TY - JOUR AU - Cutler,David M. TI - Employee Costs and the Decline in Health Insurance Coverage JF - National Bureau of Economic Research Working Paper Series VL - No. 9036 PY - 2002 Y2 - July 2002 UR - http://www.nber.org/papers/w9036 L1 - http://www.nber.org/papers/w9036.pdf N1 - Author contact info: David M. Cutler Department of Economics Harvard University 1875 Cambridge Street Cambridge, MA 02138 Tel: 617/496-5216 Fax: 617/496-8951 E-Mail: dcutler@harvard.edu M1 - published as David M. Cutler. "Employee Costs and the Decline in Health Insurance Coverage," in David M. Cutler and Alan M. Garber, editors, "Frontiers in Health Policy Research, Volume 6" MIT Press (2003) AB - This paper examines why health insurance coverage fell despite the lengthy economic boom of the 1990s. I show that insurance coverage declined primarily because fewer workers took up coverage when offered it, not because fewer workers were offered insurance or were eligible for it. The reduction in take-up is associated with the increase in employee costs for health insurance. Estimates suggest that increased costs to employees can explain the entire decline in take-up rates in the 1990s. ER -