ERIC Number: ED500786
Record Type: Non-Journal
Publication Date: 2008-Mar
Health Insurance: Most College Students Are Covered through Employer-Sponsored Plans, and Some Colleges and States Are Taking Steps to Increase Coverage. Report to the Committee on Health, Education, Labor, and Pensions, U.S. Senate. GAO-08-389
Dicken, John E.
Government Accountability Office
College students face challenges obtaining health insurance: they may not have access to insurance through an employer, and as they get older, they may lose dependent coverage obtained through a parent's plan. Federal law ensures continued access to health insurance for some, but not all, such students. Without health insurance, college students may be unable to pay for their health care, and the cost of this care may be passed on to federal and state payers, such as Medicaid. College students may have access to student insurance plans offered by their colleges. The Government Accountability Office (GAO) was asked to report on uninsured college students, student insurance plans, and efforts to increase the number of insured students. GAO reviewed: (1) college students' insurance status; (2) uninsured college students' characteristics; (3) the extent to which colleges offered student insurance plans and the characteristics of available plans; and (4) efforts to increase the number of insured students. Data from a national survey on college students' insurance status and uninsured college students' characteristics was surveyed. GAO collected data from 340 colleges on the availability of student insurance plans and the characteristics of available plans, and gathered plan information from case studies of 10 colleges and interviews with experts and insurance industry officials. GAO also reviewed some states' laws. About 80 percent of college students aged 18 through 23 had health insurance in 2006. While 67 percent of college students were covered through employer-sponsored plans, 7 percent were covered through other private health insurance plans, such as student insurance plans, and 6 percent were covered by public programs, such as Medicaid. Most insured students were covered as a dependent, on a policy under another person's name. About 20 percent of college students aged 18 through 23 (1.7 million) were uninsured in 2006, and certain groups of students were more likely than others to be uninsured. The characteristics of uninsured students were found to be consistent with those of the uninsured found in the general U.S. population. Over half of colleges nationwide offered student insurance plans in the 2007-2008 academic year, and plan benefits varied. Colleges customized their plans to reflect their priorities in making premiums affordable for students while providing coverage that meets student needs. Some plans excluded preventive services from coverage and some plans limited payment for benefits such as prescription drugs. Plans also varied in terms of premiums and maximum benefits, with annual premiums ranging from $30 to $2,400 and maximum benefits ranging from $2,500 for each illness or injury to unlimited lifetime coverage. Colleges and states have taken a variety of steps to increase the number of insured college students: about 30 percent of colleges nationwide required students to have health insurance in academic year 2007-2008; some states have health insurance requirements for college students; and some states have expanded dependent eligibility for private health insurance to make insurance more available to college students who obtain coverage as dependents. Officials from the American College Health Association (ACHA) provided a technical comment, which is incorporated. Two appendixes include: (1) Scope and Methodology; and (2) GAO Contact and Staff Acknowledgments. (Contains 70 footnotes, 7 figures, and 5 tables.) [This document was produced by the US Government Accountability Office, formerly the General Accounting Office.]
US Government Accountability Office. 441 G Street NW, Washington, DC 20548. Tel: 202-512-6000; Web site: http://www.gao/gov
Publication Type: Reports - Evaluative
Education Level: Higher Education
Authoring Institution: General Accounting Office, Washington, DC.