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National Consumer Survey of Individual & Family Insurance Shoppers
National Consumer Survey of Individual & Family Insurance Shoppers
National Consumer Survey of Individual & Family Insurance Shoppers
National Consumer Survey of Individual & Family Insurance Shoppers
National Consumer Survey of Individual & Family Insurance Shoppers
National Consumer Survey of Individual & Family Insurance Shoppers
National Consumer Survey of Individual & Family Insurance Shoppers
National Consumer Survey of Individual & Family Insurance Shoppers
National Consumer Survey of Individual & Family Insurance Shoppers
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National Consumer Survey of Individual & Family Insurance Shoppers

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Survey providing a snapshot of the characteristics and concerns of today's health insurance shoppers.

Survey providing a snapshot of the characteristics and concerns of today's health insurance shoppers.

Published in: Economy & Finance, Business
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  • 1. 2010/2011National Consumer Surveyof Individual & Family Health InsuranceShoppers at eHealthInsurance.com
  • 2. Table of ContentsIntroduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Individual & Family Health Insurance . . . . . . . . . . . . . . . . . . . . 3 Health Care Reform in 2010 and 2011 . . . . . . . . . . . . . . . . . . . 3 Surveying Today’s Health Insurance Shopper . . . . . . . . . . . . 3Consumer Snapshots (2010-2011) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Survey Highlights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Insurance Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Employment Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Reasons for Shopping, and End-consumer . . . . . . . . . . . . . . . 8Methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9Contact Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 2
  • 3. IntroductionIndividual & Family Health InsuranceMajor medical individual & family health insurance is purchased by consumers on the open market toprovide coverage for themselves, their children, or their families. Individual & family coverage isdi erentiated from group health insurance, which is typically obtained as a bene t through one’s employer.Approximately 14 million Americans are presently covered by individual & family health insurance plans inthe United States1. That number may increase substantially beginning in 2014 when the so-called “individualmandate” outlined in the Patient Protection and A ordable Care Act of 2010 comes into e ect. The mandatewill require most Americans without employer-based coverage to obtain individual & family coverage forthemselves.Health Care Reform in 2010 and 2011The Patient Protection and A ordable Care Act will deliver big changes to the individual & family healthinsurance market – changes both in the design of the health insurance products sold and in thedemographics of the consumer population. Provisions of the law are being phased in between 2010 and2014. Some of these changes are already visible in the market today.Provisions of the new law that came into e ect in 2010 seek to provide improved access to coverage forchildren and young adults up to age 26, to guarantee coverage for certain preventive medical screenings,and to end lifetime bene t limits for many covered medical services. With few exceptions, these changeswere made e ective for new individual & family plans purchased on or after September 23, 2010, and formost group health insurance plans at the policy’s rst annual renewal after that date.Surveying Today’s Health Insurance ShoppereHealth, Inc.’s ‘National Consumer Survey of Individual & Family Health Insurance Shoppers’ presents resultsfrom an ongoing survey of consumers who contacted the eHealthInsurance Customer Care Center betweenSeptember 2010 and February 2011. It also presents a year-over-year comparison of consumer responses tothe same survey questions gathered between September 2009 and February 2010. Sta ed with over 100licensed health insurance agents, the eHealthInsurance Customer Care Center receives thousands of callsevery month from consumers looking for health insurance.The purpose of the survey is to provide a snapshot of the characteristics and concerns of today’s individual &family health insurance shoppers. By providing year-over-year comparisons of survey responses, the presentreport also tracks changes in consumer demographics and behavior before and after the Patient Protectionand A ordable Care Act was signed into law on March 23, 2010.eHealth, Inc.’s ‘National Consumer Survey of Individual & Family Insurance Shoppers’ is not intended toprovide a comprehensive overview of the entire individual & family insurance market. It samples onlyconsumers who have contacted eHealthInsurance while shopping for individually-purchased healthinsurance products and who respond to a survey. At this time, eHealthInsurance.com is the single largestsource of individual & family health insurance products nationwide, o ering thousands of products from abroad selection of brand-name health insurance companies.Refer to the Methodology section of this report for more information on how the survey was conducted. 3
