And some larger employers are self insured, but also old and sick, so our costs are higher! Until Covid, we always had open house meetings where they went over all sorts of things to tell us WHY things were changing and all the different things they tried to keep our costs down. At some point - 2010ish? - the average age of our employee was 54! We are now down to 45. That probably helps us some.
I listed somewhere what my employer pays vs me. Our company is still very open about how much they pay, but I won’t know their new rates until my first paycheck next year. I do know in ‘97 when I started, the big thing was that we split the costs 50-50. Somewhere along the way - to help compensate over many (many!) years of zero raises (cost of living and within our pay scale) they started to increase their contribution. They are now pushing 80%!!! I’d hate for it to go back to 50!
A couple of other notes… when ACA was first enacted, our rates went up 12%, but they were quick to tell us it wasn’t the ACA doing all of that. The ACA requirements contributed to 4% of the increased and our usage 8%.
It used to be that everyone on the ACA was required to have health care, or pay the penalty - thus the young and health helped pay for the older and sicker. That’s not the case anymore.
I read in an article in the last month, but don’t remember where, that said people on the ACA go to the ER at something like 2-3x more often than people not on ACA plans. I thought that was interesting.
I had one more thing, but my H interrupted me and now I forget lol.