By NextBestFitPhase 4: Wave 4: everyone · Step 4.2
End employer-sponsored insurance for covered services
Year 4 · Employers; DOL; OPM (FEHB); state & local governmentsDiscuss this step
Source lines 'Employer share of job-based insurance premiums' ($753.1B), 'Federal employer premiums (FEHB)' ($46.7B), and 'State & local employer premiums' ($246.8B) go to $0.
| Cost item | Type | 2024 / before | Amount |
|---|---|---|---|
| Employer share of job-based insurance premiums 3 calculation steps | Funding source | $753.1B | $0.0B |
| Worker share of job-based insurance premiums 3 calculation steps | Funding source | $382.1B | $0.0B |
| Federal employer premiums (FEHB) 3 calculation steps | Funding source | $46.7B | $0.0B |
| Retiree drug subsidy 3 calculation steps | Funding source | $0.5B | $0.0B |
| State & local employer premiums 3 calculation steps | Funding source | $246.8B | $0.0B |
| Jobs: Employer HR benefits administration (health portion) 5 calculation steps | Jobs | — | −$1.8B |
| Employer: Small business, no coverage 5 calculation steps | Employer | — | −$22,500 |
| Employer: Small business, offers coverage 5 calculation steps | Employer | — | +$112,500 |
| Employer: Large employer 5 calculation steps | Employer | — | +$67,768,750 |
| Employer: High-wage tech firm 5 calculation steps | Employer | — | −$2,381,250 |
| Employer: State government 5 calculation steps | Employer | — | +$1,275,018,750 |