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2016 Survey Series
ERA Salary Surveys
Non-Exempt
Office & Clerical
Production,
Maintenance, and Service
Professional and Supervisory
Engineering and
Technical
National Sales
Compensation and Practices
Executive Compensation
Wage and Salary
Adjustment
ERA Benefits Surveys
Policies and Practices
Health and Welfare Benefits
Turnover
Year-End Holidays
Health and Welfare Benefits Survey
©2016 Employers Resource Association I Health and Welfare Benefits Survey
TABLE OF CONTENTS
Introduction ............................................................................................................. II-VI
Health Benefit Information Employee Size Breakdown
PPO Plans ..................................................................................................... 1
POS Plans ..................................................................................................... 4
HMO Plans .................................................................................................... 7
High Deductible Plans .................................................................................. 10
Health Reimbursement Account Plans ............................................................. 13
Health Benefit Information Industry Breakdown
PPO Plans ................................................................................................... 16
POS Plans ................................................................................................... 19
HMO Plans .................................................................................................. 22
High Deductible Plans ................................................................................... 25
Health Reimbursement Account Plans ............................................................ 28
Supplemental Health Care Questions .............................................................................. 31
©2016 Employers Resource Association II Health and Welfare Benefits Survey
Introduction
The 2016 Health and Welfare Benefits Survey was conducted during May and June of 2016. It
contains data from 188 member companies, who provided data on over 300 health plans. Data has
been sorted according to company size and industry.
We would like to thank all of the member organizations and their representatives that gave
their time and information in making this a successful Health and Welfare Benefits Report.
Participating Organizations
A2Z Field Services
Affordable Language Services AIP Logistics, Inc.
AirWay Technologies, Inc. Alternate Solutions Health Network American Thermal Instruments, Inc. Anderson Manufacturing ARCOS LLC
ART Technologies ASAP Events Association of College Unions International Bailey & Company Benefits Group Banner Metals Group
Basco Manufacturing Bathroom Alternatives BBB Beech Acres Parenting Center Beiersdorf Inc.
Bethany House Services BriskHeat Corporation
Bryan Equipment Sales, Inc. Campbell County Fiscal Court Campbell County Public Library Capital Resin Corporation Car-Part.com Cast-Fab Technologies CB Manufacturing
CBT Company Cincinnati Association for the Blind & Visually Impaired Cincinnati Waldorf School Cindus Corporation Cinfed Credit Union
Clark Schaefer Hackett
Clermont Senior Services Clippard Instrument Lab., Inc. Consolidated Metal Products, Inc. Contractors Materials Co. COSI Cott Systems, Inc.
Dave Fox Remodeling, Inc. Dayton Superior Corporation Defense Research Associates, Inc. Diocesan Catholic Children's Home Downing Displays, Inc.
Dynamic Catholic
Eastway Supplies, Inc. Eco Engineering Inc.
Empower MediaMarketing Episcopal Retirement Services ePremium Insurance Evenflo F&M MAFCO, Inc.
Ferco Aerospace Finn Corporation Floturn, Inc. Force Control Industries Franklin Park Conservatory Frisch's Restaurants
FT Precision Inc. FTJ FundChoice Fusite General Data Company General Tool Company
Girl Scouts of Western Ohio Glenmary Home Missioners
GMi Companies, Inc. Gosh Enterprises Graphel Corporation Green Group Enterprises, LLC Hamilton Caster & Mfg. Co. Hamilton Sorter Harrop Industries, Inc.
HCDC Inc. Hightowers Petroleum Company Hilltop Basic Resources Inc. Hi-Tek Manufacturing, Inc. Hondros Family of Companies Hydro Systems
ILSCO Corporation
Integrated Protection Services, Inc. Invotec Engineering, Inc. Iofina Chemical ITE, LLC Johnson Investment Counsel Kadant Black Clawson
Kaleidoscope Keidel Supply KEMBA Kenton County Airport Board Kentucky Speedway
©2016 Employers Resource Association III Health and Welfare Benefits Survey
Key Resin Company Kimball Midwest KnowledgeWorks Foundation Kolar Design
Korrect Plumbing Heating & Air KOST USA Krauss-Maffei L3 Cincinnati Electronics L-3 Fuzing & Ordnance Systems Lake Shore Cryotronics, Inc. LEM Products Distribution LLC
LifeSpan, Inc. Linkage Solutions Luvata Ohio, Inc. Marsh Building Products McSwain Mfg. Corp.
Meridian Bioscience Inc.
Mesa Industries MGF Sourcing Miami Valley Gaming Mid-Ohio Energy Mid-State Bolt and Nut Co., Inc. Mid-States Packaging, Inc. Mikesell's Snack Food Company
Nease Company LLC Nexceris Nisbet Brower Nitto Denko Avecia Inc. Nolte Precise Manufacturing NSIXTY Digital ODW Logistics
Ohashi Technica
Ohio Indemnity Company Ohio River Valley Water Sanitation Commission Ohio Semitronics, Inc. Ohio Valley Supply Company
Ohio Water Development Authority OMEGA Processing Solutions Omni Technologies, Inc. PAC Worldwide Corp People Working Cooperatively Phillips Edison & Company Pilsen Imports Inc.
PIVOTEK PM Company PNG Telecommunications, Inc. dba Powernet
Prasco R.A Jones RACO Industries
Reis Nichols
Reisenfeld & Associates Reliance Medical Richards Industries Sanitation District No. 1
Saturday Knight Ltd Scenario Learning School Employees Retirement System of Ohio School House Outfitters, LLC Schueler Group Security National Automotive Acceptance
Shaklee Corporation Shared Services, LLC Skidmore Sales and Distributing St. Joseph Home Tape Products Company
Tech International
TechSolve Inc. Thaman Rubber Co The American Society for Nondestructive Testing Inc. The Armor Group, Inc. The Brewer Company The Buckeye Stamping Co. dba Buckeye
Shapeform The Citizens Bank of Logan The Motz Corporation The Shepherd Color Company The Siekman Company The Verdin Company The Western States Machine Company
The Wm Powell Company
TP Mechanical Contractors Transitions, Inc. Triad Technology TSC Apparel, LLC UASI
UC Research Institute Unifund United Air Specialists United Way of Greater Cincinnati Universal Trailer Corp Uptown Rental Properties Valley Interior Systems
VALLEY JANITOR SUPPLY VEGA Americas, Inc. Venco Venturo Industries LLC Vora
VRI Xtek Inc. YAC Robot Systems, Inc.
©2016 Employers Resource Association IV Health and Welfare Benefits Survey
Types of Health Plans Offered PPO and high-deductible health insurance plans continue to account for over 80% of all health plans
offered by employers. With the decreasing popularity of PPO plans, high-deductible plans has
become the most popular choice for health insurance plans.
Deductibles
Traditional Medical Plans (PPO, POS, and HMO Medical Plans)
1%
49%
7%
1%
38%
5%1%
49%
2% 1%
42%
5%2%
43%
5%1%
44%
5%2%
38%
7%
1%
46%
4%
0%
10%
20%
30%
40%
50%
60%
HMO PPO POS Indemity HDHP HRA
2013 2014 2015 2016
$1,098
$2,097 $2,299
$2,522
$1,751
$2,330 $2,710
$3,709
$1,618
$3,197 $3,268 $3,408
$1,879
$3,849 $3,980$4,215
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
Employee EE + Spouse EE + Child(ren) Family
2013 2014 2015 2016
©2016 Employers Resource Association V Health and Welfare Benefits Survey
High Deductible Health Plans
Healthcare Cost Increases As in 2015, more than 1 in 3 companies (39%) reported an increase in last year premiums of less
than 3%. A slightly larger portion of the participating organizations reported having no increase in
premiums compared to last year (27% vs 20%) but from an overall standpoint, the distribution of
the reported premium increases remained consistent with the previous year.
$2,624
$4,556 $4,572
$5,439
$2,638
$5,138 $5,285 $5,287
$2,963
$5,955 $6,020 $5,950
$3,067
$5,926 $6,065 $6,028
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
Employee EE + Spouse EE + Child(ren) Family
2013 2014 2015 2016
16% 16%
25%
18%
12%
25%
6%
22%
16%
20%22%
19% 18%
4%
20%
15%14%
17%
10%
5%
12%
27%
11%
16%18%
8%10% 9%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
45.0%
50.0%
No Increase 1-3% Increase 4-6% Increase 7-9% Increase 10-12% Increase Greater Than 12%Increase
N/A/Decrease
2013 2014 2015 2016
©2016 Employers Resource Association VI Health and Welfare Benefits Survey
Additional Data Available
Employers Resource Association members can obtain, at a nominal cost, a report from this survey
tailored exclusively for their use.
