This issue brief presents findings from the 2009 District of Columbia Health Insurance Survey conducted August to November 2009. It compares the characteristics of nonelderly DC residents with employer-sponsored insurance and to those with public insurance coverage. We consider type of insurance across gender, race, income, ward of residence, and health and disability status. For workers, we look at work status (full-time vs part-time) and type of firm.
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Between August and November 2009, the Urban Institute and Social Sciences Research Solutions conducted a survey of households in the District of Columbia for the DC Department of Health Care Finance. The 2009 DC Health Insurance Survey (DC-HIS) includes interviews with 4,717 households. The sample covered only non-institutionalized residents and did not include homeless residents. The survey used a combination of random digit dial (RDD) telephone and address-based sampling in order to contact households with and without landline telephones. The combined response rate was 34.1 percent. The survey data was analyzed by the Urban Institute.1 In this brief, we present estimates of health insurance coverage among District residents and explore differences in the characteristics of nonelderly adult residents (ages 18 to 64) with employer-sponsored insurance and those with public insurance coverage using data from the 2009 DC-HIS.
Overview of health insurance coverage
In the District, nearly two thirds (64.4 percent) of nonelderly adults are covered by employer-sponsored insurance. About one fifth (20.6 percent) are covered by public insurance. About 7.0 percent of nonelderly adults report that they had other insurance, such as privately purchased insurance or insurance offered by the Veteran’s Administration. The uninsurance rate among nonelderly adults is higher at 7.9 percent than it is among children (3.2 percent) or the elderly (1.4 percent).
In this brief, we present details about nonelderly adult residents who reported that they had employer-sponsored insurance (ESI) or were enrolled in one of the District’s public health insurance programs, chiefly Medicaid or the DC Healthcare Alliance. We look first at the demographic characteristics of residents with ESI as compared with public insured residents, including gender, race/ethnicity, income, and place of residence (ward). We then examine differences in health status and in employment. Unless otherwise stated, statistics refer to nonelderly adult residents and all differences that we report are statistically significant at the p<0.10 level or better.
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