Universal HealthcareBy NextBestFit

End employer-sponsored insurance for covered services

Year 4 · Employers; DOL; OPM (FEHB); state & local governmentsDiscuss this step
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Employer: Large employer

10,000 employees, $750M payroll, 80% enrolled at about $15,500 employer share.

Result
+$67,768,750

How it's calculated

#StepArithmeticValue
1
Annual payroll
$750,000,000
2
Health premiums paid before
$124,000,000
3
Payroll above the $250,000 exemption
max(0, $750,000,000 − $250,000)$749,750,000
4
Health payroll tax at 7.5%
$56,231,250
5
Change (positive = employer saves)
$124,000,000 − $56,231,250$67,768,750

Inputs used

InputKindValue
Payroll exempt per employerpolicy, high confidence$250,000
Employer health payroll tax ratepolicy, high confidence7.5%
Trade-off: Saves about 9% of payroll; also exits benefits administration.
Sources: KFF (2025)