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I 2017 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
HDHP Plans ...................................................................................... 10
HRA Plans ........................................................................................ 13
Health Benefit Information Industry Breakdown
PPO Plans ......................................................................................... 16
POS Plans ........................................................................................ 19
HMO Plans ........................................................................................ 22
HDHP Plans ...................................................................................... 25
HRA Plans ........................................................................................ 28
Supplemental Health Care Questions .................................................................. 31
©2017 Employers Resource Association II Health and Welfare Benefits Survey
Introduction
The 2017 Health and Welfare Benefits Survey was conducted during April and May of 2017. It
contains data from 253 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
Aberdeen Express
Able Tool Corporation
AIP Logistics, Inc.
Air Force One
AirWay Technologies
Alternate Solutions Health Network
ART Metals Group
ASAP Event Advertising
Auto-Valve, Inc.
Bailey & Company Benefits Group
Banner Metals Group
Bartlett & Co.
Basco Manufacturing
BBB
Beech Acres Parenting Center
Beiersdorf Inc.
Belcan, LLC
Bethany House Services
Big Chief Inc.
Bischoff
Blue Grass Metals
Bob Sumerel Tire Co.
Boone County Public Library
Brewer
Bryan Equipment Sales, Inc.
Buckeye Power Sales
BWF America, Inc.
Byer Steel
Caliber Americas
Campbell County, KY
Capital Resin Corporation
Cardington Yutaka Technologies
Care Center
Car-Part.com
Caster Connection, Inc.
Catholic Charities Southwestern Ohio
CB Mfg/American Cutting Edge
CBT Company
Children, Inc.
Cincinnati Fan
Cincinnati Gearing Systems
Cincinnati Nature Center
Cindus Corporation
Cinfed Credit Union
Citizens Bank of Logan
Clark Schaefer Hackett
Clarke Power Services, Inc.
Cleaning Technologies Group, LLC
Clermont Senior Services
CM Paula Company
Consolidated Metal Products, Inc.
Contractors Materials Co.
COSI
Cott Systems
CSafe Global
Dave Fox Remodeling, Inc.
Dayton Superior Corporation
Delta Private Jets
Devco Holdings Inc.
Dinsmore & Shohl LLP
Dorcy international Inc.
Dynamix Engineering
Eagle Specialty Vehicles
Easterseals
Eastway Supplies, Inc.
Eco Engineering Inc.
Empire Packing
EMS
Engineering Evaluation & Design, Inc.
Epcon Communities
Evenflo Company Inc.
Exhibit Concepts, Inc.
F&M MAFCO, Inc.
Fath Properties
Ferco Aerospace
Finn Corporation
Floturn, Inc.
Force Control Industries
Forward Technologies, Inc.
FT Precision Inc.
FTJ FundChoice
©2017 Employers Resource Association III Health and Welfare Benefits Survey
Fujitec America, Inc.
Full Range Rehab, LLC
Fusite
Gardens Alive
General Tool Company
Germane Solutions
Girl Scouts of Western Ohio
Global Gauge Corp
GMi Companies
Gold Star Chili Inc.
GOSH Enterprises
Graphic Information Systems, Inc.
Green Group Enterprises, LLC
Grote Enterprises
Hahn Automation
Hamilton Casework Solutions
Hamilton Caster & Mfg. Co.
HCDC Inc.
Heartland Bank
Hightowers Petroleum Co.
Hilltop Basic Resources
Hirschvogel Inc.
Hi-Tek Manufacturing, Inc.
Holly Hill Children's Services
Hydrotech, Inc.
ILSCO Corporation
INEOS ABS
Integrated Protection Services, Inc.
Invotec Engineering, Inc.
Iofina Chemical
ITE, LLC
Jefferson Township
Jeg's Automotive, Inc.
Johnson Investment Counsel
JVS Career Services
Kadant Black Clawson
Kaleidoscope
Keating Muething & Klekamp PLL
Keir Educational Resources
Kemba Credit Union
Kenton County Airport Board
Kentucky Speedway
Key Resin Co
Kimball Midwest
Kolar Design
Korrect Plumbing Heating & Air
KOST USA
Kozel
Krauss Maffei
KUTOL PRODUCTS COMPANY, INC.
L3 Cincinnati Electronics
Lake Shore Cryotronics, Inc.
