Medical/Rx Benefits

Public Administration Government Medical/Rx Benefits Benchmarks

Real plan data from verified employers in your industry

Verified Data
372Employers
801Plans
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Public Administration Government Employee Benefits Overview

Medical plan benchmarks from verified employer data

Verified Data

Medical benefits typically represent the largest share of employer benefit spending and are a key factor in employee recruitment and retention.

Our database includes 372 public administration government employers offering 801 verified benefit plans. PPO plans are the most common (46% of employers), followed by HDHP (38%). Funding approaches are mixed, with fully-insured (55%) and self-insured (41%) both common. Most employers offer one plan to employees (38%).

Medical plan benchmarks include deductibles, copays, coinsurance, out-of-pocket maximums, and employer contribution rates.

372 employers801 verified plansUpdated September 2026

Plan Type Mix

% of employers offering each

VERIFIED
PPO46%
HDHP38%
HMO9%
POS4%

Plan Funding

% of employers by funding

VERIFIED
Fully-Insured55%
Self-Insured41%
Level-Funded5%

Plans Offered

% of employers by plan count

VERIFIED
One Plan38%
Three or More Plans32%
Two Plans30%
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Public Administration Government plan design & cost benchmarks

In-Network Cost Sharing — sample layout
In-Network Benefits
LimitedBalancedRobust
Your Plan
Individual Deductible
$872
$2,041
$2,776
$2,04152Bal
Family Deductible
$1,592
$2,846
$5,096
$2,84652Bal
Individual OOP Max
$3,192
$4,698
$6,514
$4,69852Bal
Family OOP Max
$6,154
$10,221
$12,848
$10,22152Bal
Coinsurance
11%
17%
26%
17%52Bal
Primary Care
$26
$33
$44
$3352Bal
Specialist
$37
$54
$69
$5452Bal
Emergency Room
$158
$351
$478
$35152Bal
Urgent Care
$54
$68
$93
$6852Bal

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Real plan-design and cost benchmarks for public administration government, with percentile rankings and exportable data.

What's inside the full report
In-Network Cost Sharing

Deductibles, copays, coinsurance & out-of-pocket maximums

Employee Contributions

Monthly employee premium contributions by tier

Gross Premium Rates

Total monthly premium costs by coverage tier

Prescription Drug Coverage

Rx copays, deductibles & mail-order options

Percentile rankings (25th / 50th / 75th)
Live, real-time data (this preview refreshes monthly)
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See What You'll Discover

Our reports reveal exactly where your plan stands, and why. Preview using sample public administration government data.

72
Balanced
Sample Report
Sample PPO Gold 1500
Blue Cross Blue Shield · PPO

This plan aligns well with common market practices. Benefits and costs are competitive, providing reliable value that meets typical employer offerings in your segment.

Based on 847 comparable plans
Core Scoring Drivers
In-Network Cost Sharing78Robust

Deductibles and copays rank above market median, offering strong value to employees.

Employee Contributions65Balanced

Contribution levels are competitive with peer employers in your industry.

Premium Rates71Balanced

Gross premiums align with market expectations for comparable coverage.

Plan Types
PPO
42%
HDHP
31%
HMO
18%
POS
9%

% of employers

Plans Offered
2 Plans
38%
3 Plans
29%
1 Plan
22%
4+ Plans
11%

% of employers

Funding Types
Fully Insured: 58%
Self-Funded: 34%
Level-Funded: 8%
Top Performers

Features in top 25% of peers

Individual Deductible82Robust
In-Network Cost Sharing
Primary Care Copay79Robust
In-Network Cost Sharing
Generic Rx Copay77Robust
Prescription Drugs
Individual OOP Max76Robust
In-Network Cost Sharing
Under Performers

Features in bottom 25% of peers

Family Premium18Low
Gross Premium Rates
EE+Spouse Contribution21Low
Employee Contributions
Specialist Copay24Low
In-Network Cost Sharing
Actionable Insight

Family Premium ranks in the 18th percentile. Adjusting employer contribution strategy could improve retention without significant cost increases.

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Public Administration Government Benefits Landscape

Industry trends and benchmarking considerations

Government employers offer comprehensive benefits packages emphasizing stability and long-term value. Our benchmarking data shows public sector employers typically provide generous employer contributions and multiple plan options. Benefits structures often reflect civil service regulations and established compensation frameworks.

Key Trends

High Employer Contributions

Government employers in our database typically show higher employer contribution percentages than private sector averages.

Multiple Plan Options

Public employers commonly offer several plan options, often through state employee health programs or municipal arrangements.

Strong Ancillary Benefits

Life and disability coverage tends to be comprehensive in public sector, reflecting job security focus.

Benchmarking Considerations

Government benefits vary by level (federal, state, local). Many participate in larger state or regional programs. Consider whether comparing against similar governmental units or broader market.

Frequently Asked Questions

About public administration government benefits benchmarking

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