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Breaking Down the Average Healthcare Costs for Employers

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Breaking Down the Average Healthcare Costs for Employers


Understanding the average cost of healthcare for employers is essential for businesses of all sizes. Health insurance is often the most requested benefit by employees, making it a key factor in recruiting and retaining top talent.

Here’s a quick snapshot:

  • Annual premiums for single coverage in 2023: $1,401 contributed by workers.
  • Annual premiums for family coverage in 2023: $6,575 contributed by workers.
  • Employer contributions: Vary widely, with small firms less likely to cover full costs.

The importance of offering affordable employer-sponsored health insurance cannot be overstated. Rising healthcare costs pose a significant challenge. According to a Mercer survey, employers expect health benefit costs to rise by 5.4% per employee in 2024, much higher than the typical 3%-4% increase seen over the past decade.

Employers are increasingly absorbing these costs. Doing so helps attract and retain employees in a competitive market, as noted by Sunit Patel, Mercer’s chief actuary for health and benefits.

Investing in health insurance benefits is not just good for employees; it’s good for business. It mitigates unexpected medical expenses and promotes overall employee well-being, crucial for long-term success.

Infographic detailing the average contributions to health insurance premiums by employers and employees in 2023 - average cost of healthcare for employers infographic comparison-2-items-casual

Understanding the Average Cost of Healthcare for Employers

Factors Influencing Healthcare Costs

Understanding the average cost of healthcare for employers involves many factors. Let’s break them down.

Annual Premiums

In 2023, the average annual premium for single coverage was $1,401, while for family coverage, it was $6,575. These figures have remained relatively stable compared to last year, despite a notable 7% increase in premiums for both single and family coverage. This uptick aligns with broader economic trends, including rising inflation and healthcare costs.

Single Coverage vs. Family Coverage

The premiums for single and family coverage differ significantly. For instance, 30% of employees at small firms had their entire premium for individual coverage paid by their employer. In contrast, only 6% of employers covered the entire premium for family plans. This disparity highlights the higher financial burden family plans impose on both employees and employers.


The age of employees in a group significantly impacts premiums. Insurance rates are typically based on a 21-year-old’s rate, with older employees costing more. However, rates cannot exceed a 3:1 ratio, meaning a 64-year-old’s rate can be at most three times that of a 21-year-old.

State Mandates

State laws also play a crucial role. Some states require employer-sponsored insurance to include specific coverage, such as fertility and reproductive health benefits. These mandates can drive up costs.

Group Size

The size of the employee group matters. Larger groups usually benefit from lower rates because the health risk is spread across more people. Smaller businesses often face higher per-employee costs. For example, costs rose 7.8% for employers with 50 to 499 employees, compared to a 5.2% increase for larger firms.

Healthcare Inflation

Healthcare inflation is another significant factor. The cost of healthcare services, including frequent or costly medical visits, can drive up premiums. In 2023, prescription drug costs alone spiked by 8.4%, driven partly by new, expensive medications.


Where your business is located also affects costs. Healthcare services are more expensive in some areas, leading to higher premiums. For instance, moving from one county to another can change your insurance premium due to different rating areas.

Administrative Costs

Insurance carriers also factor in their administrative costs, which include operating expenses and reserves. These costs can lead to annual premium adjustments.


The type of work your employees do can influence premiums. Higher-risk industries, like manufacturing, generally have higher insurance costs compared to lower-risk industries, like office work.

Plan Design

Finally, the design of the insurance plan itself affects costs. Plans with richer coverage and lower out-of-pocket costs are pricier. Managed care options, like Health Maintenance Organizations (HMOs), are typically cheaper but offer less flexibility compared to Preferred Provider Organizations (PPOs).

healthcare costs - average cost of healthcare for employers

Understanding these factors can help employers make informed decisions about their health insurance offerings, balancing cost and coverage to support both their business and their employees.

Next, we’ll explore how employers contribute to health insurance and the strategies they use to manage these costs.