You can select those participating organizations sharing similar characteristics (e.g. industry,
location, size, or union status) or from labor market competitors.
A minimum of ten organizations is necessary to protect confidentiality.
For more information about this valuable service or other surveys and services provided to
Association members, please contact the Survey Department at (513) 679-4120 or email
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $496 110 $520 29 $460 31 $524 39 $429 7 $457 4
EE+ Spouse $1,018 107 $1,027 29 $967 30 $1,076 37 $904 7 $992 4
EE+ Child(ren) $894 102 $913 25 $797 29 $985 37 $754 7 $869 4
Family $1,448 111 $1,421 29 $1,405 31 $1,545 40 $1,213 7 $1,423 4
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $136 88 $119 22 $120 19 $156 35 $132 8 $132 4
EE+ Spouse $357 87 $326 23 $346 18 $388 34 $337 8 $374 4
EE+ Child(ren) $297 85 $287 22 $261 17 $326 34 $269 8 $311 4
Family $511 91 $470 23 $540 19 $531 37 $478 8 $479 4
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE 31% 38 35% 9 28% 14 31% 13 * 2 * 0
EE+ Spouse 34% 39 33% 9 32% 15 35% 13 * 2 * 0
EE+ Child(ren) 34% 37 34% 7 32% 15 35% 13 * 2 * 0
Family 35% 39 33% 9 32% 15 37% 13 * 2 * 0
Employee Monthly Cost - Flat Amount
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
Employee Monthly Cost - Percentage
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
2016 Mini Health & Welfare Benefits SurveyPPO Plans
Average Monthly Premiums
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
1
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Office Visit
In-Network $28 104 $31 29 $26 28 $27 35 $29 8 $31 4
Out-of-Network 41% 95 41% 24 42% 25 41% 38 43% 7 * 1
Specialist
In-Network $49 103 $50 28 $49 27 $48 36 $47 8 $44 4
Out-of-Network 41% 94 41% 24 42% 24 41% 38 43% 7 * 1
Urgent Care
In-Network $74 107 $78 29 $76 31 $71 38 $64 5 $59 4
Out-of-Network 41% 86 41% 23 39% 20 41% 35 43% 7 * 1
Outpatient Hospital
In-Network 23% 73 21% 17 20% 20 25% 30 33% 5 * 1
Out-of-Network 41% 88 40% 22 41% 24 41% 36 40% 5 * 1
Inpatient Hospital
In-Network 24% 77 23% 21 20% 20 25% 30 33% 5 * 1
Out-of-Network 41% 90 41% 23 41% 24 41% 36 42% 6 * 1
Emergency Room
In-Network $245 99 $256 26 $270 28 $219 36 $250 5 $238 4
Out-of-Network $256 69 $272 18 $263 23 $236 21 $263 4 $233 3
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE
In-Network $1,887 115 $2,323 31 $1,661 31 $1,578 41 $1,688 8 $3,825 4
Out-of-Network $4,378 103 $5,692 26 $3,981 29 $3,254 37 $4,300 7 $9,238 4
EE+Spouse
In-Network $3,889 94 $4,509 29 $3,419 21 $2,941 32 $3,688 8 $9,863 4
Out-of-Network $9,126 84 $11,646 24 $8,737 19 $6,107 30 $8,600 7 $19,413 4
EE+Child(ren)
In-Network $4,010 91 $4,722 27 $3,560 20 $3,041 32 $3,688 8 $9,863 4
Out-of-Network $9,484 82 $12,435 23 $9,122 18 $6,320 30 $8,600 7 $19,413 4
Family
In-Network $4,268 111 $5,258 31 $3,583 29 $3,528 39 $3,725 8 $9,863 4
Out-of-Network $10,227 99 $12,038 26 $9,326 27 $8,834 35 $8,686 7 $19,413 4
2016 Mini Health & Welfare Benefits SurveyPPO Plans
Average Co-Pay Amounts
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
Average Deductibles
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
2
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic $11 106 $11 27 $11 28 $11 39 $10 8 $15 4
Brand $37 104 $41 29 $34 28 $36 36 $37 7 $40 4
Non-Formulary $70 100 $78 28 $69 28 $66 33 $58 7 $63 4
Mail Order (No Tier) $25 11 $41 3 * 2 $21 5 * 1 * 0
Mail Order - Tier 1 $22 89 $22 20 $22 26 $20 34 $22 8 * 1
Mail Order - Tier 2 $85 90 $83 23 $83 26 $86 33 $84 7 * 1
Mail Order - Tier 3 $162 89 $155 23 $169 26 $167 32 $129 7 * 1
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic 29% 7 * 1 31% 4 * 2 * 0 * 0
Brand 28% 13 * 2 29% 5 24% 5 * 1 * 0
Non-Formulary 37% 15 * 1 35% 7 38% 6 * 1 * 0
Mail Order (No Tier) 24% 4 * 0 * 2 * 2 * 0 * 0
Mail Order - Tier 1 19% 4 * 0 * 2 * 2 * 0 * 0
Mail Order - Tier 2 22% 7 * 0 22% 3 23% 3 * 1 * 0
Mail Order - Tier 3 28% 8 * 1 22% 3 35% 3 * 1 * 0
2016 Mini Health & Welfare Benefits SurveyPPO Plans
Prescription Cost - Flat Amount
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
Prescription Cost - Percentage
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
3
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $553 16 $518 4 $467 3 $531 4 $651 5 * 0
EE+ Spouse $1,191 16 $1,156 4 $1,048 3 $1,086 4 $1,388 5 * 0
EE+ Child(ren) $1,018 16 $813 4 $884 3 $1,189 4 $1,125 5 * 0
Family $1,692 15 $1,632 3 $1,495 3 $1,573 4 $1,941 5 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $155 13 * 1 * 2 $173 5 $201 5 * 0
EE+ Spouse $406 13 * 2 * 2 $439 4 $540 5 * 0
EE+ Child(ren) $364 14 * 2 * 2 $448 5 $457 5 * 0
Family $630 14 * 2 * 2 $811 5 $718 5 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE 25% 7 30% 5 * 1 * 1 * 0 * 0
EE+ Spouse 29% 7 35% 5 * 1 * 1 * 0 * 0
EE+ Child(ren) 29% 7 35% 5 * 1 * 1 * 0 * 0
Family 29% 8 35% 5 * 1 * 1 * 1 * 0
Employee Monthly Cost - Flat Amount
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
Employee Monthly Cost - Percentage
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
2016 Mini Health & Welfare Benefits SurveyPOS Plans
Average Monthly Premiums
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
4
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Office Visit
In-Network $28 22 $31 8 $23 3 $28 6 $28 5 * 0
Out-of-Network 41% 19 47% 7 * 2 36% 5 39% 5 * 0
Specialist
In-Network $50 22 $56 8 $47 3 $44 6 $49 5 * 0
Out-of-Network 41% 19 47% 7 * 2 36% 5 39% 5 * 0
Urgent Care
In-Network $86 22 $109 8 $83 3 $68 6 $70 5 * 0
Out-of-Network 40% 18 47% 6 * 2 36% 5 39% 5 * 0
Outpatient Hospital
In-Network 22% 16 24% 7 * 1 23% 4 19% 4 * 0
Out-of-Network 41% 19 47% 7 * 2 36% 5 39% 5 * 0
Inpatient Hospital
In-Network 22% 16 24% 7 * 1 23% 4 19% 4 * 0
Out-of-Network 41% 19 47% 7 * 2 36% 5 39% 5 * 0
Emergency Room
In-Network $263 21 $319 8 $267 3 $213 6 $225 4 * 0
Out-of-Network $280 15 $329 7 * 2 $233 3 $233 3 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE
