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Scenario: You are employee benefits manager for mid-size construction company with 50 employees. you are responsible for working with the insurance companies to design a health insurance policy to meet your's company needs. An analysis of the health risk of your company;s employee indicate there are 2 groups of population of typical individual 20-30 years old workers with no knowns health issues and 40-50 years old workers with chronic diabetes which is 40% of total workers.
- Review the provided scenario. What is the obligation of the employer and the government in insuring these two populations of individuals? How do moral hazard and adverse selection impact these insurance provisions? How do the social determinants of health reflect in your insurance decision?
- Consider the type of insurance policy the employer should design and provide for its employees. Be sure to consider type and generosity of coverage, premiums, deductibles, and cost-sharing.
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