Retail Trade Stores Benefits Benchmarks

Real plan data from verified employers in your industry

Live Data
386Employers
1,045Plans
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Retail Trade Stores Employee Benefits Overview

Medical plan benchmarks from verified employer data

Live 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 386 retail trade stores employers offering 1,045 verified benefit plans. PPO plans are the most common (41% of employers), followed by HDHP (33%). Fully-Insured funding is the predominant model, used by 70% of industry employers. 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.

386 employers1,045 verified plansUpdated February 2026

Plan Type Mix

LIVE
PPO41%
HDHP33%
HMO15%
EPO8%

Plan Funding

LIVE
Fully-Insured70%
Self-Insured22%
Level-Funded8%

Plans Offered

LIVE
Three or More Plans51%
Two Plans30%
One Plan19%
In-Network Benefits
LimitedBalancedRobust
Your Plan
Individual Deductible
$676
$1,807
$2,560
$1,80752Bal
Family Deductible
$1,840
$2,786
$5,800
$2,78652Bal
Individual OOP Max
$3,627
$4,928
$6,693
$4,92852Bal
Family OOP Max
$7,421
$10,586
$13,834
$10,58652Bal
Coinsurance
12%
17%
27%
17%52Bal
Primary Care
$26
$38
$45
$3852Bal
Specialist
$35
$57
$72
$5752Bal
Emergency Room
$216
$274
$493
$27452Bal
Urgent Care
$56
$74
$98
$7452Bal

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Also Included in Report
Employee Contributions
Monthly employee premium contributions by tier
Gross Premium Rates
Total monthly premium costs by coverage tier
Prescription Drug Coverage
Rx copays, deductibles, and mail-order options
Full report includes percentile rankings for all metrics
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Our reports reveal exactly where your plan stands—and why. Preview using sample retail trade stores 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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Retail Trade Stores Benefits Landscape

Industry trends and benchmarking considerations

Retail employers face unique benefits challenges with large, often part-time workforces and thin margins. Our benchmarking data shows fully-insured plans predominate in this sector, with many retailers offering limited plan options to manage administrative complexity. However, major retailers increasingly compete on benefits to attract hourly workers in tight labor markets.

Key Trends

Fully-Insured Dominance

Retail employers in our database predominantly use fully-insured plans, prioritizing cost predictability and administrative simplicity.

Single or Dual Plan Offerings

Unlike professional services, most retailers offer one or two plan options rather than multiple tiers.

Hourly Workforce Considerations

Benefits eligibility thresholds and waiting periods are key differentiators in retail—our data shows significant variation in these policies.

Benchmarking Considerations

Retail benefits benchmarks should account for workforce composition. Retailers with high full-time ratios show different patterns than those relying on part-time staff. Consider eligibility requirements when comparing.

Frequently Asked Questions

About retail trade stores benefits benchmarking

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