In-Network $2,009 22 $1,594 8 * 2 $2,421 7 $2,000 5 * 0
Out-of-Network $6,083 20 $6,643 7 * 2 $6,442 6 $4,600 5 * 0
EE+Spouse
In-Network $3,720 20 $3,250 8 * 2 $3,980 5 $3,900 5 * 0
Out-of-Network $11,350 18 $13,286 7 * 2 $9,825 4 $9,000 5 * 0
EE+Child(ren)
In-Network $3,920 20 $3,250 8 * 2 $3,980 5 $4,700 5 * 0
Out-of-Network $11,794 18 $13,286 7 * 2 $9,825 4 $10,600 5 * 0
Family
In-Network $4,336 22 $3,250 8 * 2 $4,843 7 $5,300 5 * 0
Out-of-Network $13,015 20 $13,286 7 * 2 $13,550 6 $11,800 5 * 0
2016 Mini Health & Welfare Benefits SurveyPOS Plans
Average Co-Pay Amounts
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
Average Deductibles
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
5
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic $10 19 $10 5 $9 3 $11 6 $10 5 * 0
Brand $35 16 $38 3 $37 3 $36 6 $29 4 * 0
Non-Formulary $55 13 * 1 $53 3 $61 5 $50 4 * 0
Mail Order (No Tier) * 2 * 1 * 0 * 0 * 1 * 0
Mail Order - Tier 1 $24 22 $26 7 $21 3 $24 7 $23 5 * 0
Mail Order - Tier 2 $80 21 $85 7 $85 3 $78 7 $69 4 * 0
Mail Order - Tier 3 $139 20 $171 7 $125 3 $123 6 $119 4 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic * 0 * 0 * 0 * 0 * 0 * 0
Brand * 1 * 0 * 0 * 0 * 1 * 0
Non-Formulary 30% 3 * 1 * 0 * 1 * 1 * 0
Mail Order (No Tier) * 0 * 0 * 0 * 0 * 0 * 0
Mail Order - Tier 1 * 1 * 1 * 0 * 0 * 0 * 0
Mail Order - Tier 2 * 2 * 1 * 0 * 0 * 1 * 0
Mail Order - Tier 3 * 2 * 0 * 0 * 1 * 1 * 0
2016 Mini Health & Welfare Benefits SurveyPOS Plans
Prescription Cost - Flat Amount
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
Prescription Cost - Percentage
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
6
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $468 7 * 0 * 1 $495 5 * 1 * 0
EE+ Spouse $1,009 7 * 0 * 1 $1,033 5 * 1 * 0
EE+ Child(ren) $915 7 * 0 * 1 $932 5 * 1 * 0
Family $1,467 7 * 0 * 1 $1,471 5 * 1 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $105 6 * 0 * 0 $72 5 * 1 * 0
EE+ Spouse $224 6 * 0 * 0 $150 5 * 1 * 0
EE+ Child(ren) $207 6 * 0 * 0 $138 5 * 1 * 0
Family $325 6 * 0 * 0 $221 5 * 1 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE * 0 * 0 * 0 * 0 * 0 * 0
EE+ Spouse * 0 * 0 * 0 * 0 * 0 * 0
EE+ Child(ren) * 0 * 0 * 0 * 0 * 0 * 0
Family * 0 * 0 * 0 * 0 * 0 * 0
Employee Monthly Cost - Flat Amount
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
Employee Monthly Cost - Percentage
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
2016 Mini Health & Welfare Benefits SurveyHMO Plans
Average Monthly Premiums
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
7
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Office Visit
In-Network $29 5 * 0 * 0 $29 5 * 0 * 0
Out-of-Network 45% 4 * 0 * 0 45% 4 * 0 * 0
Specialist
In-Network $51 5 * 0 * 0 $51 5 * 0 * 0
Out-of-Network 45% 4 * 0 * 0 45% 4 * 0 * 0
Urgent Care
In-Network $70 5 * 0 * 0 $70 5 * 0 * 0
Out-of-Network 45% 4 * 0 * 0 45% 4 * 0 * 0
Outpatient Hospital
In-Network 23% 6 * 0 * 1 25% 4 * 1 * 0
Out-of-Network 45% 4 * 0 * 0 45% 4 * 0 * 0
Inpatient Hospital
In-Network 23% 6 * 0 * 1 25% 4 * 1 * 0
Out-of-Network 45% 4 * 0 * 0 45% 4 * 0 * 0
Emergency Room
In-Network $270 5 * 0 * 0 $270 5 * 0 * 0
Out-of-Network $270 5 * 0 * 0 $270 5 * 0 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE
In-Network $1,258 6 * 0 * 1 $1,013 4 * 1 * 0
Out-of-Network $3,683 6 * 0 * 1 $1,650 4 * 1 * 0
EE+Spouse
In-Network * 2 * 0 * 1 * 0 * 1 * 0
Out-of-Network * 2 * 0 * 1 * 0 * 1 * 0
EE+Child(ren)
In-Network * 2 * 0 * 1 * 0 * 1 * 0
Out-of-Network * 1 * 0 * 0 * 0 * 1 * 0
Family
In-Network $2,808 6 * 0 * 1 $2,463 4 * 1 * 0
Out-of-Network $4,040 5 * 0 * 0 $4,800 4 * 1 * 0
2016 Mini Health & Welfare Benefits SurveyHMO Plans
Average Co-Pay Amounts
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
Average Deductibles
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
8
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic $10 6 * 0 * 0 $9 5 * 1 * 0
Brand $28 5 * 0 * 0 $28 5 * 0 * 0
Non-Formulary $48 5 * 0 * 0 $48 5 * 0 * 0
Mail Order (No Tier) * 0 * 0 * 0 * 0 * 0 * 0
Mail Order - Tier 1 $23 5 * 0 * 0 $23 5 * 0 * 0
Mail Order - Tier 2 $70 5 * 0 * 0 $70 5 * 0 * 0
Mail Order - Tier 3 $118 5 * 0 * 0 $118 5 * 0 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic * 1 * 0 * 1 * 0 * 0 * 0
Brand * 2 * 0 * 1 * 0 * 1 * 0
Non-Formulary * 2 * 0 * 1 * 0 * 1 * 0
Mail Order (No Tier) * 1 * 0 * 1 * 0 * 0 * 0
Mail Order - Tier 1 * 1 * 0 * 1 * 0 * 0 * 0
Mail Order - Tier 2 * 1 * 0 * 1 * 0 * 0 * 0
Mail Order - Tier 3 * 1 * 0 * 1 * 0 * 0 * 0
2016 Mini Health & Welfare Benefits SurveyHMO Plans
Prescription Cost - Flat Amount
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
Prescription Cost - Percentage
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
9
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $416 127 $453 25 $342 33 $439 60 $434 5 $440 4
EE+ Spouse $896 115 $962 23 $741 29 $933 55 $952 5 $1,117 3
EE+ Child(ren) $793 116 $801 24 $651 29 $852 55 $797 5 $1,009 3
Family $1,240 125 $1,322 24 $1,023 32 $1,312 60 $1,328 5 $1,310 4
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $101 108 $147 16 $86 29 $93 55 $68 4 $167 4
EE+ Spouse $259 102 $338 16 $240 26 $241 53 $218 4 $400 3
EE+ Child(ren) $223 102 $286 16 $202 27 $210 52 $183 4 $362 3
Family $372 109 $502 16 $343 29 $344 56 $300 4 $518 4
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE 24% 38 27% 5 25% 15 24% 16 * 2 * 0
EE+ Spouse 27% 33 * 2 26% 15 27% 14 * 2 * 0
EE+ Child(ren) 27% 33 * 2 27% 15 27% 14 * 2 * 0
Family 26% 35 17% 3 27% 14 27% 16 * 2 * 0
Employee Monthly Cost - Percentage
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
Employee Monthly Cost - Flat Amount
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
2016 Mini Health & Welfare Benefits SurveyHigh Deductible Health Plans
Average Monthly Premiums
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
10
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Office Visit
In-Network 16% 56 14% 7 14% 10 16% 34 19% 4 * 1