Landrum & Brown, Inco
Legacy Maintenance Services, LLC
LEM Products Distribution LLC
Linton
LNS America, Inc.
LPK
Mach III Clutch, Inc.
Magellan Aerospace, Middletown, Inc.
Marsh Building Products
McSwain Manufacturing
Mesa Industries
Metal-Matic
Metalworking Group
MGF Sourcing
Mid-States Packaging, Inc.
Midwest Electric, Inc.
Mikesell's Snack Food Company
Myers & Frayne
Nexceris
NexGen Consultants
Neyra Industries
Nisbet Brower
Nitto Denko Avecia
Nolte Precise Manufacturing
Northern Kentucky Water District
Nsixty Digital
ODW Logistics
Office of the Chapter 13 Trustee Faye
D English
Ohio History Connection
Ohio River Valley Water Sanitation
Commission
Ohio Semitronics, Inc.
Ohio Transmission Corporation
Ohio Valley Electrical Services
OMEGA Processing Solutions
Omni Technologies, Inc.
OSIS
Path Forward
Pension Corporation of America
Phillips Edison & Company
PIVOTEK
PL Marketing
Plaskolite
PNG Telecommunications, Inc.
Post Glover Resistors
Pri-Pak, Inc.
ProKids
RACO Industries
Raymond Storage Concepts
Reading Rock, Inc.
Reliance Medical
Richards Industries
Rippe & Kingston
©2017 Employers Resource Association IV Health and Welfare Benefits Survey
Sanitation District 1
Sarnova
Saturday Knight Ltd
Schaefer
School Employees Retirement System
of Ohio
Schueler Group
Security National Automotive
Acceptance
SERS
Shaklee Corporation
Sidney Manufacturing Co
Signature Hardware
Sims-Lohman
Skidmore Sales and Distributing
Smyth Automotive
SST Conveyor Components
St. Joseph Home
Stelter & Brinck
Sugar Creek Packing Co
Sur-Seal Corporation
Sutphen Towers, Inc.
Systecon Inc.
Tape Products Company
Tech International
TechSolve
Thaman Rubber Co
The Adventurous Child
The American Society for
Nondestructive Testing Inc.
The Armor Group
The Buckeye Stamping Co. dba
Buckeye Shapeform
The Carlisle & Finch Co.
The David J. Joseph Company
The Dupps Company
The Dynamic Catholic Institute
The G.A. Avril Co.
The Gorilla Glue Company
The Motz Corporation
The Point
The Shepherd Color Company
The Vora Group
The Western States Machine
Company
The Wornick Company
Towne Properties
Toyota Boshoku America
TP Mechanical Contractors
TradeGlobal
Triad Technologies
TSC Apparel
United Way of Greater Cincinnati
Upside Innovations LLC
Uptown Rental Properties
Usui International
Valley Interior Systems
Valued Relationships, Inc.
Varland Metal Service, Inc.
VEGA Americas
Venco Venturo Industries LLC
VSG
W.P. Dolle, LLC
Wallick Properties
Waxman Consumer Products Group
Inc.
Woodhull, LLC
Workhorse Group Inc.
Xtek Inc.
YAC Robot Systems, Inc.
Yaskawa America Motoman Robotics
Div
YMCA of Greater Cincinnati
YSK Corporation
©2017 Employers Resource Association V 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.
Healthcare Cost Increases As in 2016, more than 1 in 3 companies (38%) reported an increase in last year premiums of less
than 3%. A similar portion of the participating organizations reported having no increase in
premiums compared to last year (20% vs 21%) but more organizations also reported having an
increase of greater than 12% (10% vs 16%).
