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N.J. Factory Turns To Medicaid To Insure
Lowest-Paid Employees
FRED MOGUL
January 6, 2016
Duke Gillingham, president of Oasis Foods, in Hillside, N.J., says about two-thirds of his roughly
180 employees declined to enroll in the company health plan for 2015. Many make less than
$15 an hour, and found the company plan too expensive. - Fred Mogul/WNYC
Butter-flavored popcorn oil is in high demand at Oasis Foods, a manufacturer of cooking oils,
mayonnaise and other products that restaurants and distributors often purchase by the ton.
"We get a rush this time of year with all the movie-going at the holidays," says Duke Gillingham,
president of Oasis, at his factory in Hillside, N.J., just west of Newark Liberty Airport.
The company's health insurance coverage is not as popular as its popcorn oil. Oasis offered
health insurance to all employees for 2015, to comply with a new Affordable Care Act mandate.
And while some employees did sign up for the insurance — the company doubled the number of
people on its health plan over previous years — about two-thirds of the employees declined the

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coverage. With monthly premiums of roughly $350 for a family of four, and with a $2,500 annual
deductible, it was too expensive for factory workers, many of whom earn between $10 and $15
an hour.
Gillingham says he hasn't been able to find decent insurance much cheaper than that, and he
cannot afford to significantly raise his employees' wages.
"The sad fact is we're in a very competitive business," he says. "We wish we could make
[insurance] more affordable, but it's essentially what the business can bear. If we don't watch what
we're doing, we can be high-cost, and that doesn't serve any of the employees well."
Companies Look To Avoid Penalties
Oasis Foods, a subsidiary of a Swedish food manufacturer, has about 180 workers. As of Jan.1,
smaller firms — those that employ between 51 and 100 workers — are being phased into the
same mandate that Oasis faced in 2015. Companies must offer affordable coverage to all
employees, and will be subject to a penalty if their workers instead turn to the health exchange to
buy subsidized coverage.
There's no penalty for companies, it turns out, if workers qualify for Medicaid — though there
could be controversy.
At firms like Oasis, low-wage workers are candidates more often for Medicaid than for the state
or federal insurance exchange.
To qualify for Medicaid, applicants may earn no more than 138 percent of the federal poverty level
— or roughly $16,000 for a single person and around $33,000 for a household of four.
Employers have not historically played a significant role in helping workers enroll in Medicaid. But
Gillingham's insurance broker told him about a startup called BeneStream, which is based in New
York City and facilitates enrollment in the government program.
Company Shifts Insurance Costs To The Government
Founded two years ago with seed money from the Ford Foundation, BeneStream now helps more
than 6,500 workers at 125 companies across the country get Medicaid. CEO Benjamin
Geyerhahn says moving workers from private insurance to Medicaid helps firms shift their costs
to the government.
"The savings is quite significant," he says. "Our average is about 250 percent — so about two-
and-a-half times the money you spend on us comes back to you in the form of saved premium."
Geyerhahn says going onto Medicaid, which is nearly free for employees, is a good deal, though
it lacks the generous benefits of more expensive plans. If employees make so little that they're
eligible for Medicaid, he says, they probably can't afford regular insurance premiums, especially
when combined with the high deductibles that undermine much of the benefit of insurance.

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"Yes, this [level of coverage] is something that will help them if they get in a car accident or have
a heart attack," he says, "but this isn't something that's going to help them manage their health
over the course of the year."
Wal-Mart, McDonald's and some large companies have drawn fire for not providing employees
with health insurance, but instead relying on taxpayers to fund workers' health needs via Medicaid.
Ken Jacobs, chair of the University of California, Berkeley's Labor Center, says companies whose
workers get Medicaid should bear some of the burden of the cost to taxpayers.
Critics Think Employers Should Pay Bigger Share
"Those employers should be paying more into the general pot that pays for health care, rather
than putting those costs onto everyone else," he says.
California legislators considered imposing a state tax penalty for companies whose workers get
Medicaid, but lawmakers ultimately rejected the proposal.
Linda Blumberg, an economist at the Urban Institute, says that whether you are looking at a vast
company like Wal-Mart or a modest-sized one like Oasis Foods, compensation is about trade-
offs. The more you pay for people's insurance, the less you have to put in their paychecks.
"When workers are low-income," Blumberg says, "I would rather that we publicly finance their
medical care, make it very accessible to them, have low cost-sharing so that's not a barrier to
them getting necessary care, and let them have a little bit higher wages in order to compensate."
And even the large increases in the minimum wage currently being contemplated or phased in by
several states and cities might still not be enough for those workers to afford most employer-
sponsored insurance, given the high premiums and deductibles of such plans.
At Oasis, Gillingham says his company pays a lot in taxes, so getting almost-free health care for
some workers amounts to a "fair deal."
He contrasts this system to one he and his family of six experienced in England.
"My kids didn't suffer from having a five- or six-minute checkup," he says, compared with doctor
visits in the United States — that may have been twice as long, and at much higher expense, but
without any noticeable difference in results.
"We didn't see any of the demons that people speak of when they talk about socialized medicine,"
Gillingham says. "There were no lines, no poor standard-of-care."
But despite being relatively upbeat about government healthcare, he concedes that Oasis workers
so far have given Medicaid mixed reviews. Some doctors and hospitals take the insurance, but
many don't.
Still, that's true of most health insurance, Gillingham says.

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A Gallup poll last month found that 67 percent of Americans, in general, are satisfied with the
country's health care system, compared with 75 percent of people who are on Medicaid.
"I think the system is evolving," Gillingham says. "I don't know where it's going to go, but I know
it's going to change, and we need to adapt and make use of the system in the best way
possible."
This story was produced as part of NPR's partnership with WNYC and Kaiser Health News.