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Employer Health Benefits 2005 Annual
Survey Section 4: Health Plan Choice

Printable Page Set
Section 4: Health Plan Choice
 

Most covered workers can choose among several types of health plans, including conventional, HMO, PPO, and POS. PPOs remain the most common plan type available to covered workers who have a choice of plans.

  • PPOs are the most common health plan offered to workers, followed by HMO plans, POS plans, and conventional plans.

    • The percentage of covered workers that have the option of electing a PPO plan is essentially unchanged from last year at 82%. The percentage of covered workers with the option to enroll in a POS plan (28%) is also similar to last year (Exhibit 4.1).

    • The option of enrolling in an HMO has decreased slightly since last year. Forty-four percent of covered workers have the option of enrolling in an HMO, compared with 54% in 2004 (Exhibit 4.1).
  • The percentage of covered workers who can choose from multiple health plans (63%) has remained relatively stable since 1996 (Exhibit 4.3).

    • Health plan choice varies by firm size, with covered workers in large firms (200 or more workers) more likely than covered workers in small firms (3-199 workers) to have a choice between two or more health plans. Seventy-eight percent of covered workers in large firms have a choice of health plans, compared with 33% of covered workers in small firms (Exhibit 4.4)
 
 
 

For more information regarding survey methodology, click here to view the Survey Design and Methods section.

 

Exhibit 4.1Exhibit 4.4
Exhibit 4.2Exhibit 4.5
Exhibit 4.3Exhibit 4.6

 

Exhibit 4.1: Percentage of Covered Workers With a Choice of Conventional, HMO, PPO, or POS Plans, 1988-2005
 
 
 
 

For more information regarding survey methodology, click here to view the Survey Design and Methods section.

 

 

Exhibit 4.2: Distribution of Firms Providing a Choice of Health Plans, by Firm Size, 2005
 
 
 
 

For more information regarding survey methodology, click here to view the Survey Design and Methods section.

 

 

Exhibit 4.3: Distribution of Covered Workers With a Choice of Health Plans, 1988-2005
 
 
 
 

For more information regarding survey methodology, click here to view the Survey Design and Methods section.

 

 

Exhibit 4.4: Distribution of Covered Workers With a Choice of Health Plans, by Firm Size, 1996-2005
 
 

One Plan

Two Plans

Three or More Plans

1996

All Small Firms (3-199 Workers)*

79%

15%

6%

All Large Firms (200 or More Workers)*

21

17

63

ALL FIRM SIZES

33%

16%

51%

1999

All Small Firms (3-199 Workers) *

76%

16%

8%

All Large Firms (200 or More Workers)*

20

18

62

ALL FIRM SIZES

39%

17%

44%

2000

All Small Firms (3-199 Workers)*

77%

14%

9%

All Large Firms (200 or More Workers)*

20

15

65

ALL FIRM SIZES

39%

15%

46%

2001

 

All Small Firms (3-199 Workers) *

76%

15%

9%

All Large Firms (200 or More Workers)*

23

16

61

ALL FIRM SIZES

41%

16%

43%

2002

 

All Small Firms (3-199 Workers)*

76%

15%

10%

All Large Firms (200 or More Workers)*

23

15

62

ALL FIRM SIZES

40%

15%

45%

2003

 

All Small Firms (3-199 Workers)*

62%

17%

21%

All Large Firms (200 or More Workers)*

26

15

59

ALL FIRM SIZES

38%

16%

47%

2004

 

All Small Firms (3-199 Workers)*

73%

17%

10%

All Large Firms (200 or More Workers)*

18

18

63

ALL FIRM SIZES

35%

18%

47%

2005

 

 

 

All Small Firms (3-199 Workers) *

67%

21%

12%

All Large Firms (200 or More Workers)*

22

19

59

ALL FIRM SIZES

37%

20%

43%

 
 
 
*

Distribution is statistically different from All Firm Sizes within a year at p<.05.

 
 Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2005; KPMG Survey of Employer-Sponsored Health Benefits, 1996.
 
 For more information regarding survey methodology, click here to view the Survey Design and Methods section.