It’s the first of the year and I’ve received notice of changes to my health insurance policy, so it’s time once again for my annual update on the state of my health insurance. As you may know, I am partner in a small business and an employee of that business, and purchase private health insurance for my family.
If you’re new to this discussion, you may want to start by reviewing the previous three articles on this topic:
Let’s start by looking at some numbers:
| Year |
|
Premium |
|
Deductible |
|
Increase |
|
Increase |
| 2003 |
|
$225 |
|
$4000 |
|
|
|
|
| 2004 |
|
$275 |
|
$4000 |
|
$50 |
|
22% |
| 2005 |
|
$327 |
|
$4000 |
|
$52 |
|
19% |
| 2006 |
|
$415 |
|
$4000 |
|
$88 |
|
27% |
| 2007 |
|
$532 |
|
$4000 |
|
$117 |
|
28% |
| 2008 |
|
$633 |
|
$4000 |
|
$101 |
|
19% |
| 2009 |
|
$717 1 |
|
$5700 |
|
$84 |
|
13% |
While this might initially look like an improvement — after all, the rate increase was “only” 13%, the lowest annual increase percentage to date — the rate increase is coupled with a deductible increase from $4000 to $5700.
So, let’s do some math to put this into perspective.
- Annual premium: $717 x 12 = $8,604
- Annual deductible: $5,700
- Monthly HSA contribution to satisfy deductible: $5,700 / 12 = $475 2
- Monthly cost of health insurance: $717 + $475 = $1,192
- Annual cost of health insurance: $1,192 x 12 = 14,304
- Estimate of work hours per year: 2080 hours
- Hourly income required to pay for health insurance: $14,304 / 2080 hours = $6.88 / hour 3
Ouch.
The trends suggest that health insurance is going to become an ever increasing percentage of my income. One wonders how and where it will stop.
I have no way of knowing if my insurance carrier (Assurant, aka Time Insurance) is experiencing these same cost increases, or if they are taking advantage of the fact that current customers have a disincentive to change providers due to pre-existing conditions, Byzantine application and underwriting forms, etc.
It is, unfortunately, however, easy to imagine a time when private health insurance is simply unaffordable (as if it is “affordable” right now), such that the options are reduced to having no insurance, having government-provided insurance, or employer-provided insurance. And that will be an even bigger problem…
If you have any suggestions for me (other than “Get a real job, Jeff.”), let me know.
Notes:
- Note the increase to the plan deductible that is paired with this premium increase.
- It could be debated whether this is a cost of health insurance coverage or not. However, given that the deductible must be met before the insurance company pays for any expenses, I think it is reasonable to include this as an expense.
- This estimate does not account for income tax. In order to pay $6.88 per hour for health insurance coverage, more than that must be earned.