  • 4. Consumer Snapshots 2010-2011Portrait of the Individual & Family Health Insurance Shopper 2010-2011eHealthInsurance’s National Consumer Survey of Individual & Family Insurance Shoppers’ survey asksrespondents to provide demographic information including sex, education, marital status, age, andemployment status. The survey also asks whether respondents currently have health insurance and howsoon they hope to have new health insurance coverage in place. In the 2010-2011 survey period , theaverage shopper is: • Female (62.4%) more often than male • College educated (67.4%) • Married (52.6%) • Between the ages of 45 and 64 (56.7%) • Nearly seven in ten (65.2%) report being employed either full or part-time • Nearly three in four (74.2%) indicate that they need health insurance coverage under a new plan to begin within 30 days Female 62.4% 65.2% Employed Full-Time or Part-Time College 67.4% 24.5% Self-Employed Educated Married 52.6% 74.2% Need Coverage Within 30 Days 34.1% 56.7% Currently 45 - 64 Uninsured Years of AgeBy comparing shopper demographics in the 2010-2011 survey period to responses from the 2009-2010period, eHealthInsurance found the following: Women are increasingly more likely than men to shop for health insurance • Women accounted for 62.4% of shoppers during the 2010-2011 period, compared to 59.7% the year before Fewer married people and more single people are shopping for health insurance • In the 2010-2011 period, 52.6% of respondents were married and 33.6% were single, compared to 55.4% and 30%, respectively, in 2009-2010 Fewer young adults and more older adults are shopping for health insurance • 4.6% of survey respondents were between the ages of 18 and 24 in 2010-2011, compared to 8.0% the year prior • The percentage of respondents in the 55-64 age range increased from 28.2% to 38.7% 4
  • 5. Portrait of the Uninsured Individual & Family Health Insurance Shopper 2010-2011The survey also provides an in-depth look at consumer demographics for the subset of shoppers whoidentify themselves as currently ‘uninsured.’ Among the uninsured: • A substantial majority of respondents are female (63.9%) • Most are college educated (62.7%) • Most of the uninsured are employed full or part-time (64.2%) 63.9% 49.3% 45-64 Female Years of Age College 62.7% 64.2% Employed Educated Full-Time or Part-Time Married 47.4% 26.6% Unemployed 5
  • 6. Survey HighlightsInsurance StatusSurvey respondents were asked to state whether or not they currently have health insurance, and if so,through what source they obtain their coverage. In the 2010-2011 survey period, 34.1% report beinguninsured, substantially higher than the overall uninsured population in the United States in 2011 (reportedby Gallup as 16.6%2). Persons identifying themselves as currently uninsured made up the largest singleblock of consumers when sorted by insurance status. Additionally: • More than half (57.1%) of respondents between ages 18-24 report being uninsured • More than four in ten (44.4%) of those between ages 25-34 report being uninsured • However, more than three in ten (33.8%) report being currently insured through an employer-sponsored plan or through COBRA 100% Insured through employer 17.6% (or the employer of a family member) 75% 16.2% COBRA plan Surveyed Population Private market 30.5% (not through employer or prior employer) 50% State or Federal Program 1.6% (Medicare, Medicaid, etc.) 25% 34.1% Uninsured 0% Insurance ProviderWhen comparing results year over year, the survey reveals a modest decrease in the number of shopperswho report having health insurance through an employer, and a modest increase in the number of shoppersreporting that they currently have COBRA health insurance. • In the 2010-2011 period, 17.6% of respondents indicated that they currently have health insurance through an employer, down from 19.9% in the 2009-2010 period • Over 16% of 2010-2011 shoppers describe themselves as currently covered by a COBRA plan, up from 13.6% a year prior – September 2009 - February 2010 Survey Results – September 2010 - February 2011 Survey Results Uninsured Private Insurance Private Insurance COBRA Plan Medicare, Medicaid, (Not Through (Through an or Other Gov’t an Employer) Employer) Program 40% 1.2% 1.6% 35.3% 34.1% 30% 30.5% 28.9% Percentage 2.3% 20% 2.6% 19.9% 17.6% 16.2% 13.6% 10% 0.7% 2.3% 1.6% 0% 6
