Utilities Benefits Benchmarks

Real plan data from verified employers in your industry

85
Employers
265
Plans
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Utilities Employee Benefits Overview

Medical plan benchmarks from verified employer 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 85 utilities employers offering 265 verified benefit plans. PPO plans are the most common (39% of employers), followed by HDHP (38%). Fully-Insured funding is the predominant model, used by 63% of industry employers. Most employers offer three or more plan options to employees (58%).

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

85 employers265 verified plansUpdated January 2026

Plan Type Mix

Live
PPO39%
HDHP38%
HMO13%
EPO5%

Plan Funding

Live
Fully-Insured63%
Self-Insured28%
Level-Funded9%

Plans Offered

Live
Three or More Plans58%
Two Plans24%
One Plan18%
In-Network BenefitsLimitedBalancedRobust
Individual Deductible
$2,592
$1,975
$868
Family Deductible
$5,080
$2,798
$1,272
Individual OOP Max
$6,450
$5,082
$3,083
Family OOP Max
$13,270
$9,530
$6,627
Coinsurance
26%
22%
12%
Primary Care
$46
$31
$21
Specialist
$71
$55
$40
Emergency Room
$471
$275
$169
Urgent Care
$94
$74
$52
Inpatient Hospital
$736
$549
$326
Outpatient Hospital
$302
$232
$133
Lab & X-ray
$40
$31
$2

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Employee ContributionsLimitedBalancedRobust
Employee Only
$290
$245
$163
Employee + Spouse
$643
$510
$424
Employee + Child(ren)
$526
$479
$364
Family
$905
$743
$578
Available in full report
Gross Premium RatesLimitedBalancedRobust
Employee Only
$841
$735
$627
Employee + Spouse
$1,789
$1,463
$1,270
Employee + Child(ren)
$1,473
$1,258
$1,058
Family
$2,385
$2,184
$1,799
Available in full report
PrescriptionsLimitedBalancedRobust
Generic
$18
$13
$8
Preferred Brand
$54
$39
$31
Non-Preferred Brand
$97
$70
$50
Specialty
$286
$216
$133
Available in full report

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