2016 Health Care Benchmarking Report

Nov 1, 2016
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​SHRM’s annual Health Care Benchmarking Report provides an in-depth analysis of data from SHRM members on their organizations’ practices related to health care coverage, high-deductible plans, health care costs, prescription drug co-pays, deductibles and premiums, office visit co-pays, and many other metrics. The data used in this report come from SHRM’s human capital metrics database of 1,700 organizations. Updated annually, the database offers a unique perspective into the underpinnings of HR practices and their strategic impact on successful organizational outcomes.

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Key findings include:

  • Almost all organizations (98%) offer health care coverage for full-time employees. Twenty-three percent of companies offer health care coverage for part-time employees, which is down from 27% in 2014. Ninety-two percent offer coverage for the spouse of the employee, down from 96% in 2011.
  • On average, employers contribute $576 to their employees’ HSAs and $1,885 to employees’ HRAs. In 2014, employers contributed an average of $632 to HSAs and $2,829 to HRAs.
  • The average total employee annual health care cost per covered employee in 2015 was $8,669.
  • The average employee co-pay is $11 for generic medication, $33 for formulary brand medication (insurance carriers’ preferred drugs) and $58 for nonformulary brand medication.
  • Across all plans, the average annual in-network deductible for employee-only coverage is $1,554, the total monthly premium for employee-only coverage is $461, and the total monthly premium for family coverage is $1,292.
  • The average co-pay for in-network primary care office visits for employee-only coverage across all plans is $22.


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