Out-of-Network 36% 107 43% 16 34% 26 35% 56 38% 5 40% 4
Specialist
In-Network 16% 55 14% 7 14% 10 16% 33 19% 4 * 1
Out-of-Network 36% 105 43% 16 32% 25 35% 55 38% 5 40% 4
Urgent Care
In-Network 16% 55 14% 7 13% 9 16% 34 19% 4 * 1
Out-of-Network 36% 105 42% 16 33% 24 35% 56 38% 5 40% 4
Outpatient Hospital
In-Network 21% 62 36% 10 22% 12 16% 34 19% 4 * 2
Out-of-Network 36% 102 45% 15 31% 23 34% 55 38% 5 40% 4
Inpatient Hospital
In-Network 22% 63 36% 10 28% 13 16% 34 19% 4 * 2
Out-of-Network 37% 104 47% 16 33% 24 35% 55 38% 5 40% 4
Emergency Room
In-Network 16% 57 14% 7 15% 11 16% 34 19% 4 * 1
Out-of-Network 32% 70 40% 10 24% 14 32% 39 34% 4 33% 3
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE
In-Network $3,147 139 $3,430 27 $3,016 39 $3,017 64 $3,200 5 $4,525 4
Out-of-Network $6,735 127 $7,100 22 $5,991 34 $7,071 62 $5,400 5 $7,500 4
EE+Spouse
In-Network $6,136 115 $6,608 25 $6,035 30 $5,814 52 $6,170 5 $8,733 3
Out-of-Network $12,976 103 $13,350 20 $12,036 25 $13,316 50 $10,570 5 $16,667 3
EE+Child(ren)
In-Network $6,291 115 $6,948 25 $6,319 30 $5,830 52 $6,170 5 $8,733 3
Out-of-Network $13,177 102 $14,175 20 $12,163 24 $13,316 50 $10,570 5 $16,667 3
Family
In-Network $6,183 134 $6,748 25 $5,949 37 $5,896 63 $6,400 5 $9,050 4
Out-of-Network $13,175 121 $13,545 20 $11,466 31 $13,997 61 $10,800 5 $15,000 4
Average Deductibles
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
2016 Mini Health & Welfare Benefits SurveyHigh Deductible Health Plans
Average Co-Pay Amounts
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
11
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic $12 62 $11 9 $15 19 $11 29 $10 3 * 2
Brand $36 60 $37 10 $42 16 $32 29 $32 3 * 2
Non-Formulary $62 57 $67 10 $71 14 $57 28 $53 3 * 2
Mail Order (No Tier) $73 6 * 0 $103 4 * 2 * 0 * 0
Mail Order - Tier 1 $21 59 $24 8 $24 19 $17 27 $25 3 * 2
Mail Order - Tier 2 $77 58 $76 9 $84 17 $71 27 $79 3 * 2
Mail Order - Tier 3 $136 57 $137 9 $147 16 $128 27 $133 3 * 2
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic 31% 36 22% 5 44% 8 30% 21 * 2 * 0
Brand 32% 38 27% 5 41% 9 31% 22 * 2 * 0
Non-Formulary 34% 39 33% 4 39% 12 33% 21 * 2 * 0
Mail Order (No Tier) 28% 28 20% 4 30% 6 31% 16 * 2 * 0
Mail Order - Tier 1 34% 28 23% 3 47% 6 33% 17 * 2 * 0
Mail Order - Tier 2 33% 29 23% 3 43% 7 32% 17 * 2 * 0
Mail Order - Tier 3 35% 31 23% 3 39% 9 36% 17 * 2 * 0
Prescription Cost - Percentage
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
2016 Mini Health & Welfare Benefits SurveyHigh Deductible Health Plans
Prescription Cost - Flat Amount
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
12
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $543 11 * 1 * 0 $566 8 * 2 * 0
EE+ Spouse $1,097 11 * 1 * 0 $1,133 8 * 2 * 0
EE+ Child(ren) $1,044 11 * 1 * 0 $1,082 8 * 2 * 0
Family $1,585 11 * 1 * 0 $1,650 8 * 2 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $122 11 * 1 * 1 $122 8 * 1 * 0
EE+ Spouse $263 11 * 1 * 1 $282 8 * 1 * 0
EE+ Child(ren) $262 10 * 1 * 1 $273 7 * 1 * 0
Family $414 11 * 1 * 1 $422 8 * 1 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE 15% 3 * 0 * 0 * 2 * 1 * 0
EE+ Spouse 20% 3 * 0 * 0 * 2 * 1 * 0
EE+ Child(ren) 22% 3 * 0 * 0 * 2 * 1 * 0
Family 21% 3 * 0 * 0 * 2 * 1 * 0
2016 Mini Health & Welfare Benefits SurveyHealth Reimbursement Account Plans
Average Monthly Premiums
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
Employee Monthly Cost - Flat Amount
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
Employee Monthly Cost - Percentage
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
13
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Office Visit
In-Network 13% 6 * 0 * 0 15% 4 * 2 * 0
Out-of-Network 41% 9 * 0 * 0 44% 7 * 2 * 0
Specialist
In-Network 13% 6 * 0 * 0 15% 4 * 2 * 0
Out-of-Network 41% 9 * 0 * 0 44% 7 * 2 * 0
Urgent Care
In-Network 13% 6 * 0 * 0 15% 4 * 2 * 0
Out-of-Network 41% 9 * 0 * 0 44% 7 * 2 * 0
Outpatient Hospital
In-Network 15% 9 * 0 * 0 16% 7 * 2 * 0
Out-of-Network 41% 9 * 0 * 0 44% 7 * 2 * 0
Inpatient Hospital
In-Network 15% 9 * 0 * 0 16% 7 * 2 * 0
Out-of-Network 41% 9 * 0 * 0 44% 7 * 2 * 0
Emergency Room
In-Network 14% 7 * 0 * 0 15% 5 * 2 * 0
Out-of-Network 31% 8 * 0 * 0 32% 6 * 2 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE
In-Network $2,150 12 * 1 * 1 $2,263 8 * 2 * 0
Out-of-Network $3,686 11 * 1 * 1 $3,694 8 * 1 * 0
EE+Spouse
In-Network $3,917 12 * 1 * 1 $4,138 8 * 2 * 0
Out-of-Network $6,823 11 * 1 * 1 $6,756 8 * 1 * 0
EE+Child(ren)
In-Network $3,900 12 * 1 * 1 $4,138 8 * 2 * 0
Out-of-Network $6,823 11 * 1 * 1 $6,756 8 * 1 * 0
Family
In-Network $4,300 12 * 1 * 1 $4,525 8 * 2 * 0
Out-of-Network $7,368 11 * 1 * 1 $7,381 8 * 1 * 0
2016 Mini Health & Welfare Benefits SurveyHealth Reimbursement Account Plans
Average Co-Pay Amounts
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
Average Deductibles
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
14
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic $11 8 * 0 * 1 $11 6 * 1 * 0
Brand $30 8 * 0 * 1 $33 6 * 1 * 0
Non-Formulary $51 8 * 0 * 1 $58 6 * 1 * 0
Mail Order (No Tier) * 1 * 0 * 0 * 0 * 1 * 0
Mail Order - Tier 1 $17 6 * 0 * 1 $17 4 * 1 * 0
Mail Order - Tier 2 $47 6 * 0 * 1 $50 4 * 1 * 0
Mail Order - Tier 3 $81 6 * 0 * 1 $88 4 * 1 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic 18% 5 * 0 * 0 17% 3 * 2 * 0
Brand 24% 5 * 0 * 0 27% 3 * 2 * 0
Non-Formulary 28% 5 * 0 * 0 33% 3 * 2 * 0
Mail Order (No Tier) 20% 3 * 0 * 0 * 1 * 2 * 0
Mail Order - Tier 1 18% 4 * 0 * 0 * 2 * 2 * 0
Mail Order - Tier 2 18% 4 * 0 * 0 * 2 * 2 * 0
Mail Order - Tier 3 18% 4 * 0 * 0 * 2 * 2 * 0
2016 Mini Health & Welfare Benefits SurveyHealth Reimbursement Account Plans
Prescription Cost - Flat Amount
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
Prescription Cost - Percentage
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
15
Average Monthly Premiums
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $496 110 $384 5 * 2 $547 43 $493 16 $409 5 $498 17 $440 22
