Dependent Coverage and Parental Job Lock: Evidence from the Affordable Care Act

Working Paper: NBER ID: w30200

Authors: Hannah Bae; Katherine Meckel; Maggie Shi

Abstract: Coverage for dependents is a common feature of employer-sponsored insurance. While prior work shows that employees trade off job mobility for their own coverage, there is less evidence on the intra-family spillovers of dependent coverage onto parental labor supply. We study this question using a panel of insurance claims that links de- pendent insurance enrollment with a proxy for parental job retention. We develop a regression discontinuity design that exploits variation in coverage eligibility by dependent birth date from the Affordable Care Act, and find that a one percent increase in the dependent enrollment likelihood leads to a 0.2 percent increase in parental job retention. Job lock induced by dependent coverage is greater for parents who were more likely to be on the margin of a job exit, for families who value dependent coverage more, and for employees of firms with a wider range of insurance options.

Keywords: dependent coverage; parental job lock; Affordable Care Act

JEL Codes: H0; I13; I28


Causal Claims Network Graph

Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.


Causal Claims

CauseEffect
Dependent Enrollment Likelihood (I21)Parental Job Retention (J63)
Dependent Coverage Mandate (G52)Parental Job Retention (J63)
Dependent Coverage Mandate (G52)Parental Job Duration (J12)
Dependent Enrollment Rates (I21)Parental Job Retention (J63)

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