Around 1 in 4 small businesses are dropping insurance coverage: 5 notes

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Around one-quarter of small businesses that purchased health insurance in 2022 discontinued coverage in 2023, according to a report from JPMorganChase. 

The bank published a report on the consistency of health insurance coverage among small businesses April 10. 

Among small businesses with no employees, 26% stopped paying health insurance premiums between 2022 and 2023. Among businesses with employees, this share was 27%. 

Here are five findings to note: 

  1. The share of businesses dropping employees varied by industry. Among personal service businesses with employees, 33% discontinued insurance coverage between 2022 and 2023. Among real estate businesses, the share was 25%. 
  2. A 10% hike in premiums cost was associated with a higher likelihood of discontinuing coverage, the analysts found. 
  3. Most small businesses that stopped paying health insurance premiums continued to operate in the following years, according to the report. This indicates that discontinuing health insurance is often a “strategic move to manage expenses, rather than an indication of financial distress or impending closure.” 
  4. In 2023, small businesses spent an average of 4.2% of total operating expenses on health insurance, a 3.1% jump from 2023. 
  5. Policies to keep premiums affordable and predictable could help small businesses retain consistent coverage, according to JPMorganChase. 

Read the full report here

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