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Review of Public Personnel Administration, Vol. 27, No. 1, 5-20 (2007)
DOI: 10.1177/0734371X06291427

State Government Employee Health Benefits in the United States

Choices and Effectiveness

Christopher G. Reddick

Jerrell D. Coggburn

University of Texas at San Antonio

Employer-sponsored health benefits are an important but relatively understudied area in public sector human resource management. This study examines the choices that state governments make in the United States and the views of state human resource directors (HRD) on health benefits. Survey data, gathered from state HRDs in fall 2005, reveal several important findings: In terms of choices, the most common plan offered is the preferred provider organization (PPO); less than one third of states offer health benefits to nontraditional partners; health benefits improve employee satisfaction and the performance of the state government; and cost to the state government is the most important factor that affects choice of plan. There is not a high level of agreement on what strategies state government should pursue to reduce costs of health benefits; however, there is some agreement that premiums will be increasing in the near future.

Key Words: employee benefits • health plans • employee satisfaction • state government • survey research


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