EE+ Spouse $1,018 107 $905 5 * 2 $1,101 39 $985 17 $806 5 $1,082 17 $916 22
EE+ Child(ren) $894 102 $663 5 * 2 $1,051 36 $808 16 $764 5 $877 17 $777 21
Family $1,448 111 $1,221 5 * 2 $1,569 43 $1,344 17 $1,215 5 $1,505 17 $1,340 22
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $136 88 $160 5 * 1 $132 36 $122 13 * 1 $212 9 $115 23
EE+ Spouse $357 87 $478 5 * 2 $353 32 $322 13 * 2 $464 9 $309 24
EE+ Child(ren) $297 85 $339 5 * 2 $307 31 $265 13 * 2 $396 9 $267 23
Family $511 91 $649 5 * 2 $495 36 $478 13 * 2 $650 9 $465 24
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE 31% 38 * 1 * 0 29% 11 26% 8 44% 3 31% 8 35% 7
EE+ Spouse 34% 39 * 1 * 0 31% 11 30% 8 45% 3 34% 8 36% 8
EE+ Child(ren) 34% 37 * 1 * 0 31% 10 31% 7 44% 3 34% 8 36% 8
Family 35% 39 * 1 * 0 31% 11 32% 8 45% 3 34% 8 36% 8
2016 Mini Health & Welfare Benefits SurveyPPO Plans
Service/Financial
Total
Wholesale/Distribution/Retail Other
Employee Monthly Cost - Flat Amount
Employee Monthly Cost - Percentage
Wholesale/Distribution/Retail Other
Wholesale/Distribution/Retail OtherTotal Construction Health Manufacturing Non-Profit
Construction Health Manufacturing Non-Profit Service/Financial
Total Construction Health Manufacturing Non-Profit Service/Financial
16
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Office Visit
In-Network $28 104 $32 5 * 2 $27 38 $32 15 $28 6 $28 17 $28 21
Out-of-Network 41% 95 36% 5 * 2 42% 36 44% 13 40% 5 40% 15 42% 19
Specialist
In-Network $49 103 $48 5 * 2 $47 38 $54 15 $47 6 $49 17 $48 20
Out-of-Network 41% 94 36% 5 * 2 42% 36 44% 13 40% 5 40% 15 42% 18
Urgent Care
In-Network $74 107 $84 4 * 2 $64 38 $82 17 $68 6 $68 17 $90 23
Out-of-Network 41% 86 36% 5 * 2 40% 33 44% 11 40% 4 41% 14 41% 17
Outpatient Hospital
In-Network 23% 73 * 2 * 2 21% 31 34% 8 20% 4 20% 11 25% 15
Out-of-Network 41% 88 33% 4 * 2 41% 34 41% 12 40% 5 41% 13 42% 18
Inpatient Hospital
In-Network 24% 77 * 2 * 2 23% 32 32% 9 20% 5 20% 11 25% 16
Out-of-Network 41% 90 36% 5 * 2 41% 34 43% 12 40% 5 41% 13 42% 19
Emergency Room
In-Network $245 99 $267 3 * 2 $251 33 $261 16 $233 6 $235 17 $233 22
Out-of-Network $253 70 $267 3 * 0 $259 22 $263 12 $238 4 $250 10 $242 19
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE
In-Network $1,887 115 $3,120 5 * 2 $1,698 43 $1,771 17 $1,625 6 $1,844 17 $2,168 25
Out-of-Network $4,378 103 $7,800 5 * 2 $4,097 37 $3,000 14 $4,300 5 $4,079 17 $5,280 23
EE+Spouse
In-Network $3,889 94 $6,740 5 * 2 $3,568 34 $3,462 13 $2,700 5 $3,247 15 $4,870 20
Out-of-Network $9,126 84 $15,600 5 * 2 $8,882 30 $5,300 10 $7,750 4 $7,380 15 $11,967 18
EE+Child(ren)
In-Network $4,010 91 $6,740 5 * 2 $3,591 32 $3,833 12 $3,000 5 $3,463 15 $4,870 20
Out-of-Network $9,484 82 $15,600 5 * 2 $9,174 29 $6,111 9 $8,500 4 $7,813 15 $11,967 18
Family
In-Network $4,268 111 $6,740 5 * 2 $4,115 39 $4,688 17 $3,542 6 $3,703 17 $4,386 25
Out-of-Network $10,227 99 $15,600 5 * 2 $9,556 33 $11,286 14 $12,200 5 $8,365 17 $10,691 23
2016 Mini Health & Welfare Benefits SurveyPPO Plans
Wholesale/Distribution/Retail Other
Wholesale/Distribution/Retail Other
Average Co-Pay Amounts
Service/Financial
Average Deductibles
Total Construction Health Manufacturing Non-Profit Service/Financial
Total Construction Health Manufacturing Non-Profit
17
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic $11 106 $13 4 * 2 $11 38 $12 15 $10 5 $11 16 $11 26
Brand $37 104 $41 4 * 2 $37 38 $45 13 $28 5 $37 16 $36 26
Non-Formulary $70 100 $66 4 * 2 $67 38 $78 9 $63 5 $79 16 $67 26
Mail Order (No Tier) $25 11 * 0 * 0 $21 4 * 2 * 0 * 2 $18 3
Mail Order - Tier 1 $22 89 * 2 * 2 $20 33 $20 15 $18 4 $23 13 $26 20
Mail Order - Tier 2 $85 90 * 2 * 2 $79 34 $86 15 $82 4 $97 13 $87 20
Mail Order - Tier 3 $162 89 * 2 * 2 $144 33 $172 15 $159 4 $187 13 $169 20
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic 29% 7 * 0 * 0 25% 5 * 0 * 0 * 2 * 0
Brand 28% 13 * 0 * 0 26% 9 * 2 * 0 * 2 * 0
Non-Formulary 37% 15 * 0 * 0 32% 9 * 2 * 0 * 2 * 2
Mail Order (No Tier) 24% 4 * 0 * 0 * 2 * 0 * 0 * 2 * 0
Mail Order - Tier 1 19% 4 * 0 * 0 19% 4 * 0 * 0 * 0 * 0
Mail Order - Tier 2 22% 7 * 0 * 0 22% 7 * 0 * 0 * 0 * 0
Mail Order - Tier 3 28% 8 * 0 * 0 29% 7 * 0 * 0 * 1 * 0
Wholesale/Distribution/Retail Other
2016 Mini Health & Welfare Benefits SurveyPPO Plans
Manufacturing Non-Profit Service/Financial
Prescription Cost - Percentage
Wholesale/Distribution/Retail Other
Total Construction Health Manufacturing Non-Profit Service/Financial
Prescription Cost - Flat Amount
Total Construction Health
18
Average Monthly Premiums
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $553 16 * 1 * 0 $629 5 * 2 $602 3 * 2 * 2
EE+ Spouse $1,191 16 * 1 * 0 $1,362 5 * 2 $1,271 3 * 2 * 2
EE+ Child(ren) $1,018 16 * 1 * 0 $1,185 5 * 2 $970 3 * 2 * 2
Family $1,692 15 * 1 * 0 $1,866 5 * 2 $1,785 3 * 1 * 2
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $155 13 * 1 * 0 $219 4 $124 3 $167 4 * 1 * 0
EE+ Spouse $406 13 * 1 * 0 $510 4 $429 3 $510 3 * 1 * 0
EE+ Child(ren) $364 14 * 1 * 0 $464 4 $369 3 $463 4 * 1 * 0
Family $630 14 * 1 * 0 $711 4 $691 3 $815 4 * 1 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE 25% 7 * 0 * 0 * 1 27% 5 * 0 * 1 * 0
EE+ Spouse 29% 7 * 0 * 0 * 1 32% 5 * 0 * 1 * 0
EE+ Child(ren) 29% 7 * 0 * 0 * 1 32% 5 * 0 * 1 * 0
Family 29% 8 * 0 * 0 * 2 32% 5 * 0 * 1 * 0
2016 Mini Health & Welfare Benefits SurveyPOS Plans
Service/Financial
Total
Wholesale/Distribution/Retail Other
Employee Monthly Cost - Flat Amount
Employee Monthly Cost - Percentage
Wholesale/Distribution/Retail Other
Wholesale/Distribution/Retail OtherTotal Construction Health Manufacturing Non-Profit
Construction Health Manufacturing Non-Profit Service/Financial
Total Construction Health Manufacturing Non-Profit Service/Financial
19
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Office Visit
In-Network $28 22 * 1 * 0 $27 5 $26 7 $30 4 * 2 * 2
Out-of-Network 41% 19 * 1 * 0 37% 5 43% 7 43% 3 * 2 * 0
