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Temporarily Unemployed

The unemployment rate in Illinois has hovered around 6% during 2004. As policymakers consider how to help newly unemployed workers and reinvigorate the overall economy, it is important that policies be put in place to ensure that workers do not lose their health insurance as well as their jobs.

Fact:  Each one percent increase in unemployment increases the number of Americans who lack health insurance by about 1.2 million.1

Fact:  Job loss is the primary reason why adults become uninsured at some point during the year.2

Fact:  35 percent of laid-off workers are ineligible for COBRA because they work for a small firm or were uninsured before they got laid off.3

Fact:  Only 20 percent to 25 percent of unemployed workers eligible for COBRA coverage can afford to purchase this coverage.4

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What can we do about it?

Extend COBRA coverage to people who worked for small businesses

Right now people who lose their job from a company that employed less than 25 people can not purchase COBRA benefits. Some states have expanded COBRA coverage to make it available to people who worked for small employers.

Expand public programs to help people afford COBRA or get coverage while unemployed

States can use federal matching funds to provide time-limited Medicaid/CHIP coverage to low-income people receiving unemployment benefits. Medicaid/CHIP would subsidize coverage through COBRA when available, and participants would pay a premium based on their income.

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1 Gruber, Jonathan and Larry Levitt, Rising Unemployment and the Uninsured, Kaiser Family Foundation, January 2002.
2 The Commonwealth Fund: “The Erosion of Employer-Based Health Coverage and the Threat to Workers’ Health Care, August 2002.
3 The Commonwealth Fund, “Maintaining Health Insurance During a Recession: Likely COBRA Eligibility". December 2001.
4 Thomas Rice, “Subsidizing COBRA: An Option for Expanding Health Insurance Coverage”, Kaiser Family Foundation, October 1999 and public presentation materials from the Kaiser Commission on Medicaid and the Uninsured, October 2, 2001.

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