Employer Contributions to Health Insurance

Cost Control Strategies for Employers

Employers typically shoulder a significant portion of health insurance costs. On average, employers pay 83% of premiums for self-only plans and 73% for family plans. This means, for a self-only plan, employees contribute about 17%, while for family plans, they cover around 27%.

Large vs. Small Employers

The size of the employer often influences how much they contribute. Large employers (200+ employees) usually have more resources and can negotiate better rates. However, small employers (3-199 employees) sometimes cover the entire premium for self-only plans for about 30% of their workers, compared to only 6% in large firms.

But, small employers are also more likely to have workers who pay more than half of the family plan premiums (32% vs. 8% in large firms).

Strategies to Control Costs

To manage these costs, employers can adopt several strategies:

Increase Deductibles

Raising deductibles can lower the employer’s share of premiums. Higher deductibles shift more initial costs to employees, which can reduce overall premium costs.

Managed Care Options

Choosing managed care plans like Health Maintenance Organizations (HMOs) can save money. HMOs usually have lower premiums but restrict employees to a network of doctors and require referrals for specialists.

Limit Coverage

Employers can limit coverage to employees only, excluding spouses who can get coverage elsewhere. This can significantly reduce premium costs.

Wellness Programs

Promoting health and wellness programs can lead to fewer claims. Encouraging activities like exercise and healthy eating can reduce overall healthcare costs. Some companies offer incentives like gym discounts or rebates for participating in wellness initiatives.

Negotiate Rates

For large groups, insurance rates can be negotiated. Employers should make their brokers work to get the best rates, especially if they haven’t negotiated in a while.

Alternative Plan Designs

Offering plans with higher co-payments or limited networks can lower premiums. High Deductible Health Plans (HDHPs) paired with Health Savings Accounts (HSAs) are also popular for reducing costs while providing tax benefits.


Some employers opt to self-insure, meaning they pay for claims out of pocket rather than paying premiums to an insurer. This can be cost-effective if the group has lower-than-average claims.

By combining these strategies, employers can see significant reductions in their healthcare costs, making it easier to provide valuable benefits to their employees without breaking the bank.

Next, we’ll look at alternative health benefit options that employers can consider to further manage costs.

Alternative Health Benefit Options

Health Reimbursement Arrangements (HRAs)

HRAs can be a game-changer for employers looking to manage healthcare costs. With an HRA, employers set aside a fixed amount of money to reimburse employees for qualifying medical expenses, including health insurance premiums.

There are several types of HRAs:

  • Qualified Small Employer HRA (QSEHRA): Designed for small businesses with fewer than 50 full-time equivalent employees. QSEHRAs allow employers to reimburse employees for medical expenses and individual health insurance premiums. Tax benefits are notable, as these reimbursements are free of payroll taxes for both employer and employee.

  • Individual Coverage HRA (ICHRA): Available to employers of any size, ICHRAs are more flexible than QSEHRAs. They allow employers to set different allowance amounts for different classes of employees. Like QSEHRAs, ICHRAs offer tax-free reimbursements for eligible medical expenses and health insurance premiums.

  • Group Coverage HRA (GCHRA): Also known as integrated HRAs, GCHRAs supplement an existing group health plan. They help cover out-of-pocket costs like deductibles and copayments. Only employees enrolled in the employer’s group health plan can participate.

Reimbursement Process

  1. Set an Allowance: Employers decide on an annual or monthly allowance.
  2. Employee Purchases: Employees buy individual health insurance or pay for medical expenses.
  3. Submit Receipts: Employees submit receipts for eligible expenses.
  4. Get Reimbursed: Employers reimburse employees up to the allowance limit.

Tax Benefits

HRAs offer significant tax advantages. Reimbursements are not subject to payroll taxes, reducing the employer’s tax liability. For employees, these reimbursements are tax-free, provided they purchase a health plan that meets Minimum Essential Coverage (MEC).

Health Stipends

Health stipends are another flexible option for employers. Unlike HRAs, stipends are taxable and essentially act as extra wages. Employees can use these stipends to cover their health insurance premiums and other out-of-pocket costs.


