James A. Wooten

in The Employee Retirement Income Security Act of 1974

Published by University of California Press

Published in print January 2005 | ISBN: 9780520242739
Published online March 2012 | e-ISBN: 9780520931398 | DOI:

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Employee Retirement Income Security Act of 1974 (ERISA) introduced a new conceptual frame of reference for federal pension policy. Although ERISA was known as the “pension reform law,” it has also had a major effect on medical provision in the United States. The political history of ERISA suggests that, without the threat of conflicting state laws, employers and unions that sponsor multistate health plans will oppose initiatives to create federal minimum standards for health plans or expand the liability of such plans. The tax treatment of pension plans created a significant disparity in the tax laws. ERISA’s limited regulation of welfare plans and its sweeping preemption provision produced a healthcare system in which there are different rules for plans sponsored by public- and private-sector employers and different rules for private-sector plans depending on whether a plan purchases insurance or self-insures. The major influences of ERISA on health policy are explained.

Keywords: Employee Retirement Income Security Act; federal pension policy; pension reform law; United States; health plans; health policy; welfare plans

Chapter.  6111 words. 

Subjects: History of the Americas

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