-Caveat Lector-

It's time to do away with for profit health care. Costs will
always rise where the system must cover its own costs AND profits
for businessmen and corporations.

It's time for Socialized medicine. -- Nurev
============================================

Employer health-plan premiums rise; fewer jobs offering insurance

By THERESA AGOVINO
Associated Press

NEW YORK (September 6, 2001 09:42 a.m. EDT) - Premiums for
employer-sponsored health insurance plans have climbed 11
percent this year - the biggest jump in nearly a decade -
pushing companies to consider requiring workers to pay more
out of their own pockets while reversing a growing trend
of more companies offering coverage.

>From the spring of 2000 to the spring of 2001, annual premiums
for employer-sponsored plans grew to $2,650 for single coverage
and $7,053 for family coverage, according to a study of 2,734
companies conducted by the Henry J. Kaiser Family Foundation
and the Health Research & Educational Trust. The previous
year, premiums increased an average of 8.3 percent, while
premiums rose 4.8 percent in 1999.

This year's increase has employers thinking about shifting
more of the cost to employees - a prospect more palatable
since the red-hot job market has cooled, making it more difficult
for workers to jump ship should they be upset by changes
in benefits.

According to the study, being released Thursday, 44 percent
of companies were either "very likely" or "somewhat likely"
to increase employee premium costs in the next year. Workers
pay an average of $30 a month for single coverage and $150
a month for family coverage.

"It is interesting to see how quickly you can see the effect
of rising premiums in a slowing economy," said Larry Levitt,
co-author of the study and vice president of the Kaiser Family
Foundation. "The time of increases in health care costs being
offset by employers has come to a screeching halt."

That's unlikely to change unless the economy drastically
improves because other organizations that track health care
costs are forecasting double digit increases for 2002. For
example, management consulting firm Towers Perrin predicts
health care costs will rise nearly 11 percent next year.

Meanwhile, the rising costs are causing fewer companies to
offer health benefits. From 1998 to 2000, the percentage
of companies offering health benefits grew from 55 percent
to 67 percent, according to the Kaiser study. This year,
the percentage dropped to 65 percent.

Levitt said once companies start offering insurance, they
rarely drop it. Yet, he fears as small businesses offering
health insurance close because the economic slowdown, they
will be replaced by other small companies who simply don't
offer the option.

"There are just no new ideas for controlling costs. I think
we are going to see a lot more bad news," Levitt said.

The trend of shifting the cost of health care to the worker
has already taken root in some companies.

For example, the average deductible for an employee choosing
a doctor outside the network in a Preferred Provider Organization
grew from $361 last year to $407 this year. Co-payments for
prescription drugs increased to $20 this year from $16 last
year.

Still, from 1996 to 2001, the percentage of the premium a
single employee paid dropped to 14 percent in 2000 from 21
percent in 1996. It did increase to 15 percent this year.
However, the percentage paid for family coverage has been
constant at 27 percent or 28 percent for the last five years.

Employee costs have increased slightly even as the percentage
of the premium they pay has remained constant. This year,
single coverage rose $2 to $30 a month; family coverage rose
$12 to $150.

Employers primarily blame the premium hikes on prescription
drug costs. Sixty-four percent of employers say drug spending
contributed "a lot" to the overall costs. Other factors cited
as cost drivers were higher spending on hospital and physician
care, insurance company profits and better medical technology.

Employers say that even though the economy has cooled and
they don't fear losing employees, they still don't want to
pass through rising health care costs - even though many
are.

Rochester, N.H.-based Enterasys Networks Inc. has seen its
health care premiums rise for the past three years. This
year costs for the two plans it offers workers rose an average
of 18 percent. As a result, the computer networking company
plans to increase employee premiums Jan. 1, $10 for singles
to $45 or $55, and by $20 to $25, to $155 or $185, for families.

"We hate passing costs forward but we had to. We just couldn't
eat it all again this year," said Michael Newman, manager
of compensation and benefits.

Both the Kaiser Family Foundation and the Health Research
Educational Trust are nonprofit think tanks that focus on
health care.
---------------------------------------------------------------
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You can find this story on the web at:
http://www.nandotimes.com/business/story/74007p-1044320c.html

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