Uptake, utilization, and satisfaction with employer sponsored health insurance in a population of vineyard farmworkers

California farmworkers experience lower health outcomes and underutilize health services compared with the general population, impacting their well-being and farm productivity. Employer sponsored health insurance facilitates access to health services and represents one method for improving farmworke...

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Main Authors: Malcolm Hobbs, Monica Cooper
Format: Article
Language:English
Published: University of California Agriculture and Natural Resources 2025-02-01
Series:California Agriculture
Online Access:https://doi.org/10.3733/001c.129400
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author Malcolm Hobbs
Monica Cooper
author_facet Malcolm Hobbs
Monica Cooper
author_sort Malcolm Hobbs
collection DOAJ
description California farmworkers experience lower health outcomes and underutilize health services compared with the general population, impacting their well-being and farm productivity. Employer sponsored health insurance facilitates access to health services and represents one method for improving farmworker health outcomes, but more knowledge is needed to promote employee uptake and utilization. From 2021 to 2023, we surveyed 497 vineyard workers in Napa County on their views of health insurance. Offering insurance has a large impact on benefits satisfaction. However, satisfaction is limited and uptake low when employers contribute less than 80% to the annual premium. This is principally because when the cost to them is greater, farm employees opt out of health insurance to avoid wage reductions to prioritize other essential living costs. Seasonal workers opt out at especially high rates because they are offered the lowest employer premium contributions and are simultaneously the lowest earners.
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publisher University of California Agriculture and Natural Resources
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series California Agriculture
spelling doaj-art-3a7f966bb8a046ad959fe2aaeab4a7882025-02-04T21:51:55ZengUniversity of California Agriculture and Natural ResourcesCalifornia Agriculture0008-08452160-80912025-02-01Uptake, utilization, and satisfaction with employer sponsored health insurance in a population of vineyard farmworkersMalcolm HobbsMonica CooperCalifornia farmworkers experience lower health outcomes and underutilize health services compared with the general population, impacting their well-being and farm productivity. Employer sponsored health insurance facilitates access to health services and represents one method for improving farmworker health outcomes, but more knowledge is needed to promote employee uptake and utilization. From 2021 to 2023, we surveyed 497 vineyard workers in Napa County on their views of health insurance. Offering insurance has a large impact on benefits satisfaction. However, satisfaction is limited and uptake low when employers contribute less than 80% to the annual premium. This is principally because when the cost to them is greater, farm employees opt out of health insurance to avoid wage reductions to prioritize other essential living costs. Seasonal workers opt out at especially high rates because they are offered the lowest employer premium contributions and are simultaneously the lowest earners.https://doi.org/10.3733/001c.129400
spellingShingle Malcolm Hobbs
Monica Cooper
Uptake, utilization, and satisfaction with employer sponsored health insurance in a population of vineyard farmworkers
California Agriculture
title Uptake, utilization, and satisfaction with employer sponsored health insurance in a population of vineyard farmworkers
title_full Uptake, utilization, and satisfaction with employer sponsored health insurance in a population of vineyard farmworkers
title_fullStr Uptake, utilization, and satisfaction with employer sponsored health insurance in a population of vineyard farmworkers
title_full_unstemmed Uptake, utilization, and satisfaction with employer sponsored health insurance in a population of vineyard farmworkers
title_short Uptake, utilization, and satisfaction with employer sponsored health insurance in a population of vineyard farmworkers
title_sort uptake utilization and satisfaction with employer sponsored health insurance in a population of vineyard farmworkers
url https://doi.org/10.3733/001c.129400
work_keys_str_mv AT malcolmhobbs uptakeutilizationandsatisfactionwithemployersponsoredhealthinsuranceinapopulationofvineyardfarmworkers
AT monicacooper uptakeutilizationandsatisfactionwithemployersponsoredhealthinsuranceinapopulationofvineyardfarmworkers