001, Employee and Employer Contributions

16. SOURCE: Agency for Health Care Research and Quality, Center for Financing, Access and Cost Trends, 2001 Medical Expenditure Panel Survey-Insurance Component. Employee Contributions as a Percent of Family Premiums by Firm Size: Hawaii and United States 2001

17. SOURCE: Agency for Health Care Research and Quality, Center for Financing, Access and Cost Trends, 2001 Medical Expenditure Panel Survey-Insurance Component. Percent of Private Establishments that Offer Health Insurance by Average Wage of Work Force: Hawaii and United States 2001

18. SOURCE: Agency for Health Care Research and Quality, Center for Financing, Access and Cost Trends, 2001 Medical Expenditure Panel Survey-Insurance Component. Number of Employees Part-time and Full-time by Average Wage of Work Force: Hawaii 2001

19. SOURCE: Agency for Health Care Research and Quality, Center for Financing, Access and Cost Trends, 2001 Medical Expenditure Panel Survey-Insurance Component. Percent of Employees Eligible in Establishments that Offer Health Insurance by Average Wage of Work Force: Hawaii and United States 2001

20. SOURCE: Agency for Health Care Research and Quality, Center for Financing, Access and Cost Trends, 2001 Medical Expenditure Panel Survey-Insurance Component. Percent of Employees Enrolled in Health Insurance in Establishments that Offer Health Insurance by Average Wage of Work Force: Hawaii and United States 2001

21. SOURCE: Agency for Health Care Research and Quality, Center for Financing, Access and Cost Trends, 2001 Medical Expenditure Panel Survey-Insurance Component. Percent of Part-time Employees Eligible for Health Insurance in Establishments that Offer Health Insurance by Average Wage of Work Force: Hawaii and United States 2001

22. SOURCE: Agency for Health Care Research and Quality, Center for Financing, Access and Cost Trends, 2001 Medical Expenditure Panel Survey-Insurance Component. Percent of Part-time Employees Eligible for Health Insurance that are Enrolled: Hawaii and United States 2001

23. SOURCE: Agency for Health Care Research and Quality, Center for Financing, Access and Cost Trends, 2001 Medical Expenditure Panel Survey-Insurance Component. Summary Average ESI Premiums are lower in Hawaii than US. Low-Wage Part-Time Workers are Less Likely to be Covered by Employer-Sponsored Health Insurance. Possible Reasons Why? Tax benefits are less. Premiums as a proportion of total compensation are more. Minimum wage law prevents cash wages from adjusting downward.