International Foundation Survey Reveals Growing Confidence in Employer-Sponsored Health Care

April 10, 2013

Stacy Van Alstyne
(262) 373-7756

International Foundation Survey Reveals Growing Confidence in Employer-Sponsored Health Care

Majority of Employers to Continue Providing Employer-Sponsored Health Care in 2014


Preliminary results from the survey 2013 Employer-Sponsored Health Care: ACA’s Impact revealed a growing confidence in employer-sponsored health care with 69% of employers stating that they will definitely continue to provide employer-sponsored health care when health exchanges come online in 2014. This represents a 23 point increase from 2012 where 46% reported being certain that they would continue employer-sponsored health care. In addition, another 25% stated they are very likely to continue employer-sponsored health care.


Estimates of cost increases directly associated with the Affordable Care Act (ACA) have increased from 2012 to 2013. Employers with 50 or fewer employees are reporting the largest anticipated cost increase. Conversely, larger employers are the least likely to see significant cost increases.


Financial Impact of ACA For Employers

Estimated Cost Changes

Percent of Employers




Decrease costs



No change



Increase costs 1%-2%



Increase costs 3%-4%



Increase costs 5%-6%



Increase costs 7%-10%



Increase costs more than 10%




With implementation only months away, the vast majority of employers (90%) have moved beyond a “wait and see” mode and more than half are developing tactics to deal with the implications of reform. Organizations maintaining a “wait-and-see” mode decreased from 31% in 2012 to less than 10% in 2013.


Smaller employers are making more employment-based decisions with hiring, firing and reallocating hours than larger employers. Smaller employers are also more likely to drop coverage due to ACA.


Since the first survey in 2010, employers have most commonly said keeping compliant was their top focus. In 2013, for the first time, employers are more likely to say their top focus is developing tactics to deal with implications of the law.


The 2013 Employer-Sponsored Health Care: ACA’s Impact investigates the steps single employer health care plans (including corporations) are taking to comply with the progressive implementation of the Affordable Care Act (ACA). These results are based on survey responses submitted by more than 950 employee benefit professionals and practitioners through March 26.


Final survey results are scheduled to be released in May 2013. For more information on this and previous International Foundation ACA surveys, see




The International Foundation of Employee Benefit Plans is a member-driven organization with five decades of experience as a leading objective source of employee benefits, compensation and financial literacy education and information within the American and Canadian workplace. The Foundation’s expertise is industry wide; and it offers resources that include Foundation staff, training, conferences and research on topics critical to assisting its 33,000 multiemployer, corporate and public sector members respond to trends affecting the well-being of more than 25 million lives in North America. For additional information, visit