Education Miscellaneous Medical/Rx Benefits Benchmarks
Real plan data from verified employers in your industry
Education Miscellaneous Employee Benefits Overview
Medical benefits typically represent the largest share of employer benefit spending and are a key factor in employee recruitment and retention.
Our database includes 533 education miscellaneous employers offering 1,944 verified benefit plans. PPO plans are the most common (34% of employers), followed by HDHP (33%). Funding approaches are mixed, with self-insured (58%) and fully-insured (39%) both common. Most employers offer three or more plan options to employees (87%).
Medical plan benchmarks include deductibles, copays, coinsurance, out-of-pocket maximums, and employer contribution rates.
Education Miscellaneous plan design & cost benchmarks
| In-Network Benefits | LimitedBalancedRobust | Your Plan |
|---|---|---|
| Individual Deductible | $736 $2,017 $2,852 | $2,01752Bal |
| Family Deductible | $1,080 $4,226 $5,752 | $4,22652Bal |
| Individual OOP Max | $3,083 $4,640 $6,418 | $4,64052Bal |
| Family OOP Max | $6,128 $9,395 $13,552 | $9,39552Bal |
| Coinsurance | 10% 19% 28% | 19%52Bal |
| Primary Care | $24 $38 $48 | $3852Bal |
| Specialist | $38 $52 $69 | $5252Bal |
| Emergency Room | $184 $277 $480 | $27752Bal |
| Urgent Care | $54 $77 $94 | $7752Bal |
Unlock the full benchmarks
Real plan-design and cost benchmarks for education miscellaneous, with percentile rankings and exportable data.
Deductibles, copays, coinsurance & out-of-pocket maximums
Monthly employee premium contributions by tier
Total monthly premium costs by coverage tier
Rx copays, deductibles & mail-order options
Plus full benchmarks for Life, Voluntary Life, Short- & Long-Term Disability, and Stop-Loss.
Plan Type Mix
% of employers offering each
Plan Funding
% of employers by funding
Plans Offered
% of employers by plan count
Frequently Asked Questions
About education miscellaneous benefits benchmarking
Learn How Benchmarking Works
Understand what the Education Miscellaneous numbers mean and how to put them to work.
What Is Employee Benefits Benchmarking?
The fundamentals of comparing your benefits against the market: what to measure and how to read a benchmark.
Benefits Benchmarking Tools, Compared
Survey data versus verified plan data, subscription versus a-la-carte, and how to pick the right tool.
What's Really Behind a Benefits Benchmark
Where benchmark data really comes from, and six questions to ask any provider before you trust the numbers.
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