Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 Page 11 Page 12 Page 13 Page 14 Page 15 Page 16 Page 17 Page 18 Page 19 Page 20 Page 21 Page 22 Page 23 Page 24 Page 25 Page 26 Page 27 Page 28 Page 29 Page 30 Page 31 Page 32 Page 33 Page 34 Page 35 Page 36 Page 37 Page 38 Page 39 Page 40 Page 41 Page 42 Page 43 Page 44 Page 45 Page 46 Page 47 Page 48 Page 49 Page 50 Page 51 Page 52 Page 53 Page 54 Page 55 Page 56 Page 57 Page 58 Page 59 Page 60 Page 61 Page 62 Page 63 Page 64 Page 65 Page 66 Page 67 Page 68 Page 69 Page 70 Page 71 Page 72 Page 73 Page 74 Page 75 Page 76 Page 77 Page 78 Page 79 Page 80 Page 81 Page 82 Page 83 Page 84 Page 85 Page 86 Page 87 Page 88 Page 89 Page 90 Page 91 Page 92 Page 93 Page 94 Page 95 Page 96 Page 97 Page 98 Page 99 Page 100 Page 101 Page 102 Page 103 Page 104 Page 105 Page 106 Page 107 Page 108 Page 109 Page 110 Page 111 Page 112 Page 113 Page 114 Page 115 Page 116 Page 117 Page 118 Page 119 Page 120 Page 121 Page 122 Page 123 Page 124nations exchanges in 2017 due to expected losses of more than 650 million on its 2016 ACA plans. The United Healthcare announce- ment is revealing. Unlike the failed nonprofit co-ops last year many of whom charged unrealistically low premiums and failed to apply prudent business practices United Healthcare approached the exchang- es with great caution. The for-profit insurer mostly sat out the first year to gain a better understanding of the risk profile of exchange enrollees so they could more accurately price their policies. With shareholders to answer to United took careful mea- sure to avoid any losses. What they discovered however was lower-than-hoped-for-enrollees and sicker-than-expected customers. Plus loopholes in the exchanges allowed people to enter and leave the system only when they needed healthcare. United attributed their massive losses to the smaller overall market size and the shorter-term higher-risk profile of enrollees. In a conference call last November Uniteds CEO told shareholders We cannot sustain these losses. We cant really subsidize a marketplace that doesnt appear at the moment to be sustaining itself. Some see the United Healthcare departure as the canary in the coal mine a harbinger of more trou- bles ahead for Obamacare. Others downplay the significance. At the very least we know competition will be severely limited in about 10 states mostly in the South and BUSINESS TIP www.transamericacenterforhealthstudies.org 21 19 18 14 18 19 78 80 82 July 2013 July 2014 AugSept 2015 Yes full-time employees Yes part-time employees No none Net Full-time or Part-time 79 11 BASE All Qualified Respondents July 2013 n758 July 2014 n751 AugSept 2015 n1500 Q800. Does your company provide healthcare benefits to any of your employees More Employers Offer Insurance The percentage of employers not offering insurance to employees dropped to 18 the lowest since this was first asked in July 2013. 81 82 Less than 50 Employees n795 50-499 Employees n395 500 Employees n310 Yes Full-time or Part-time 61 99 99 Yes Full-time 60 99 99 Yes Part-time 8 26 30 No none 39 1 1 Providing Any Healthcare Benefit Providing Healthcare by Company Size The percentage of small businesses reporting they provide insurance has increased significantly since July 2013 61 vs. 51. 30 TileLetter June 2016