Services Associations Organizations Benefits Benchmarks

Real plan data from verified employers in your industry

372
Employers
902
Plans
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Plan Type Mix

Live
PPO37%
HDHP35%
HMO16%
EPO8%

Plan Funding

Live
Fully-Insured81%
Self-Insured12%
Level-Funded6%

Plans Offered

Live
Three or More Plans41%
Two Plans33%
One Plan26%
In-Network BenefitsLimitedBalancedRobust
Individual Deductible
$2,668
$1,663
$964
Family Deductible
$5,056
$4,058
$1,200
Individual OOP Max
$6,885
$4,918
$3,384
Family OOP Max
$13,334
$10,682
$6,845
Coinsurance
26%
20%
12%
Primary Care
$46
$35
$24
Specialist
$70
$55
$39
Emergency Room
$455
$284
$210
Urgent Care
$92
$72
$50
Inpatient Hospital
$664
$435
$293
Outpatient Hospital
$347
$198
$115
Lab & X-ray
$40
$32
$0

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Employee ContributionsLimitedBalancedRobust
Employee Only
$280
$223
$170
Employee + Spouse
$668
$581
$451
Employee + Child(ren)
$513
$446
$389
Family
$929
$794
$594
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Gross Premium RatesLimitedBalancedRobust
Employee Only
$886
$745
$603
Employee + Spouse
$1,777
$1,482
$1,284
Employee + Child(ren)
$1,446
$1,273
$1,019
Family
$2,350
$2,153
$1,791
Available in full report
PrescriptionsLimitedBalancedRobust
Generic
$19
$12
$7
Preferred Brand
$55
$46
$28
Non-Preferred Brand
$98
$72
$53
Specialty
$286
$186
$102
Available in full report

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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