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Is employer-provided healthcare discounted, or merely subsidized by the employer (or both)? The plan through my employer seemed inexpensive, but they were paying a significant portion of the premium.


It depends on exactly what you mean by discounted, but in a very real way the answer is both.

First there's the obvious, and quite significant, tax benefits to employer provided healthcare over private purchased healthcare. In the former case, neither the employer nor the employee pay payroll taxes on their contributions and the employee portion is also exempted from income tax (the employer also doesn't pay income tax on its contribution, but it wouldn't for cash salary either).

Second, more subtly, the group market faces much more favorable underwriting than the individual market. Even if non-employer group health insurance were allowed (which it isn't anymore under ACA) such groups are always subject to self-selection bias and thus are unlikely to be underwritten as as favorably. However, this point is somewhat tricky because there are both cross-subsidies and gross economic surpluses, which can be hard to untangle.


It's tax deductible for the company to offer employees health care, but individual plans bought by individuals on the exchanges are not. So it's effectively subsidized in one case but not the other.




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