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Pretty much anything that happens in health care these days is being blamed on, or occasionally credited to the Affordable Care Act. But is every new healthcare development decision really the direct result of the huge health care law? The latest trend in employer health plans is trying to cut back on the coverage of spouses, for instance, and this began well before the health care law passed. The connection is not always direct. NPR's Julie Rovner reports.

JULIE ROVNER, BYLINE: When UPS announced last month that it would no longer offer coverage for spouses who had their own job-based insurance, it certainly caused a stir. But UPS is far from alone.

TRACY WATTS: It's about 12 percent overall of employers that have this provision.

ROVNER: Tracy Watts heads the National Healthcare Reform team at benefits consultant Mercer. She's talking about a survey Mercer did of employers who have some sort of restriction on health coverage of spouses. She says about half of those employers, or six percent, have imposed a surcharge for spouses who could get coverage at their own jobs.

WATTS: And the other six percent exclude spouses who have coverage elsewhere.

ROVNER: Which is what UPS is doing. So is the University of Virginia. Susan Carkeek is the University's Vice President and Chief Human Resource Officer. Carkeek says the decision was mostly about simple arithmetic.

SUSAN CARKEEK: When medical expenses go up, which they have for us, then we have two choices: We can either increase premiums or we can reduce what we pay out in the way of benefits.

ROVNER: Carkeek says the decision was tangentially related to the health law, because every health plan is going to pay some extra costs associated with the new fees and other requirements next year. But mostly not.

CARKEEK: The tendency has been to attribute all these changes to the Affordable Care Act, but we would have been facing all of these changes anyway.

ROVNER: And why are employers targeting coverage of spouses in particular? Mercer's Tracy Watts says that's pretty simple, too.

WATTS: Spouses cost more. They cost about $1500 a year more.

ROVNER: It's not entirely clear why, but generally spouses covered on employer plans are either wives who are younger and have maternity claims, or husbands who are older and have chronic conditions.

WATTS: Women incur more claims when they are younger, and men tend to incur more claims when they are older.

ROVNER: But employers have known this for a while, and the idea of charging workers more to cover their spouses is hardly new says Julie Stone. She's with the benefits firm Towers Watson.

JULIE STONE: A decade ago a number of employers were looking at spouse surcharges for employee spouses who declined coverage with their employer.

ROVNER: Stone says the idea lost popularity for a while but now it's making a comeback. She says there's actually a quirk in the health law that allows for it.

STONE: Employers are not required to offer spouses coverage at all. They're required to offer dependent children, but not spouses.

ROVNER: But she says a wholesale dropping of coverage for spouses - even if those spouses could now get coverage though the new health care exchanges - isn't what seems to be happening.

STONE: We're not seeing employers saying OK, I'm going to change my plan rules and I'm not going to cover spouses. The surcharge and the concept of a penalty for spouses who choose to opt out of their own employer coverage, that's not related to the health care reform law at all.

ROVNER: The bottom line, say benefit experts, is that with health costs continuing to rise, the trend seems to be more that employers are trying to make sure they're running as lean a health benefits program as they can, while not paying the claims of other employers' workers. Julie Rovner, NPR News, Washington.

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