Specialist
In-Network $50 22 * 1 * 0 $43 5 $46 7 $54 4 * 2 * 2
Out-of-Network 41% 19 * 1 * 0 37% 5 43% 7 43% 3 * 2 * 0
Urgent Care
In-Network $86 22 * 1 * 0 $60 5 $109 7 $80 4 * 2 * 2
Out-of-Network 40% 18 * 1 * 0 37% 5 42% 6 43% 3 * 2 * 0
Outpatient Hospital
In-Network 22% 16 * 0 * 0 21% 4 24% 5 20% 4 * 2 * 1
Out-of-Network 41% 19 * 1 * 0 37% 5 43% 7 43% 3 * 2 * 0
Inpatient Hospital
In-Network 22% 16 * 0 * 0 21% 4 24% 5 20% 4 * 2 * 1
Out-of-Network 41% 19 * 1 * 0 37% 5 43% 7 43% 3 * 2 * 0
Emergency Room
In-Network $263 21 * 1 * 0 $240 5 $246 7 $233 3 * 2 * 2
Out-of-Network $280 15 * 1 * 0 * 2 $267 6 $233 3 * 2 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE
In-Network $2,009 22 * 1 * 0 $2,350 5 $1,636 7 $2,250 4 * 2 * 2
Out-of-Network $6,083 20 * 1 * 0 $5,050 5 $7,129 7 $5,250 4 * 2 * 0
EE+Spouse
In-Network $3,720 20 * 1 * 0 $4,600 5 $2,233 6 $4,667 3 * 2 * 2
Out-of-Network $11,350 18 * 1 * 0 $9,900 5 $11,633 6 $11,333 3 * 2 * 0
EE+Child(ren)
In-Network $3,920 20 * 1 * 0 $4,600 5 $2,233 6 $6,000 3 * 2 * 2
Out-of-Network $11,794 18 * 1 * 0 $9,900 5 $11,633 6 $14,000 3 * 2 * 0
Family
In-Network $4,336 22 * 1 * 0 $5,200 5 $3,343 7 $5,500 4 * 2 * 2
Out-of-Network $13,015 20 * 1 * 0 $11,100 5 $14,257 7 $13,500 4 * 2 * 0
2016 Mini Health & Welfare Benefits SurveyPOS Plans
Wholesale/Distribution/Retail Other
Wholesale/Distribution/Retail Other
Average Co-Pay Amounts
Service/Financial
Average Deductibles
Total Construction Health Manufacturing Non-Profit Service/Financial
Total Construction Health Manufacturing Non-Profit
20
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic $10 19 * 1 * 0 $9 6 $10 3 $11 4 * 2 * 2
Brand $35 16 * 1 * 0 $34 5 * 2 $31 4 * 1 * 2
Non-Formulary $55 13 * 1 * 0 $54 5 * 2 $50 3 * 1 * 1
Mail Order (No Tier) * 2 * 0 * 0 * 1 * 1 * 0 * 0 * 0
Mail Order - Tier 1 $24 22 * 1 * 0 $20 6 $25 7 $28 4 * 2 * 1
Mail Order - Tier 2 $80 21 * 1 * 0 $73 5 $78 7 $78 4 * 2 * 1
Mail Order - Tier 3 $139 20 * 1 * 0 $114 5 $154 7 $125 3 * 2 * 1
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic * 0 * 0 * 0 * 0 * 0 * 0 * 0 * 0
Brand * 1 * 0 * 0 * 1 * 0 * 0 * 0 * 0
Non-Formulary 30% 3 * 0 * 0 * 1 * 1 * 0 * 1 * 0
Mail Order (No Tier) * 0 * 0 * 0 * 0 * 0 * 0 * 0 * 0
Mail Order - Tier 1 * 1 * 0 * 0 * 0 * 1 * 0 * 0 * 0
Mail Order - Tier 2 * 2 * 0 * 0 * 1 * 1 * 0 * 0 * 0
Mail Order - Tier 3 * 2 * 0 * 0 * 1 * 0 * 1 * 0 * 0
Wholesale/Distribution/Retail Other
2016 Mini Health & Welfare Benefits SurveyPOS Plans
Manufacturing Non-Profit Service/Financial
Prescription Cost - Percentage
Wholesale/Distribution/Retail Other
Total Construction Health Manufacturing Non-Profit Service/Financial
Prescription Cost - Flat Amount
Total Construction Health
21
Average Monthly Premiums
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $468 7 * 0 * 0 $535 6 * 0 * 0 * 1 * 0
EE+ Spouse $1,009 7 * 0 * 0 $1,111 6 * 0 * 0 * 1 * 0
EE+ Child(ren) $915 7 * 0 * 0 $1,016 6 * 0 * 0 * 1 * 0
Family $1,467 7 * 0 * 0 $1,594 6 * 0 * 0 * 1 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $105 6 * 0 * 0 $105 6 * 0 * 0 * 0 * 0
EE+ Spouse $224 6 * 0 * 0 $224 6 * 0 * 0 * 0 * 0
EE+ Child(ren) $207 6 * 0 * 0 $207 6 * 0 * 0 * 0 * 0
Family $325 6 * 0 * 0 $325 6 * 0 * 0 * 0 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE * 0 * 0 * 0 * 0 * 0 * 0 * 0 * 0
EE+ Spouse * 0 * 0 * 0 * 0 * 0 * 0 * 0 * 0
EE+ Child(ren) * 0 * 0 * 0 * 0 * 0 * 0 * 0 * 0
Family * 0 * 0 * 0 * 0 * 0 * 0 * 0 * 0
2016 Mini Health & Welfare Benefits SurveyHMO Plans
Service/Financial
Total
Wholesale/Distribution/Retail Other
Employee Monthly Cost - Flat Amount
Employee Monthly Cost - Percentage
Wholesale/Distribution/Retail Other
Wholesale/Distribution/Retail OtherTotal Construction Health Manufacturing Non-Profit
Construction Health Manufacturing Non-Profit Service/Financial
Total Construction Health Manufacturing Non-Profit Service/Financial
22
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Office Visit
In-Network $29 5 * 0 * 0 $29 5 * 0 * 0 * 0 * 0
Out-of-Network 45% 4 * 0 * 0 45% 4 * 0 * 0 * 0 * 0
Specialist
In-Network $51 5 * 0 * 0 $51 5 * 0 * 0 * 0 * 0
Out-of-Network 45% 4 * 0 * 0 45% 4 * 0 * 0 * 0 * 0
Urgent Care
In-Network $70 5 * 0 * 0 $70 5 * 0 * 0 * 0 * 0
Out-of-Network 45% 4 * 0 * 0 45% 4 * 0 * 0 * 0 * 0
Outpatient Hospital
In-Network 23% 6 * 0 * 0 23% 5 * 0 * 0 * 1 * 0
Out-of-Network 45% 4 * 0 * 0 45% 4 * 0 * 0 * 0 * 0
Inpatient Hospital
In-Network 23% 6 * 0 * 0 23% 5 * 0 * 0 * 1 * 0
Out-of-Network 45% 4 * 0 * 0 45% 4 * 0 * 0 * 0 * 0
Emergency Room
In-Network $270 5 * 0 * 0 $270 5 * 0 * 0 * 0 * 0
Out-of-Network $270 5 * 0 * 0 $270 5 * 0 * 0 * 0 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE
In-Network $1,258 6 * 0 * 0 $910 5 * 0 * 0 * 1 * 0
Out-of-Network $3,683 6 * 0 * 0 $1,420 5 * 0 * 0 * 1 * 0
EE+Spouse
In-Network * 2 * 0 * 0 * 1 * 0 * 0 * 1 * 0
Out-of-Network * 2 * 0 * 0 * 1 * 0 * 0 * 1 * 0
EE+Child(ren)
In-Network * 2 * 0 * 0 * 1 * 0 * 0 * 1 * 0
Out-of-Network * 1 * 0 * 0 * 1 * 0 * 0 * 0 * 0
Family
In-Network $2,808 6 * 0 * 0 $2,170 5 * 0 * 0 * 1 * 0
Out-of-Network $4,040 5 * 0 * 0 $4,040 5 * 0 * 0 * 0 * 0
2016 Mini Health & Welfare Benefits SurveyHMO Plans
Wholesale/Distribution/Retail Other
Wholesale/Distribution/Retail Other
Average Co-Pay Amounts
Service/Financial
Average Deductibles
Total Construction Health Manufacturing Non-Profit Service/Financial
Total Construction Health Manufacturing Non-Profit
23
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic $10 6 * 0 * 0 $10 6 * 0 * 0 * 0 * 0
Brand $28 5 * 0 * 0 $28 5 * 0 * 0 * 0 * 0
Non-Formulary $48 5 * 0 * 0 $48 5 * 0 * 0 * 0 * 0
Mail Order (No Tier) * 0 * 0 * 0 * 0 * 0 * 0 * 0 * 0
Mail Order - Tier 1 $23 5 * 0 * 0 $23 5 * 0 * 0 * 0 * 0
Mail Order - Tier 2 $70 5 * 0 * 0 $70 5 * 0 * 0 * 0 * 0
Mail Order - Tier 3 $118 5 * 0 * 0 $118 5 * 0 * 0 * 0 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic * 1 * 0 * 0 * 0 * 0 * 0 * 1 * 0
Brand * 2 * 0 * 0 * 1 * 0 * 0 * 1 * 0
Non-Formulary * 2 * 0 * 0 * 1 * 0 * 0 * 1 * 0
