Your Source for Health Reform

CASE STUDIES


Case Study 3: Dublin’s

Case Study 3: Dublin’s

Restaurant explores SHOP options

Patrick Morrison, the assistant manager of Dublin’s Restaurant and Bar is in charge of Dublin’s decision making regarding health insurance given new rules from the Affordable Care Act. Dublin’s never offered health insurance benefits and is unclear of if they should, or must, moving forward.

Patrick was searching on the Internet for information and came across the Small Business page at Illinois Health Matters. He found out that, although each individual has a personal responsibility to carry health insurance, employers with fewer than 50 full-time employees are not mandated to offer an employee benefit program.

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Case Study 2: Community Housing Collective

Case Study 2: Community Housing Collective

Nonprofit reduces staff turnover with better benefits package

Wanda Smith, the executive director of the Community Housing Collective, feels that she has developed a team of dedicated employees that serve the needs of people with mental illness in Illinois through accessible, affordable, and supportive housing. In recent years, CHC has seen significant pricing increases and budgetary constraints as a result of the struggling economy. In trying to recoup excess organizational costs, CHC cut their health insurance benefits to employees. This has resulted in increased staff turnover as other organizations are able to better compensate employees with a comprehensive benefit package. Seeing the impact of cutting health insurance benefits on their organization, Wanda hopes that the Affordable Care Act will help meet this organizational need to reduce staff turnover. Wanda believes that a strong employee benefit package is an important offering to keep her small non-profit competitive with other larger organizations.

As part of the non-profit community, Wanda Smith was familiar with the Small Business page at Get Covered Illinois and checked out the website, finding that her organization could be eligible for health insurance through the SHOP.

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Case Study 1: ABC Auto

Case Study 1: ABC Auto

Body shop uses tax credits to cover all its mechanics

Gregory Williams, owner of ABC Auto Mechanics, does not currently offer a group health insurance benefit for himself or his four other full time employees. Pre-ACA Gregory thought that providing a group plan, particularly for so few employees, would be cumbersome and expensive. Recently, he had some staff turnover and has difficulty competing with larger auto mechanic chains in retaining employees.

Greg is happy with the employees that he has now, and wants to find ways to make sure that they stick around. Greg believes that a substantial employee benefit package is key to retaining his staff, but previously thought of health insurance as unattainable. He attended a small business event through his local chamber and talked to a member of the Enroll Chicago Small Business Initiative. Through this he learned the ACA may provide opportunities for businesses like his to begin an employer sponsored health insurance plan that won’t break the bank, through the Small Business Health Options program, or SHOP.

At first, Greg was skeptical, but thought it would be worth his while to explore the options and see if it was something that could make financial sense for his business. Greg went to getcoveredillinois.gov/brokers and found a broker right in his neighborhood who helped him compare options.

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As part of the Small Business Initiative, Illinois Health Matters is presenting practical case studies highlighting paths to employee coverage available to Illinois small business owner through the SHOP. These case studies are made possible by a partnership of Health & Disability Advocates, Chicago Department of Public Health, the Illinois Campaign for Better Health Care, and the Small Business Majority, with generous support from the Michael Reese Health Trust.