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Did subsidies included in the 2009 Stimulus Package encourage enrolment in COBRA?

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  • David M. Zimmer
Abstract
The 2009 Stimulus Package in the US introduced a 65 per cent subsidy for COBRA coverage for individuals who experienced employment separation between 1 September 2008 and 2 June 2010. This paper provides evidence that the subsidy led to statistically significant and non‐trivial increases in the probability that job separators enrolled in COBRA, but only among those who qualified for the subsidy. Specifically, the subsidy appears to have boosted the probability of COBRA enrolment among subsidy qualifiers by approximately 80 per cent. Among people who separated from jobs in manufacturing and business/professional services – two industries hit hard by the recession – the subsidy boosted enrolment probabilities among subsidy qualifiers by 60 per cent and 80 per cent, respectively.

Suggested Citation

  • David M. Zimmer, 2022. "Did subsidies included in the 2009 Stimulus Package encourage enrolment in COBRA?," Fiscal Studies, John Wiley & Sons, vol. 43(4), pages 405-419, December.
    • Handle: RePEc:wly:fistud:v:43:y:2022:i:4:p:405-419
    DOI: 10.1111/1475-5890.12310
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    References listed on IDEAS

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    1. Robert Kaestner & Bowen Garrett & Jiajia Chen & Anuj Gangopadhyaya & Caitlyn Fleming, 2017. "Effects of ACA Medicaid Expansions on Health Insurance Coverage and Labor Supply," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 36(3), pages 608-642, June.
    2. David M. Zimmer, 2015. "Does COBRA reduce the probability that job separators return to work?," Journal of Economic Policy Reform, Taylor and Francis Journals, vol. 18(4), pages 326-340, October.
    3. Gruber, Jonathan & Madrian, Brigitte C., 1997. "Employment separation and health insurance coverage," Journal of Public Economics, Elsevier, vol. 66(3), pages 349-382, December.
    4. Frean, Molly & Gruber, Jonathan & Sommers, Benjamin D., 2017. "Premium subsidies, the mandate, and Medicaid expansion: Coverage effects of the Affordable Care Act," Journal of Health Economics, Elsevier, vol. 53(C), pages 72-86.
    5. Asako S. Moriya & Kosali Simon, 2016. "Impact of Premium Subsidies on the Take-up of Health Insurance: Evidence from the 2009 American Recovery and Reinvestment Act (ARRA)," American Journal of Health Economics, University of Chicago Press, vol. 2(3), pages 318-343, Summer.
    6. Saltzman, Evan, 2019. "Demand for health insurance: Evidence from the California and Washington ACA exchanges," Journal of Health Economics, Elsevier, vol. 63(C), pages 197-222.
    7. Asako S. Moriya & Kosali Simon, 2016. "Impact of Premium Subsidies on the Take-up of Health Insurance: Evidence from the 2009 American Recovery and Reinvestment Act (ARRA)," American Journal of Health Economics, MIT Press, vol. 2(3), pages 318-343, Summer.
    8. Marquis, M. Susan & Long, Stephen H., 1995. "Worker demand for health insurance in the non-group market," Journal of Health Economics, Elsevier, vol. 14(1), pages 47-63, May.
    9. Brigitte C. Madrian, 1994. "Employment-Based Health Insurance and Job Mobility: Is there Evidence of Job-Lock?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 109(1), pages 27-54.
    10. A. C. Cameron & P. K. Trivedi & Frank Milne & J. Piggott, 1988. "A Microeconometric Model of the Demand for Health Care and Health Insurance in Australia," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 55(1), pages 85-106.
    11. Jonathan Gruber & Brigitte C. Madrian, 1994. "Health Insurance and Job Mobility: The Effects of Public Policy on Job-Lock," ILR Review, Cornell University, ILR School, vol. 48(1), pages 86-102, October.
    12. Jonathan Gruber & James M. Poterba, 1993. "Tax Incentives and the Decision to Purchase Health Insurance: Evidence from the Self-Employed," NBER Working Papers 4435, National Bureau of Economic Research, Inc.
    13. Mark C. Berger & Dan A. Black & Frank A. Scott & Amitabh Chandra, 1999. "Health insurance coverage of the unemployed: COBRA and the potential effects of Kassebaum-Kennedy," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 18(3), pages 430-448.
    14. Jonathan Gruber & James Poterba, 1994. "Tax Incentives and the Decision to Purchase Health Insurance: Evidence from the Self-Employed," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 109(3), pages 701-733.
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