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New Commonwealth Fund study highlights growing share of Americans’ income taken up by insurance premiums, deductibles

New Commonwealth Fund study highlights growing share of Americans’ income taken up by insurance premiums, deductibles
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Jan 12, 2022

A new Commonwealth Fund report released today is shedding light on how insurance costs of working Americans in every state are consuming a greater share of incomes than they did a decade ago.

The report examines state-level trends from 2010 to 2020 in the overall cost of employer health insurance, providing a state-by-state analysis of how much insurance is costing workers in premiums, deductibles and as a share of income over the course of a decade.

Among the key findings: 

  • In 37 states, premium contributions and deductibles amounted to 10% or more of median income in 2020, up from 10 states in 2010.
  • Workers’ contributions to family plans ranged from a low of $6,528 in Hawaii to a high of more than $9,000 in Florida, Kansas, Missouri, South Dakota and Texas.
  • In nearly half of U.S. states, middle-income households faced average deductibles that left them underinsured and exposed to high out-of-pocket costs. (The Commonwealth Fund defines underinsured as having a deductible equivalent to 5% or more of a household’s income.) Such was the case for only one state in 2010.
     
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