Financial Insurance Medical/Rx Benefits Benchmarks
Real plan data from verified employers in your industry
Financial Insurance 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 156 financial insurance employers offering 450 verified benefit plans. HDHP plans are the most common (42% of employers), followed by PPO (37%). Funding approaches are mixed, with fully-insured (49%) and self-insured (45%) both common. Most employers offer three or more plan options to employees (51%).
Medical plan benchmarks include deductibles, copays, coinsurance, out-of-pocket maximums, and employer contribution rates.
Financial Insurance plan design & cost benchmarks
| In-Network Benefits | LimitedBalancedRobust | Your Plan |
|---|---|---|
| Individual Deductible | $692 $1,489 $2,816 | $1,48952Bal |
| Family Deductible | $1,224 $3,314 $5,352 | $3,31452Bal |
| Individual OOP Max | $3,352 $4,419 $6,603 | $4,41952Bal |
| Family OOP Max | $7,101 $10,451 $12,592 | $10,45152Bal |
| Coinsurance | 14% 19% 30% | 19%52Bal |
| Primary Care | $24 $33 $49 | $3352Bal |
| Specialist | $37 $57 $69 | $5752Bal |
| Emergency Room | $159 $336 $461 | $33652Bal |
| Urgent Care | $50 $71 $94 | $7152Bal |
Unlock the full benchmarks
Real plan-design and cost benchmarks for financial insurance, 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
Financial Insurance Benefits Landscape
Industry trends and benchmarking considerations
Insurance companies bring unique expertise to employee benefits as both providers and consumers of coverage. Our data shows insurance carriers typically self-fund their own employee plans and offer sophisticated plan designs. As employers who understand risk pooling intimately, their benefits strategies often serve as industry benchmarks.
Key Trends
Self-Funding Expertise
Insurance carriers in our database overwhelmingly self-fund, leveraging their actuarial expertise to optimize plan design and cost.
Comprehensive Ancillary Benefits
Life and disability coverage tends to be more generous at insurance companies, often exceeding benchmarks in other financial services segments.
Benchmarking Considerations
Insurance industry benchmarks should distinguish between carrier types. Life insurers, P&C carriers, and health insurers may show different benefits philosophies in our data.
Related Industries
Frequently Asked Questions
About financial insurance benefits benchmarking
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