Although the majority of insured Americans receive their health insurance t
hrough their employers, some depend on the individual health insurance mark
et. However, with increased criticism of the lack of choice in group covera
ge and various proposals including subsidies or tax credits to decrease the
number of uninsured, the individual market may start to play a larger role
. In this paper we conclude that although efficient large-group insurance w
ill appropriately continue to exist, the individual market appears to be im
proving, in both administrative cost and protection against high premiums a
ssociated with high risk. For diverse workers now in small groups with litt
le plan choice, the individual market might become a reasonable alternative
.