San Diego Union-Tribune

SOME FACE LOOMING CUTOFFS IN HEALTH INSURANCE

Safety net for workers fraying as small businesses close

- BY REED ABELSON

Jeremy Fritz stopped working as an assistant manager for a fitness center in Carlsbad during the pandemic lockdown in the spring when gyms were first closed.

By the end of April, the company operating the fitness center, Active Wellness, eliminated his health insurance. And in July, he was laid off when it became clear the center where he worked would be closed through 2020. Most of the small company’s gyms are still shuttered.

Losing coverage in the middle of the coronaviru­s crisis, as millions of other Americans have, was like “going into this thundersto­rm without an umbrella,” Fritz recalled. Active Wellness put him in touch with an insurance broker, which helped him and his husband sign up for a plan under the Affordable Care Act.

For people like Fritz, as well as those who qualify for Medicaid under the law, “there is still a safety net that wasn’t there 10 years ago,” said Sara R. Collins, a vice president at the Commonweal­th Fund.

But that net is already fraying, with thousands of small businesses that had always expressed difficulty in providing employee health insurance under Obamacare now in far worse trouble because of the pandemic.

Hopes have also dimmed for another federal aid package before the presidenti­al election.

Not only are businesses shedding workers, with the nation’s unemployed numbering roughly 13.6 million, but employers are also cutting expenses like health coverage, and projection­s of rising numbers of uninsured have grown bleak.

Tens of millions of people could lose their job-based insurance by the end of the year, said Stan Dorn, director of the National Center for Coverage Innovation at Families USA, the Washington, D.C., consumer group. “The odds are we are on track to have the largest coverage losses in our history,” he said.

While estimates vary, a recent Urban Institute analysis of census data says at least 3 million Americans have already lost job-based coverage, and a separate analysis from Avalere Health predicts some 12 million will lose it by the end of this year.

Both studies highlight the disproport­ionate effect on Black and

 ?? JOHN FRANCIS PETERS THE NEW YORK TIMES ?? Jeremy Fritz was furloughed when the Carlsbad gym he worked at closed due to the pandemic. An insurance broker helped him sign up for a plan under the Affordable Care Act.
JOHN FRANCIS PETERS THE NEW YORK TIMES Jeremy Fritz was furloughed when the Carlsbad gym he worked at closed due to the pandemic. An insurance broker helped him sign up for a plan under the Affordable Care Act.

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