Holding Companies Benefits Benchmarks

Real plan data from verified employers in your industry

53
Employers
151
Plans
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Plan Type Mix

Live
PPO49%
HDHP41%
EPO5%
POS3%

Plan Funding

Live
Fully-Insured46%
Self-Insured31%
Level-Funded23%

Plans Offered

Live
Three or More Plans47%
Two Plans30%
One Plan23%
In-Network BenefitsLimitedBalancedRobust
Individual Deductible
$2,996
$1,657
$956
Family Deductible
$5,736
$3,206
$1,712
Individual OOP Max
$6,494
$4,429
$3,672
Family OOP Max
$13,514
$9,203
$6,384
Coinsurance
26%
20%
12%
Primary Care
$46
$31
$25
Specialist
$69
$59
$42
Emergency Room
$439
$330
$189
Urgent Care
$99
$69
$57
Inpatient Hospital
$704
$483
$314
Outpatient Hospital
$341
$256
$144
Lab & X-ray
$46
$32
$2

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Employee ContributionsLimitedBalancedRobust
Employee Only
$293
$218
$166
Employee + Spouse
$699
$594
$457
Employee + Child(ren)
$520
$427
$361
Family
$896
$697
$604
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Gross Premium RatesLimitedBalancedRobust
Employee Only
$880
$707
$607
Employee + Spouse
$1,790
$1,544
$1,229
Employee + Child(ren)
$1,494
$1,295
$1,041
Family
$2,345
$2,191
$1,742
Available in full report
PrescriptionsLimitedBalancedRobust
Generic
$18
$13
$7
Preferred Brand
$53
$39
$26
Non-Preferred Brand
$97
$69
$60
Specialty
$261
$214
$102
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Stoploss Plans and Strategues
HSA Accounts and Funding
Employer Contributions as a %
Out-of-Network Benefits
Surcharges and Opt-Outs
Rx-Carve Out Benefits