How the Adult Mandate Affects Healthcare Spending

AdultMandatehealthcareTotal health care spending increased 0.2% for large employers that offered dependent coverage to children up to age 26. Workers paid for some of that spending through cost sharing and their share of the premium while employers paid for the remainder, according to a report by the Employee Benefits Research Institute (EBRI).

The Affordable Care Act (ACA) requires plans and issuers that offer dependent coverage to make it available until a child reaches the age of 26. While employers are not allowed to directly charge higher premiums for the cost of adult-dependent coverage, employers and workers will share the higher cost of health care services through claims payments, cost sharing, and worker premiums.

EBRI found that these newly covered dependents were more likely to incur claims related to mental health, substance abuse, and pregnancy. It has been estimated that 3.1 million young adults have acquired health coverage under the provision. For more information, visit

Last Updated 06/29/2022

Arch Apple Financial Services | Individual & Family Health Plans, Affordable Care California, Group Medical Insurance, California Health Insurance Exchange Marketplace, Medicare Supplements, HMO & PPO Health Care Plans, Long Term Care & Disability Insurance, Life Insurance, Dental Insurance, Vision Insurance, Employee Benefits, Affordable Care Act Assistance, Health Benefits Exchange, Buy Health Insurance, Health Care Reform Plans, Insurance Agency, Westminster, Costa Mesa, Huntington Beach, Fountain Valley, Irvine, Santa Ana, Tustin, Aliso Viejo, Laguna Hills, Laguna Beach, Laguna Woods, Long Beach, Orange, Tustin Foothills, Seal Beach, Anaheim, Newport Beach, Yorba Linda, Placentia, Brea, La Habra, Orange County CA

12312 Pentagon Street - Garden Grove, CA 92841-3327 - Tel: 714.638.0853 - 800.731.2590
Copyright @ 2015 - Website Design and Search Engine Optimization by Blitz Mogul