Health stipends offer more flexibility than HRAs. They aren’t bound by strict regulations, making them easier to implement. Employees can keep their premium tax credits if they qualify, making stipends particularly beneficial for those who get tax credits through the Affordable Care Act (ACA).

Tax Considerations

While stipends are flexible, they come with tax implications. Employers must report stipend contributions on employees’ W-2 forms, and employees must pay income tax on the stipend amount.

Comparison with HRAs

  • Tax Implications: HRAs offer tax-free reimbursements, while stipends are taxable.
  • Flexibility: Stipends provide greater flexibility and fewer regulations.
  • Eligibility: HRAs have specific eligibility requirements, while stipends do not.

By understanding and leveraging these alternative health benefit options, employers can provide valuable healthcare benefits while managing costs effectively.

Next, we’ll answer some frequently asked questions about healthcare costs for employers.

Frequently Asked Questions about Healthcare Costs for Employers

How much do employers spend on healthcare?

Employers in the U.S. spend a significant amount on healthcare. According to the KFF report, the average annual premium for employer-sponsored health insurance in 2023 was:

  • $8,435 for single coverage
  • $23,968 for family coverage

Employer Contributions:

  • Employers typically cover 83% of the premium for single (self-only) plans, amounting to about $7,034 annually.
  • For family plans, employers cover around 73%, which is approximately $17,393 per year.

Employee Contributions:

  • Employees pay the remaining 17% for single coverage, about $1,401 annually.
  • For family coverage, employees contribute 27%, around $6,575 per year.

What is the average cost of healthcare in the US?

The total healthcare spending in the U.S. is substantial. On average, the cost per person is higher than in many other developed countries. For example:

  • Per Person Cost: The U.S. spends more per capita on healthcare compared to countries like Canada, the UK, and Germany.
  • Total Spending: Healthcare spending in the U.S. exceeds $3.8 trillion annually.

These high costs are driven by factors such as prescription drug prices, administrative costs, and the overall complexity of the healthcare system.

How common is employer-sponsored health insurance?

Employer-sponsored health insurance is the most common source of coverage in the U.S.:

  • Percentage of Businesses Offering Insurance: About 56% of small firms (3-199 employees) and 99% of large firms (200+ employees) offer health insurance.
  • State Variations: The availability and cost of employer-sponsored insurance can vary significantly by state due to regional healthcare costs and state mandates.
  • Employee Eligibility and Enrollment: Not all employees are eligible for employer-sponsored plans. Eligibility often depends on factors like full-time status and length of employment. Enrollment rates are generally high among eligible employees, reflecting the importance of this benefit.

By understanding these key aspects, employers can better navigate the complexities of providing healthcare benefits and manage their costs effectively.

Next, we will explore how employers can control healthcare costs through various strategies.


Understanding the average cost of healthcare for employers is crucial. It helps businesses make informed decisions about their benefits packages. With healthcare costs rising due to inflation, labor shortages, and advanced medical treatments, it’s important to stay informed and proactive.

At NPA Benefits, we know that offering flexible and cost-saving options is key. From traditional insurance plans to Health Reimbursement Arrangements (HRAs) and health stipends, we offer solutions that can be tailored to fit your business needs. Whether you’re a small business with fewer than 50 employees or a large corporation, we can help you find a plan that balances costs and benefits.

Control your healthcare expenses by exploring different strategies. Increase deductibles, opt for managed care plans, and consider alternative plan designs. Offering wellness programs and negotiating better rates can also contribute to significant savings.

By combining these strategies, you can provide valuable health benefits to your employees while managing costs effectively. For more information on how we can assist you in finding the right health insurance coverage, visit our Health Insurance Benefits page.

Understanding and managing healthcare costs not only benefits your bottom line but also shows your employees that you care about their well-being. Let NPA Benefits help you navigate the complexities of employer-sponsored healthcare and find the best solutions for your business.

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