State-Level Trends in Employer-Sponsored Health Insurance

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Most nonelderly Americans who have health insurance are covered through an employer, and employer-sponsored insurance (ESI) will continue to be a major source of coverage even after 2014, when the Affordable Care Act’s(ACA’s) Medicaid
expansion and subsidies for the purchase of private coverage through health insurance exchanges will take effect. This report from the Robert Wood Johnson Foundation examines recent trends in ESI at the national and state level...

The percent of the U.S. nonelderly population with ESI declined from 69.7 percent in 1999/2000 to 59.5 percent in 2010/2011. While 47 states and the District of Columbia saw significant declines in coverage during this time period, there is substantial state-level variation in both the magnitude of these declines and in the absolute levels of ESI
coverage in each state.

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