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The Cost of Spousal Health Coverage (PDF)
Employee Benefit Research Institute [EBRI] 
Jan. 23, 2014
"[S]pouses, on average, cost more to cover than otherwise comparable policyholders. This, in conjunction with the latitude offered by PPACA, makes spousal coverage a target for employers seeking ways to lower their health care expenditures. However, this analysis finds that working and non-working spouses are likely quite different in their use of health services."
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