1%
49%
2% 1%
42%
5%2%
43%
5%1%
44%
5%2%
38%
7%
1%
46%
4%1%
45%
4%0%
47%
4%
0%
10%
20%
30%
40%
50%
60%
HMO PPO POS Indemity HDHP HRA
2014 2015 20162 2017
22%
16%
20%22%
19% 18%
4%
20%
15%14%
17%
10%
5%
12%
27%
11%
16%18%
8%10% 9%
21%
17% 16%
13%
10%
16%
6%
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
2014 2015 2016 2017
©2017 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
Section 1
Health Benefit Information
Employee Size Breakdown
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $528 159 $489 25 $502 40 $559 65 $558 19 $466 10
EE+ Spouse $1,113 157 $1,027 24 $1,047 38 $1,189 66 $1,170 19 $970 10
EE+ Child(ren) $1,016 143 $875 23 $895 36 $1,099 60 $1,158 15 $1,082 9
Family $1,577 158 $1,497 24 $1,492 39 $1,675 66 $1,560 19 $1,481 10
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $142 128 $115 17 $141 35 $145 54 $175 15 $117 7
EE+ Spouse $357 132 $380 18 $328 35 $367 57 $359 15 $343 7
EE+ Child(ren) $316 110 $338 16 $272 33 $338 50 $322 7 $314 4
Family $508 131 $597 17 $468 35 $514 57 $488 15 $487 7
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE 30% 55 35% 11 27% 11 28% 26 32% 6 * 1
EE+ Spouse 34% 55 40% 12 27% 10 34% 26 30% 6 * 1
EE+ Child(ren) 34% 51 40% 12 27% 10 34% 24 32% 5 * 0
Family 33% 55 40% 12 28% 10 33% 26 30% 6 * 1
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
2017 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 $28 146 $30 24 $29 38 $26 63 $28 16 $30 5
Out-of-Network 45% 123 42% 16 47% 31 43% 53 54% 13 49% 10
Specialist
In-Network $48 144 $55 23 $48 37 $45 62 $46 17 $52 5
Out-of-Network 46% 123 45% 16 47% 31 43% 53 54% 13 49% 10
Urgent Care
In-Network $73 145 $83 23 $80 38 $69 64 $59 16 $58 4
Out-of-Network 46% 110 44% 15 47% 30 45% 46 54% 9 50% 10
Outpatient Hospital
In-Network 21% 115 22% 14 23% 24 20% 52 20% 16 19% 9
Out-of-Network 46% 119 44% 14 46% 30 44% 52 54% 13 49% 10
Inpatient Hospital
In-Network 21% 115 22% 16 22% 22 20% 52 20% 16 19% 9
Out-of-Network 46% 124 45% 16 46% 31 44% 54 54% 13 49% 10
Emergency Room
In-Network $230 136 $246 21 $274 34 $216 60 $199 16 $145 5
Out-of-Network $232 95 $257 14 $276 21 $218 45 $208 10 $145 5
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE
In-Network $1,817 162 $2,796 27 $1,918 43 $1,436 66 $1,789 18 $1,181 8
Out-of-Network $4,408 145 $6,800 25 $4,631 38 $3,583 60 $4,243 14 $2,348 8
EE+Spouse
In-Network $3,727 143 $5,361 27 $3,934 38 $2,920 53 $3,709 17 $2,613 8
Out-of-Network $8,879 126 $13,180 25 $8,800 32 $7,422 49 $8,538 13 $4,714 7
EE+Child(ren)
In-Network $3,911 133 $5,308 26 $4,061 36 $3,257 47 $3,873 16 $2,613 8
Out-of-Network $9,472 118 $13,167 24 $8,958 31 $8,835 43 $8,546 13 $4,714 7
Family
In-Network $3,769 161 $5,722 27 $3,909 42 $3,015 66 $3,788 18 $2,613 8
Out-of-Network $9,244 143 $13,840 25 $9,202 37 $7,972 60 $8,864 14 $4,714 7
2017 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 $10 136 $10 23 $12 31 $10 63 $10 14 $9 5
Brand $36 125 $38 23 $38 30 $34 58 $36 11 $32 3
Non-Formulary $63 116 $62 20 $68 26 $62 58 $63 9 $63 3
Mail Order (No Tier) $19 6 * 0 $18 3 $20 3 * 0 * 0
Mail Order - Tier 1 $21 123 $19 17 $22 32 $21 51 $19 16 $17 7
Mail Order - Tier 2 $76 121 $80 17 $79 32 $78 50 $66 16 $61 6
