WPMA News / Spring 2026 67 Associate Member News Health Benefits by Plan Type: In 2025, as has been the case for decades, Preferred Provider Organization (PPO) plans remained the most common type of plan covering U.S. employees. These plans are generally viewed as the most user friendly because they allow members to use almost any provider they want with the plan paying a higher benefit if the member uses a preferred in-network provider since those providers offer discounts in exchange for patient channeling. Among firms offering health benefit plans, 46% of all workers are covered by a PPO plan. By comparison, only 12% of workers are covered under a more restric- tive Health Maintenance Organization (HMO) plan, which generally limits members to a closed panel of providers and only covers out-of-network care in the event of an emer- gency. Approximately 33% of covered workers are enrolled in high-deductible health plans (which are generally used in conjunction with health savings accounts (HSAs)) and may be offered with PPO plans or HMO plans (see Graph 2). Graph 2 Health Benefit Cost and Employer Contribution: In 2025, the average annual premium for employer-sponsored health insurance coverage was $9,325 for single coverage and $26,993 for family coverage, increases of 4.2% and 5.6% respectively. Over the past five years, the average premium for family coverage has increased by 26%, compared to an increase in worker wages of 28.6% and inflation of 23.5%. On average, workers contributed about $1,500 (16%) toward the cost of single coverage and $7,000 (26%) for family coverage, about the same as in 2024. This means employers contributed more than $7,800 (84%) for single coverage and almost $20,000 (74%) for family coverage (see Graph 3). Graph 3 Insurance Deductibles and Other Benefit Levels: According to the KFF survey, 88% of workers are covered under plans that have an annual deductible. This is the amount the insured must pay before insurance benefits kick in (although there are some benefits like wellness care that are often covered on a pre-deductible basis). In 2025, the average annual deductible for single coverage was $1,886. Like the benefit distinctions amongst employer sizes, the average deductible for workers who are covered through smaller companies is significantly higher than those who are covered through larger companies ($2,631 compared to $1,670) (see Graph 4). Graph 4 Sponsored Health Insurance How DO YOURS Compare? * These graphs were compiled with information and data from the KFF survey.
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