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

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Kaiser Family Foundation
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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).
 
 
 
4A 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 5.1Exhibit 5.2

 

Kaiser Family Foundation
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Exhibit 5.1: Distribution of Health Plan Enrollment for Covered Workers, by Plan Type, 1988-2005
 
 
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For more information regarding survey methodology, click here to view the Survey Design and Methods section.

 

 

Kaiser Family Foundation
Error in element (see logs)
Exhibit 5.2: Health Plan Enrollment, by Firm Size, Region, and Industry, 2005                                           
 

 

Conventional

HMO

PPO

POS

FIRM SIZE

 

 

 

 

Small (3-24 Workers)

4%

  13%*

57%

  26%*

Small (25-49 Workers)

4

22

 48*

26*

Small (50-199 Workers)

3

19

65

14

ALL SMALL FIRMS (3-199 Workers)

3%

18%

58%

21%*

Midsize (200-999 Workers)

3

20

66

11

Large (1,000-4,999 Workers)

1*

23

 67*

9*

Jumbo (5,000 or More Workers)

3

24

60

13

ALL LARGE FIRMS (200 or More Workers)

3%

23%

63%

12%

REGION

 

 

 

 

Northeast

4%

23%

  54%*

19%

Midwest

3

16*

 70*

11

South

3

17*

66

14

West

2

32*

 51*

15

INDUSTRY

 

 

 

 

Mining/Construction/Wholesale

5%

  13%*

66%

16%

Manufacturing

3

19

66

12

Transportation/Communications/Utility

3

20

71

6*

Retail

4

19

56

22

Finance

3

22

64

11

Service

2

22

56

 20*

State/Local Government

3

 35*

52

11

Health Care

2

20

69

10

ALL FIRM SIZES, REGIONS, AND INDUSTRIES

3%

21%

61%

15%

 

 
*

Distribution is statistically different from All Firm Sizes, Regions, and Industries within a plan type at p<.05.

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

 

 

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