Filling the need for trusted information on national health issues…

2018 Employer Health Benefits Survey

Section 5: Market Shares of Health Plans

The largest share of covered workers is enrolled in PPOs, covering 49% of covered workers, followed by HDHP/SOs, HMOs, POS plans, and conventional plans.

  • Forty-nine percent of covered workers are enrolled in PPOs, followed by HDHP/SOs (29%), HMOs (16%), POS plans (6%), and conventional plans (less than one percent) [Figure 5.1].
  • The percentage of covered workers enrolled in HDHP/SOs is similar to last year, but has increased over the past decade.
  • The percentage of covered workers enrolled in PPOs is similar to last year, but has decreased over the past decade.
  • A larger share of covered workers are enrolled in HDHP/SOs than in HMOs in both small firms and large firms.
  • The share of covered workers enrolled in POS plans decreased from 10% in 2017 to 6% this year [Figure 5.1].
  • Covered workers in small firms are more likely than covered workers in large firms to enroll in POS plans (11% vs. 3%) [Figure 5.2].
  • Plan enrollment patterns also differ across regions.
    • HMO enrollment is significantly higher in the West (33%), and significantly lower in the South (10%) and Midwest (5%) [Figure 5.3].
    • Covered workers in the South (55%) are more likely to be enrolled in PPOs than workers in other regions [Figure 5.3].
    • Covered workers in the Midwest (39%) are more likely to be enrolled in HDHP/SOs than workers in other regions, while covered workers in the West (19%) are less likely to be enrolled in HDHP/SOs [Figure 5.3].

Figure 5.1: Distribution of Health Plan Enrollment for Covered Workers, by Plan Type, 1988-2018

Figure 5.1: Distribution of Health Plan Enrollment for Covered Workers, by Plan Type, 1988-2018

Figure 5.2: Distribution of Health Plan Enrollment for Covered Workers, by Plan Type and Firm Size, 2018

Figure 5.2: Distribution of Health Plan Enrollment for Covered Workers, by Plan Type and Firm Size, 2018

Figure 5.3: Distribution of Health Plan Enrollment for Covered Workers, by Firm Size, Region, and Industry, 2018

Figure 5.3: Distribution of Health Plan Enrollment for Covered Workers, by Firm Size, Region, and Industry, 2018

Section 4: Types of Plans Offered Section 6: Worker and Employer Contributions for Premiums

The Henry J. Kaiser Family Foundation Headquarters: 2400 Sand Hill Road, Menlo Park, CA 94025 | Phone 650-854-9400
Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270

www.kff.org | Email Alerts: kff.org/email | facebook.com/KaiserFamilyFoundation | twitter.com/KaiserFamFound

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