Universal HealthcareBy NextBestFit

End employer-sponsored insurance for covered services

Year 4 · Employers; DOL; OPM (FEHB); state & local governmentsDiscuss this step
← All costs for this step

Employer: High-wage tech firm

2,000 employees averaging $220k, 85% enrolled at about $18,000 employer share.

Result
−$2,381,250

How it's calculated

#StepArithmeticValue
1
Annual payroll
$440,000,000
2
Health premiums paid before
$30,600,000
3
Payroll above the $250,000 exemption
max(0, $440,000,000 − $250,000)$439,750,000
4
Health payroll tax at 7.5%
$32,981,250
5
Change (positive = employer saves)
$30,600,000 − $32,981,250−$2,381,250

Inputs used

InputKindValue
Payroll exempt per employerpolicy, high confidence$250,000
Employer health payroll tax ratepolicy, high confidence7.5%
Trade-off: Pays more: 7.5% of very high wages exceeds per-person premiums. High-wage industries subsidize low-wage ones.
Sources: KFF (2025)