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2018 Employer Health Benefits Survey

This annual survey of employers provides a detailed look at trends in employer-sponsored health coverage including premiums, employee contributions, cost-sharing provisions, offer rates, wellness programs, and employer practices. The 2018 survey included 2,160 interviews with non-federal public and private firms.

Annual premiums for employer-sponsored family health coverage reached $19,616 this year, up 5% from last year, with workers on average paying $5,547 toward the cost of their coverage. The average deductible among covered workers in a plan with a general annual deductible is $1,573 for single coverage. Fifty-six percent of small firms and 98% of large firms offer health benefits to at least some of their workers, with an overall offer rate of 57%.

Survey results are released in several formats, including a full report with downloadable tables on a variety of topics, a summary of findings, and an article published in the journal Health Affairs.

News release
  • A news release announcing the publication of the 2018 Employer Health Benefits Survey is available here.
summary of findings
  • The Summary of Findings provides an overview of the 2018 survey results and is available under the Summary of Findings tab.
full report
  • The complete Employer Health Benefits Survey report includes over 200 exhibits and is available under the Report The “Report” tab contains 14 separate sections. Users can view each section separately or download the section exhibits from the right side of the respective section page.
health affairs
related analysis
  •  This related brief on the Peterson-Kaiser Health System Tracker examines employer claims data to measure the uptake of telemedicine services by employees and their family members.
web briefing
  • On Wednesday, October 3rd, 2018, the Kaiser Family Foundation held a reporters-only web briefing to release the 2018 Employer Health Benefits Survey.
interactive graphic
key exhibits-chartpack
  • Nearly thirty overview slides from the 2018 Employer Health Benefits Survey are available as a slideshow or PDF.
additional resources
  • Standard errors for selected estimates are available in the Technical Supplement here.
  • Employer Health Benefits Surveys from 1998–2017 are available here. Please note that historic survey reports have not been revised with methodological changes.
  • Researchers may request a public use dataset by going to Contact Us and choosing “TOPIC: Health Costs.”

Researchers at the Kaiser Family Foundation and NORC at the University of Chicago designed and analyzed the survey.

Summary of Findings

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.