  • 7. Employment StatusMost Americans who have health insurance get their coverage as a bene t of employment. As businessesstruggle with a tough economy and increasing health care costs, many are passing a greater portion ofthose health insurance expenses on to employees3. Under the burden of increased expenses, some maycease providing employee coverage altogether. Consumers may turn to the individual & family healthinsurance market as a result of increased cost-sharing and loss of employer-based coverage. • In the 2010-2011 survey period, more than six in ten survey respondents (65%) indicated they were currently employed full or part-time, a decrease of 3.2% compared to the year prior • More than two in ten (23%) reported being currently unemployed, a 4.2% increase compared to the 2009-2010 survey period – September 2009 - February 2010 Survey Results – September 2010 - February 2011 Survey Results Employed Employed Retired Unemployed or (Full-Time) (Part-Time) Not Employed 60% 3.2% 48.4% 45% 45.2% Percentage 30% 4.2% 0.5% 23.1% 1.4% 20.0% 19.5% 18.9% 15% 13.2% 11.8% 0%The survey asked employed respondents to describe their employment in terms of the size of the rm forwhich they work. The results describe a slight decrease in the number of self-employed and small businessworkers, and a 4.2% increase in the number of respondents working for medium-sized businesses - definedas companies employing between 20 and 500 persons. • Nearly one in four (24.5%) of the 2010-2011 survey respondents report being “self-employed” • More than eight in ten (84%) of the 2010-2011 respondents who identified themselves as self-employed were between the ages 35 and 64 • More than three in ten 2010-2011 respondents (33.8%) report working for a small business • 73% of respondents working for a small business in 2010-2011 are between the ages of 25 and 54 – September 2009 - February 2010 Survey Results – September 2010 - February 2011 Survey Results Self-Employed Large Company Medium-Size Small Business (e.g. Contractor/ (500+ Employees) Business (Less than 20 Freelancer) (20-500 Employees) Employees) 40% 1.4% 34.4% 33.8% 30% 1.5% 4.2% 26.0% Percentage 24.8% 24.5% 23.2% 0.4% 20% 16.9% 16.5% 10% 0% 7
  • 8. Reasons for Shopping – and the End ConsumerThe survey asked respondents to describe why they are currently shopping for individual & family healthinsurance, allowing them to list multiple reasons. It also asked them whether they are shopping forthemselves or on behalf of another person. • Over half of the 2010-2011 respondents (52.1%) indicated that rate increases or the need for more a ordable coverage spurred them to shop for a new plan • More than two in ten 2010-2011 respondents (22.3%) cite the impending loss of their current coverage as a reason to shop – September 2009 - February 2010 Survey Results – September 2010 - February 2011 Survey Results Looking for Rate Increase Looking for Benefit Change Unhappy with Current Coverage Looking for Other Cheaper on Current Plan Better Benefits on Current Plan Current Health Ends Soon Someone Who Alternative Insurance is Uninsured to Current Company Insurance 40% 0.2% 34.9% 34.7% 30% 1.1% Percentage 1.8% 23.4% 22.3% 20% 0.0% 1.0% 21.0% 19.2% 0.2% 17.2% 17.2% 16.8% 15.8% 13.0% 0.9% 12.8% 10% 0.5% 2.0% 2.9% 6.0% 5.5% 0%NOTES:1 According to the Kaiser Family Foundation, 2010: http://k .org/kaiserpolls/upload/8077-R.pdf2 Source: http://www.gallup.com/poll/148079/Employer-Based-Health-Insurance-Declines-Further.aspx3 Kaiser Family Foundation 2010 Employer Health Bene ts 2010 Annual Survey: http://ehbs.k .org/ 8
  • 9. Methodology Survey Methodology The results of this ongoing survey were compiled by online poll. The survey was sent by email to consumers who contacted the eHealthInsurance Customer Care Center by telephone and who provided an email address. Participation in the survey is voluntary and so self-selection bias may be present in the results. Survey results considered in this report were compiled between September 2010 and February 2011. For the purposes of year-over-year comparison, responses to the same questions were also compiled from data gathered a year earlier, between September 2009 and February 2010. Information released in this report was compiled from a total of 2104 respondents (out of 33,887 surveys sent) in the September 2010-February 2011 period, and 1573 respondents (out of 26,192 surveys sent) in the September 2009-February 2010 time period. Given the nature of this survey, a margin of sampling error for all respondents is not readily available.For more information, please contact:Nate Purpura Brian MasteHealth, Inc. eHealth, Inc.650-210-3115 - office 650- 210-3149 - officenate.purpura@ehealth.com brian.mast@ehealthinsurance.com 9

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