Mail Order (No Tier) * 1 * 0 * 0 * 0 * 0 * 0 * 1 * 0
Mail Order - Tier 1 * 1 * 0 * 0 * 0 * 0 * 0 * 1 * 0
Mail Order - Tier 2 * 1 * 0 * 0 * 0 * 0 * 0 * 1 * 0
Mail Order - Tier 3 * 1 * 0 * 0 * 0 * 0 * 0 * 1 * 0
Wholesale/Distribution/Retail Other
2016 Mini Health & Welfare Benefits SurveyHMO Plans
Manufacturing Non-Profit Service/Financial
Prescription Cost - Percentage
Wholesale/Distribution/Retail Other
Total Construction Health Manufacturing Non-Profit Service/Financial
Prescription Cost - Flat Amount
Total Construction Health
24
Average Monthly Premiums
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $416 127 $358 6 * 2 $430 57 $414 10 $395 15 $378 17 $431 18
EE+ Spouse $896 115 $820 5 * 2 $962 48 $872 10 $825 15 $817 16 $876 17
EE+ Child(ren) $793 116 $698 6 * 2 $870 48 $735 10 $715 15 $695 16 $758 17
Family $1,240 125 $1,135 6 * 2 $1,295 56 $1,136 10 $1,189 15 $1,125 16 $1,280 18
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $101 108 $78 4 * 1 $88 50 $91 9 $137 14 $119 14 $104 14
EE+ Spouse $259 102 $310 4 * 2 $216 43 $255 9 $288 15 $301 13 $308 14
EE+ Child(ren) $223 102 $266 4 * 1 $188 44 $210 9 $261 15 $249 13 $264 14
Family $372 109 $488 4 * 2 $286 49 $410 9 $429 15 $431 14 $472 14
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE 24% 38 * 2 * 0 23% 16 27% 4 37% 3 25% 6 21% 6
EE+ Spouse 27% 33 * 2 * 0 24% 14 29% 4 * 2 27% 5 29% 5
EE+ Child(ren) 27% 33 * 2 * 0 24% 14 32% 4 * 2 27% 5 29% 5
Family 26% 35 * 2 * 0 24% 15 32% 4 * 2 27% 5 24% 6
Employee Monthly Cost - Percentage
Total Construction Health Manufacturing Non-Profit Service/Financial Wholesale/Distribution/Retail Other
Employee Monthly Cost - Flat Amount
Total Construction Health Manufacturing Non-Profit Service/Financial Wholesale/Distribution/Retail Other
Service/Financial
2016 Mini Health & Welfare Benefits SurveyHigh Deductible Health Plans
Wholesale/Distribution/Retail OtherTotal Construction Health Manufacturing Non-Profit
25
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Office Visit
In-Network 16% 56 * 2 * 0 17% 27 19% 7 * 2 13% 10 16% 7
Out-of-Network 36% 107 30% 3 * 2 36% 51 42% 10 39% 13 34% 13 35% 13
Specialist
In-Network 16% 55 * 2 * 0 17% 28 19% 7 * 2 12% 9 15% 6
Out-of-Network 36% 105 30% 3 * 2 36% 51 42% 10 39% 13 34% 12 34% 12
Urgent Care
In-Network 16% 55 * 2 * 0 17% 26 19% 7 * 2 13% 10 16% 7
Out-of-Network 36% 105 23% 3 * 2 36% 49 42% 10 39% 13 34% 13 35% 13
Outpatient Hospital
In-Network 18% 60 33% 3 * 1 19% 29 19% 7 * 2 13% 10 16% 7
Out-of-Network 36% 102 45% 4 * 2 34% 48 42% 10 37% 12 35% 11 35% 13
Inpatient Hospital
In-Network 19% 61 33% 3 * 1 19% 29 19% 7 * 2 20% 11 16% 7
Out-of-Network 37% 104 45% 4 * 2 36% 49 42% 10 39% 13 34% 12 35% 13
Emergency Room
In-Network 16% 57 * 2 * 0 17% 28 19% 7 * 2 13% 10 16% 7
Out-of-Network 32% 70 37% 3 * 1 33% 32 35% 9 37% 5 23% 10 34% 9
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE
In-Network $3,147 139 $3,167 6 * 2 $2,785 67 $3,585 10 $3,641 17 $3,747 18 $3,194 16
Out-of-Network $6,735 127 $5,833 6 * 2 $6,085 60 $7,450 10 $7,423 13 $7,778 18 $7,547 15
EE+Spouse
In-Network $6,136 115 $6,333 6 * 2 $5,546 54 $6,236 7 $6,787 15 $7,307 14 $6,386 14
Out-of-Network $12,976 103 $11,667 6 * 2 $12,118 47 $11,000 7 $12,455 11 $16,286 14 $14,846 13
EE+Child(ren)
In-Network $6,291 115 $6,417 6 * 2 $5,719 54 $6,236 7 $7,320 15 $7,307 14 $6,386 14
Out-of-Network $13,177 102 $11,750 6 * 2 $12,480 47 $11,000 7 $13,909 11 $16,286 14 $13,917 12
Family
In-Network $6,183 134 $6,417 6 * 2 $5,383 64 $7,175 10 $7,271 17 $7,306 16 $6,388 16
Out-of-Network $13,175 121 $11,750 6 * 2 $12,075 57 $14,900 10 $14,462 13 $14,875 16 $14,171 14
2016 Mini Health & Welfare Benefits SurveyHigh Deductible Health Plans
Other
Average Deductibles
Total Construction Health Manufacturing Non-Profit Service/Financial Wholesale/Distribution/Retail Other
Average Co-Pay Amounts
Total Construction Health Manufacturing Non-Profit Service/Financial Wholesale/Distribution/Retail
26
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic $12 62 * 1 * 2 $13 30 $14 4 $13 8 $10 10 $10 6
Brand $36 60 * 1 * 2 $37 29 $29 4 $34 8 $36 10 $40 5
Non-Formulary $62 57 * 1 * 2 $64 28 $50 4 $57 8 $67 9 $65 4
Mail Order (No Tier) $73 6 * 0 * 0 $73 3 * 1 * 0 * 1 * 1
Mail Order - Tier 1 $21 59 * 1 * 2 $21 29 $22 3 $19 9 $15 9 $32 5
Mail Order - Tier 2 $77 58 * 1 * 2 $70 28 $71 3 $66 9 $91 9 $105 5
Mail Order - Tier 3 $136 57 * 1 * 2 $125 28 $125 3 $117 9 $169 8 $170 5
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic 31% 36 * 1 * 0 34% 22 33% 5 * 0 20% 3 30% 4
Brand 32% 38 * 1 * 0 34% 23 35% 6 * 0 20% 3 30% 4
Non-Formulary 34% 39 * 0 * 0 36% 23 43% 5 * 0 21% 4 29% 6
Mail Order (No Tier) 28% 28 * 0 * 0 32% 16 23% 3 * 0 19% 4 30% 4
Mail Order - Tier 1 34% 28 * 0 * 0 36% 21 * 1 * 0 * 1 30% 4
Mail Order - Tier 2 33% 29 * 0 * 0 35% 22 * 1 * 0 * 1 30% 4
Mail Order - Tier 3 35% 31 * 0 * 0 38% 22 * 1 * 0 * 2 29% 5
2016 Mini Health & Welfare Benefits SurveyHigh Deductible Health Plans
Other
Prescription Cost - Percentage
Total Construction Health Manufacturing Non-Profit Service/Financial Wholesale/Distribution/Retail Other
Prescription Cost - Flat Amount
Total Construction Health Manufacturing Non-Profit Service/Financial Wholesale/Distribution/Retail
27
Average Monthly Premiums
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $543 11 * 0 * 0 $526 8 * 1 * 0 * 1 * 1
EE+ Spouse $1,097 11 * 0 * 0 $1,082 8 * 1 * 0 * 1 * 1
EE+ Child(ren) $1,044 11 * 0 * 0 $1,006 8 * 1 * 0 * 1 * 1
Family $1,585 11 * 0 * 0 $1,546 8 * 1 * 0 * 1 * 1
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $122 11 * 0 * 0 $155 7 * 0 * 0 * 2 * 1
EE+ Spouse $263 11 * 0 * 0 $305 7 * 0 * 0 * 2 * 1
EE+ Child(ren) $262 10 * 0 * 0 $329 6 * 0 * 0 * 2 * 1
Family $414 11 * 0 * 0 $483 7 * 0 * 0 * 2 * 1
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE 15% 3 * 0 * 0 * 1 * 0 * 0 * 1 * 1
EE+ Spouse 20% 3 * 0 * 0 * 1 * 0 * 0 * 1 * 1
EE+ Child(ren) 22% 3 * 0 * 0 * 1 * 0 * 0 * 1 * 1
