Retail Trade Stores Benefits Benchmarks
Real plan data from verified employers in your industry
375
Employers
1,032
Plans
Plan Type Mix
LivePPO40%
HDHP33%
HMO15%
EPO8%
Plan Funding
LiveFully-Insured72%
Self-Insured21%
Level-Funded7%
Plans Offered
LiveThree or More Plans51%
Two Plans30%
One Plan20%
| In-Network Benefits | Limited | Balanced | Robust |
|---|---|---|---|
| Individual Deductible | $2,560 | $1,807 | $676 |
| Family Deductible | $5,800 | $2,786 | $1,840 |
| Individual OOP Max | $6,693 | $4,928 | $3,627 |
| Family OOP Max | $13,834 | $10,586 | $7,421 |
| Coinsurance | 27% | 17% | 12% |
| Primary Care | $45 | $38 | $26 |
| Specialist | $72 | $57 | $35 |
| Emergency Room | $493 | $274 | $216 |
| Urgent Care | $98 | $74 | $56 |
| Inpatient Hospital | $668 | $489 | $322 |
| Outpatient Hospital | $336 | $255 | $112 |
| Lab & X-ray | $45 | $30 | $6 |
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| Employee Contributions | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $273 | $203 | $171 |
| Employee + Spouse | $664 | $565 | $457 |
| Employee + Child(ren) | $548 | $467 | $361 |
| Family | $943 | $724 | $572 |
Available in full report
| Gross Premium Rates | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $869 | $791 | $617 |
| Employee + Spouse | $1,690 | $1,512 | $1,236 |
| Employee + Child(ren) | $1,437 | $1,199 | $1,098 |
| Family | $2,428 | $2,032 | $1,767 |
Available in full report
| Prescriptions | Limited | Balanced | Robust |
|---|---|---|---|
| Generic | $17 | $14 | $5 |
| Preferred Brand | $55 | $47 | $26 |
| Non-Preferred Brand | $93 | $76 | $58 |
| Specialty | $263 | $217 | $119 |
Available in full report
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