Employer Health Benefits 2005: Section 5: Market Shares of Health Plans

Employer Health Benefits 2005 Annual Survey

Section 5: Market Shares of Health Plans: Market Shares of Health Plans 2005

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Section 5: Market Shares of Health Plans 2005

PPO plans enroll three-in-five covered workers, followed by HMO plans, POS plans, and then conventional plans. Enrollment in PPO plans grew significantly in 2005, while enrollment in HMO plans dropped by 4 percentage points.

With the highest enrollment, PPO plans cover 61% of covered workers, up from 55% in 2004. HMOs, the plan with the second highest enrollment, fell to 21% of total covered workers from 25% last year. Conventional plans remain at the lowest level of enrollment, covering just 3% of covered workers in 2005 (Exhibit 5.1).⁴
There are slight regional differences in plan enrollment. PPO plans have higher enrollment in the Midwest (70%). HMO enrollment is highest in the West (32%) (Exhibit 5.2).

⁴	A portion of the change in enrollment for 2005 is likely attributable to incorporating more recent Census Bureau estimates of the number of state and local government workers and removing federal workers from the weights. See the Survey Design and Methods section for additional information.

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

Exhibit 5.1

Exhibit 5.2

The Kaiser Family Foundation and Health Research and Educational Trust
Program Area: Health Care Marketplace Project | Publication Date: 09/14/2005