Without going into much detail, this very example played out to someone close to me. The person carrying the dependent with significant health issues was making it nearly financially impossible for the employer to carry the load. This was going to affect a rather large group of employees.
While it might be true that employers cannot fire someone for insurance related issues, it happens. Often.
I don't blame the employer. I surely don't blame the person with the health issues. I flat out blame the devil- the insurance company.
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