Family 21% 3 * 0 * 0 * 1 * 0 * 0 * 1 * 1
Service/Financial
2016 Mini Health & Welfare Benefits SurveyHealth Reimbursement Account Plans
Wholesale/Distribution/Retail OtherTotal Construction Health Manufacturing Non-Profit
Employee Monthly Cost - Flat Amount
Total Construction Health Manufacturing Non-Profit Service/Financial Wholesale/Distribution/Retail Other
Employee Monthly Cost - Percentage
Total Construction Health Manufacturing Non-Profit Service/Financial Wholesale/Distribution/Retail Other
28
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Office Visit
In-Network 13% 6 * 0 * 0 15% 4 * 1 * 0 * 0 * 1
Out-of-Network 41% 9 * 0 * 0 38% 6 * 1 * 0 * 0 * 1
Specialist
In-Network 13% 6 * 0 * 0 15% 4 * 1 * 0 * 0 * 1
Out-of-Network 41% 9 * 0 * 0 38% 6 * 1 * 0 * 0 * 1
Urgent Care
In-Network 13% 6 * 0 * 0 15% 4 * 1 * 0 * 0 * 1
Out-of-Network 41% 9 * 0 * 0 38% 6 * 1 * 0 * 0 * 1
Outpatient Hospital
In-Network 15% 9 * 0 * 0 17% 6 * 1 * 0 * 0 * 1
Out-of-Network 41% 9 * 0 * 0 38% 6 * 1 * 0 * 0 * 1
Inpatient Hospital
In-Network 15% 9 * 0 * 0 17% 6 * 1 * 0 * 0 * 1
Out-of-Network 41% 9 * 0 * 0 38% 6 * 1 * 0 * 0 * 1
Emergency Room
In-Network 14% 7 * 0 * 0 15% 4 * 1 * 0 * 0 * 1
Out-of-Network 31% 8 * 0 * 0 36% 5 * 1 * 0 * 0 * 1
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE
In-Network $2,150 12 * 0 * 0 $1,957 7 * 1 * 0 * 2 * 1
Out-of-Network $3,686 11 * 0 * 0 $3,583 6 * 1 * 0 * 2 * 1
EE+Spouse
In-Network $3,917 12 * 0 * 0 $3,700 7 * 1 * 0 * 2 * 1
Out-of-Network $6,823 11 * 0 * 0 $7,000 6 * 1 * 0 * 2 * 1
EE+Child(ren)
In-Network $3,900 12 * 0 * 0 $3,671 7 * 1 * 0 * 2 * 1
Out-of-Network $6,823 11 * 0 * 0 $7,000 6 * 1 * 0 * 2 * 1
Family
In-Network $4,300 12 * 0 * 0 $3,914 7 * 1 * 0 * 2 * 1
Out-of-Network $7,368 11 * 0 * 0 $7,167 6 * 1 * 0 * 2 * 1
Average Co-Pay Amounts
Total Construction Health Manufacturing Non-Profit Service/Financial Wholesale/Distribution/Retail
2016 Mini Health & Welfare Benefits SurveyHealth Reimbursement Account Plans
Other
Average Deductibles
Total Construction Health Manufacturing Non-Profit Service/Financial Wholesale/Distribution/Retail Other
29
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic $11 8 * 0 * 0 $11 5 * 0 * 0 * 2 * 1
Brand $30 8 * 0 * 0 $28 5 * 0 * 0 * 2 * 1
Non-Formulary $51 8 * 0 * 0 $48 5 * 0 * 0 * 2 * 1
Mail Order (No Tier) * 1 * 0 * 0 * 1 * 0 * 0 * 0 * 0
Mail Order - Tier 1 $17 6 * 0 * 0 $18 4 * 0 * 0 * 2 * 0
Mail Order - Tier 2 $47 6 * 0 * 0 $46 4 * 0 * 0 * 2 * 0
Mail Order - Tier 3 $81 6 * 0 * 0 $79 4 * 0 * 0 * 2 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic 18% 5 * 0 * 0 20% 3 * 1 * 0 * 0 * 1
Brand 24% 5 * 0 * 0 20% 3 * 1 * 0 * 0 * 1
Non-Formulary 28% 5 * 0 * 0 20% 3 * 1 * 0 * 0 * 1
Mail Order (No Tier) 20% 3 * 0 * 0 20% 3 * 0 * 0 * 0 * 0
Mail Order - Tier 1 18% 4 * 0 * 0 20% 3 * 1 * 0 * 0 * 0
Mail Order - Tier 2 18% 4 * 0 * 0 20% 3 * 1 * 0 * 0 * 0
Mail Order - Tier 3 18% 4 * 0 * 0 20% 3 * 1 * 0 * 0 * 0
Manufacturing Non-Profit Service/Financial Wholesale/Distribution/Retail
2016 Mini Health & Welfare Benefits SurveyHealth Reimbursement Account Plans
Other
Prescription Cost - Percentage
Total Construction Health Manufacturing Non-Profit Service/Financial Wholesale/Distribution/Retail Other
Prescription Cost - Flat Amount
Total Construction Health
30
What percent of your employees are enrolled in:
Traditional Health Plans 47%
High Deductible Health Plans 54%
Responses 175
If you contribute to the HSA or HRA, what is the annual amount contributed?
HSA HRA
Single $880 $1,390
Employee + 1 $1,390 $2,550
Employee + Child(ren) $1,400 $2,560
Family $1,590 $2,570
Responses 74 29
Yes 19%
No 81%
Responses 186
Monthly surcharge amount:
Average $150
Responses 33
What actions has your company taken in the last 12 months to curb healthcare cost increases?
None 21%
Increased Employee Co-Payment 16%
Increased Employee Contribution to Premium 26%
Increased Employee-Paid Deductible 19%
Utilization Review 17%
Claim Precertification 0%
Reduced Benefits 1%
Increased Prescription Co-Pay 5%
Increased Use of Formularies 2%
Instituted Tiered Co-Pay for Prescriptions 4%
Raised Out-of-Pocket Maximum 12%
Introduced High Deductible Plan or Other Consumer-Driven Plan 10%
Added Wellness Program 24%
Conducted Audits to Determine Dependent Eligibility 7%
Other 18%
Responses 188
Do you apply a spousal surcharge on medical coverage to spouses who have other coverage available?
Percentages may exceed 100% due to multiple responses being allowed. 31
What actions will your company take in the next 12 months to curb healthcare cost increases?
None 21%
Increase Employee Co-Payment 9%
Increase Employee Contribution to Premium 20%
Increase Employee-Paid Deductible 10%
Utilization Review 20%
Claim Precertification 1%
Reduce Benefits 3%
Increase Prescription Co-Pay 3%
Increase Use of Formularies 2%
Institute Tiered Co-Pay for Prescriptions 1%
Raise Out-of-Pocket Maximum 6%
Introduce High Deductible Plan or Other Consumer-Driven Plan 6%
Add Wellness Program 14%
Conduct Audits to Determine Dependent Eligibility 11%
Other 20%
Responses 188
Offer a wellness program?
Yes 63%
No 38%
Responses 184
If Yes, what benefits do you currently offer?
Seasonal Flu Vaccinations 79%
Smoking Cessation Programs 57%
Health Fairs 27%
Fitness Center Membership Discounts/Reimbursement 43%
Biometric Screenings 63%
Weight Loss Programs 34%
Onsite Nurse 3%
Onsite Gym/Exercise Equipment 23%
Health Risk Assessments 46%
24 Hour Nurse Line 47%
CPR/First Aid Clinics 23%
Other 27%
Responses 115
Do you offer an incentive to participate in wellness
Yes 69%
No 31%
Responses 115
Are dependents eligible to participate in your Wellness Program?
Yes 49%
No 51%
Responses 115
Which dependents are eligible to participate in your Wellness Program?
Spouses 98%
Children 32%
Same-sex domestic partners 14%
Opposite-sex domestic partners 9%
Dependent grandchildren 4%
Other 7%
Responses 56
Percentages may exceed 100% due to multiple responses being allowed. 32