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Micro-Enterprise Resource Group – Universal Healthcare Survey Project Results

December 2006
CONTACT: DONNA WERTENBACH
Representative for Micro Enterprise Resource Group (MERG)
Toll free: 888.835.2333
Download Complete Survey ( PDF)

Universal Health Care- Let’s do it right!
Input from the Microenterprise Community

The topic of universal health care for state citizens has universal support ¬¬-- until the question arises of who pays.

MERG, the Microenterprise Resource Group is a collaborative networking group comprised of microenterpreneurs and member 501C3 organizations who promote the interests of microenterpreneurs statewide.

MERG, through its fiduciary agent, CEDF; received a grant from the Universal Health Care Foundation to survey microenterprises in Connecticut, to solicit their opinions and measure their needs for health care. Through its membership, MERG designed and distributed surveys to over 1000 microenterpreneurs. The survey covered a variety of aspects of health care insurance including need, potential solutions and impact to the business and the larger economy. Accompanying the survey was a power point presentation highlighting the fundamental facts relevant to this topic. Coordinated by MERG members, surveys were completed either as part of a focus group or through direct mail/email. There were 248 surveys completed.

Their responses are eye-opening – and important for the state legislature to understand before they begin the hard work of fashioning health care insurance for all.

It was important to ask the opinion of the smallest of businesses because microenterprises are the engines of growth for the state. Microenterprises represent 277,000 registered small businesses in Connecticut and an estimated 400,000 non-registered. They employ twice as many people as the top 25 largest employers in the state of Connecticut. They make up 73 percent of all registered businesses of all sizes in Connecticut.

Asked what kind of health coverage they have and asked what kind of state-mandated health insurance would be most helpful to them and their employees…

Here’s what they said.

First, the overwhelming majority -- 85 percent of the businesses felt that health insurance is a necessity for themselves and their employees. However, 82 percent do not offer it to their employees.

The reason is obvious. More than two-thirds – nearly 69 percent -- said it is too expensive.

Nearly four-fifths said, if health care were affordable, it would help them recruit and retain employees.

The survey showed that 60 percent said they would provide health care for their workers if it were affordable. That’s the good news.

so …..WHAT’S AFFORDABLE?

About 73 percent said that they would be willing to provide health care for employees if it cost $100 a month or less per employee. And, even if it is $100 a month, that represents a new cost for the majority of businesses that they don’t have to pay currently.

If the health insurance were mandated, businesses would have to find the money. Where would they find the money? We asked, and here’s what they said:

Most said they would cut other benefits such as life insurance, retirement plans, pass on the cost to customers, lay off employees, delay hiring more employees or lower the hourly wage of employees.

The work force they hire might change. They would be less likely to add employees, and instead, would hire subcontractors or pay people under the table.

If the health care is NOT affordable, 57 percent of respondents said they would close their doors, move their business out of state, or operate some portion of their business under the table to avoid additional expenses. Based on the number of registered microenterprises, this would equal a potential loss of 157,890 businesses in Connecticut.

Should this occur, there would be a significant loss in tax revenues to Connecticut.

But universal health care, if not designed properly, could significantly shift employment trends in Connecticut among the smallest businesses. That could have a huge impact on the economy.

For one, businesses would defer hiring or give preference to employees who are already covered by insurance, thus sidestepping the whole question of insurance and its ramifications. The biggest impact would be felt by single mothers or single fathers who need the jobs, or young people just out of high school or college who need the work and have no other source of insurance. These people, who often have a more difficult time getting employed under the best of circumstances, would face even greater odds.

Businesses are interested in how the state legislature designs this health insurance. They hope lawmakers do so with their needs in mind. Here are things microenterprises want to be included.

They would like to have access to affordable health insurance. They would prefer to buy insurance through a state pool. They are interesting in buying individual policies if tax credits for providing the insurance directly benefited the business owner. They are also interested in a state subsidy to provide the insurance.

Top priorities are affordability and continuous coverage. In the category of their criteria in selecting coverage are availability of doctors and specialists, level of care under the plan, and insurance that covers pre-existing conditions.

A consistent number of participants stated that should universal health care insurance be mandated, they would need a transition period to help them prepare for the task of providing coverage and accommodating the new expense.

In sum,

The microenterprise community would like to have a solution to the problem of affordable health care insurance. They are hoping that their legislators seriously consider this input in designing any models.

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