Health Benefits In 2018: Modest Growth In Premiums, Higher Worker Contributions At Firms With More Low-Wage Workers

Area of Science:

• Health Economics
• Healthcare Policy
• Employee Benefits

Background:

• Employer-sponsored health insurance is a primary source of coverage for U.S. workers.
• Rising healthcare costs and evolving policy landscapes impact benefit offerings and worker contributions.
• Understanding current trends in health benefits is crucial for employers, employees, and policymakers.

Purpose of the Study:

• To analyze the 2018 Employer Health Benefits Survey data.
• To report on trends in health insurance premiums, worker cost-sharing, and plan features.
• To assess the impact of policy changes on employer health plan offerings.

Main Methods:

• Analysis of data from the Henry J. Kaiser Family Foundation's annual Employer Health Benefits Survey.
• Examination of average premiums, worker contributions, and deductible prevalence.
• Inclusion of data on telemedicine utilization and employer expectations regarding policy impacts.

Main Results:

• Average annual premiums in 2018 were $6,896 for single coverage (up 3%) and $19,616 for family coverage (up 5%).
• Workers contributed 18% for single and 29% for family coverage on average.
• Eighty-five percent of workers faced deductibles, and telemedicine service coverage increased.

Conclusions:

• Health insurance costs continue to rise, increasing the financial burden on employees.
• The prevalence of deductibles and the growth of telemedicine indicate shifts in healthcare utilization and delivery.
• Anticipated changes in healthcare policy may influence future enrollment trends in employer-sponsored plans.