Unemployed See COBRA Costs Increase in 2010, While Current Workers Brace for More Health Care Cost Shifting in 2011, Says Aon Consulting

/PRNewswire/ -- As the national unemployment rate continues to hover around 10 percent, health care costs for those jobless Americans have seen a year-over-year increase, according to Aon Consulting, the global benefits and human capital consulting business of Aon Corporation (NYSE:AON) .

Aon Consulting surveyed 1,079 employers nationwide in its 2010 Benefits Survey, and found an increase in monthly COBRA* contributions for terminated employees. Specifically, the average monthly cost for employee-only HMO coverage for a terminated worker is $429 this year, compared to $399 for the same coverage in 2009. For employee plus family, the former employee is paying $1,251 a month this year, compared to $1,171 per month last year. As for PPO coverage, the average monthly cost for employee only is $449 in 2010, compared to $439 in 2009, and for employee plus family, the cost tops out at a monthly average of $1,310 this year, versus $1,275 last year. (Click on the following link to see charts on a detailed year-over-year comparison: http://aon.mediaroom.com/index.php?s=43&item=1998)

"The increased frequency and duration of COBRA use is creating a significant strain on the program, leading to higher costs," said John Zern, executive vice president and Health & Benefits Practice director with Aon Consulting. "Those who are unemployed, and facing uncertainty about employment prospects and future COBRA availability, are utilizing the program more than we've traditionally seen to treat a variety of conditions prior to potentially losing coverage. This coupled with the high unemployment rate, is placing the COBRA program in a unique and unprecedented position."

As for current employees, they can expect to shoulder more of the expense related to health coverage in 2011, according to this survey. In fact, 65 percent of employers plan to increase cost sharing next year for things such as deductibles, co-pays and out-of-pocket maximums. What's more, 57 percent of companies say they will ask employees to contribute more for the overall cost of health care in 2011. The amount of cost sharing implemented by employers varies. On plan design (e.g., deductibles, co-pays and out-of-pocket maximums), 46 percent of employers are shifting costs to employees equal to the overall renewal increase, while an additional 46 percent are shifting costs to workers that are less than the overall renewal increase. For overall health plan cost, 40 percent of employers say the additional worker contributions will be equal to the 2011 renewal increase, and 49 percent indicate that workers will be asked to pay less than next year's renewal increase.

"We believe the new health reform law will increase health care costs by 2 percent to 4 percent during the next three years," said Tom Lerche, senior vice president with Aon Consulting. "In addition, we expect to see new costs related to excise taxes and potential cost shifting from reductions in Medicare reimbursement to providers, which will be on top of existing long-term medical trend inflation. These factors will lead many employers to consider increased employee contributions for health coverage, as well as plan design cost sharing."

To learn more about Aon Consulting's 2010 Benefits Survey, please visit www.aon.com/2010survey.

* COBRA - refers to the Consolidated Budget Reconciliation Act of 1985, and includes provisions for members of company health plans who have lost their coverage due to a "qualifying event" to continue coverage at the employee's expense for a period of time.

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Government To Help Pay Health Insurance For Out Of Work Americans

(SPM Wire) Americans who lost their jobs or will lose their jobs anytime between September 1, 2008 and the end of 2009 are about to find it easier to afford health care insurance.

The federal government has announced it temporarily will pay for 65 percent of the cost of health insurance for laid-off workers who lost their jobs during this period.

This provision was signed into law as part of the recent economic stimulus plan and will provide people with up to nine months of partial payments for their health care premiums. The money is available to those whose yearly adjusted gross income doesn't exceed $125,000 or $250,000 for those who file their taxes jointly.

The payments will be made through what is known as COBRA, a federal regulation that allows employees to keep their company health insurance for up to 18 months after they leave their jobs. Now, the government will help subsidize 65 percent of ex-employee COBRA premium payments if they lost their jobs during the qualifying period.

And workers who had turned down COBRA benefits can reapply and receive the subsidy if their layoffs occurred since September 1, 2008.

The new stimulus plan covers premium payments for coverage periods beginning after February 17 - the date the plan was signed into law - and is not retroactive for coverage prior to this date.

Don't wait too long to apply for the new government subsidy, as there is a window during which you are eligible, depending on when you lost your job.

There is some fine print, however, as many Americans who have been recently terminated worked for companies with fewer than 20 employees. These small businesses generally aren't eligible for COBRA, since it only applies to businesses employing more than 20 individuals. Speak with your employer if you have any questions.

For more information about COBRA, which itself became law in 1985, visit the U.S. Department of Labor Web site at www.dol.gov.

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