Medical/Rx Benefits

Services Associations Organizations Medical/Rx Benefits Benchmarks

Real plan data from verified employers in your industry

Verified Data
418Employers
1,031Plans
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Medical/Rx benchmarks

Services Associations Organizations Employee Benefits Overview

Updated November 2026

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

Our database includes 418 services associations organizations employers offering 1,031 verified benefit plans. PPO plans are the most common (39% of employers), followed by HDHP (33%). Fully-Insured funding is the predominant model, used by 78% of industry employers. Most employers offer three or more plan options to employees (41%).

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

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Services Associations Organizations plan design & cost benchmarks

In-Network Cost Sharing: sample layout
In-Network Benefits
LimitedBalancedRobust
Your Plan
Individual Deductible
$964
$1,663
$2,668
$1,66352Bal
Family Deductible
$1,200
$4,058
$5,056
$4,05852Bal
Individual OOP Max
$3,384
$4,918
$6,885
$4,91852Bal
Family OOP Max
$6,845
$10,682
$13,334
$10,68252Bal
Coinsurance
12%
20%
26%
20%52Bal
Primary Care
$24
$35
$46
$3552Bal
Specialist
$39
$55
$70
$5552Bal
Emergency Room
$210
$284
$455
$28452Bal
Urgent Care
$50
$72
$92
$7252Bal

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Real plan-design and cost benchmarks for services associations organizations, 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

Plus full benchmarks for Life, Voluntary Life, Short- & Long-Term Disability, and Stop-Loss.

Percentile rankings (25th / 50th / 75th)
Live, real-time data (this preview refreshes monthly)
Exportable to PDF & CSV

Plan Type Mix

% of employers offering each

VERIFIED
PPO39%
HDHP33%
HMO16%
EPO8%

Plan Funding

% of employers by funding

VERIFIED
Fully-Insured78%
Self-Insured14%
Level-Funded7%

Plans Offered

% of employers by plan count

VERIFIED
Three or More Plans41%
Two Plans36%
One Plan22%

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