Mail Order - Tier 3 $141 120 $150 16 $151 32 $143 50 $107 16 $128 6
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic 23% 14 * 1 * 1 20% 6 * 1 23% 5
Brand 25% 25 * 1 * 2 25% 11 20% 4 26% 7
Non-Formulary 32% 26 38% 3 25% 3 38% 9 23% 4 29% 7
Mail Order (No Tier) 25% 3 * 0 * 1 * 1 * 0 * 1
Mail Order - Tier 1 25% 10 * 0 * 0 24% 7 * 0 25% 3
Mail Order - Tier 2 34% 11 * 0 * 0 35% 7 * 0 31% 4
Mail Order - Tier 3 29% 7 * 0 * 0 18% 3 * 0 36% 4
2017 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 $658 12 * 2 $971 3 $573 5 * 1 * 1
EE+ Spouse $1,238 11 * 2 * 2 $1,176 5 * 1 * 1
EE+ Child(ren) $1,154 9 * 2 * 2 $1,082 4 * 0 * 1
Family $1,882 12 * 2 $2,592 3 $1,683 5 * 1 * 1
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $155 6 * 1 * 1 * 2 * 1 * 1
EE+ Spouse $230 6 * 2 * 0 * 2 * 1 * 1
EE+ Child(ren) $175 4 * 2 * 0 * 1 * 0 * 1
Family $492 7 * 2 * 1 * 2 * 1 * 1
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE 21% 7 * 1 * 1 21% 5 * 0 * 0
EE+ Spouse 24% 6 * 0 * 1 26% 5 * 0 * 0
EE+ Child(ren) 25% 5 * 0 * 1 27% 4 * 0 * 0
Family 24% 6 * 0 * 1 26% 5 * 0 * 0
2017 Mini Health & Welfare Benefits SurveyPOS Plans
Average Monthly Premiums
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
Employee Monthly Cost - Flat Amount
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 $26 13 $29 4 $25 3 $24 4 * 1 * 1
Out-of-Network 43% 8 40% 4 * 0 40% 3 * 0 * 1
Specialist
In-Network $44 13 $55 4 $30 3 $44 4 * 1 * 1
Out-of-Network 43% 8 40% 4 * 0 40% 3 * 0 * 1
Urgent Care
In-Network $68 13 $88 4 $48 3 $65 4 * 1 * 1
Out-of-Network 43% 7 40% 3 * 0 40% 3 * 0 * 1
Outpatient Hospital
In-Network 17% 3 * 2 * 0 * 0 * 0 * 1
Out-of-Network 39% 8 33% 4 * 0 40% 3 * 0 * 1
Inpatient Hospital
In-Network * 2 * 2 * 0 * 0 * 0 * 0
Out-of-Network 39% 8 33% 4 * 0 40% 3 * 0 * 1
Emergency Room
In-Network $238 12 $317 3 $233 3 $194 4 * 1 * 1
Out-of-Network $269 6 $317 3 * 0 * 2 * 0 * 1
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE
In-Network $2,090 10 $2,000 4 * 1 $2,475 4 * 0 * 1
Out-of-Network $4,944 9 $5,500 3 * 1 $5,500 4 * 0 * 1
EE+Spouse
In-Network $4,200 9 $4,000 4 * 1 $5,933 3 * 0 * 1
Out-of-Network $10,000 8 $11,000 3 * 1 $12,667 3 * 0 * 1
EE+Child(ren)
In-Network $4,200 9 $4,000 4 * 1 $5,933 3 * 0 * 1
Out-of-Network $10,000 8 $11,000 3 * 1 $12,667 3 * 0 * 1
Family
In-Network $4,180 10 $4,000 4 * 1 $4,950 4 * 0 * 1
Out-of-Network $9,889 9 $11,000 3 * 1 $11,000 4 * 0 * 1
Average Deductibles
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
2017 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
5
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic $11 10 * 2 $10 3 $11 4 * 0 * 1
Brand $37 9 * 2 * 2 $36 4 * 0 * 1
Non-Formulary $63 8 * 1 * 2 $63 4 * 0 * 1
Mail Order (No Tier) * 0 * 0 * 0 * 0 * 0 * 0
Mail Order - Tier 1 $20 9 $20 3 * 2 $22 3 * 0 * 1
Mail Order - Tier 2 $77 9 $74 3 * 2 $83 3 * 0 * 1
Mail Order - Tier 3 $134 9 $135 3 * 2 $143 3 * 0 * 1
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic * 1 * 0 * 0 * 0 * 1 * 0
Brand * 2 * 0 * 0 * 1 * 1 * 0
Non-Formulary * 1 * 0 * 0 * 1 * 0 * 0
Mail Order (No Tier) * 1 * 0 * 0 * 1 * 0 * 0
Mail Order - Tier 1 * 1 * 0 * 0 * 1 * 0 * 0
Mail Order - Tier 2 * 1 * 0 * 0 * 1 * 0 * 0
Mail Order - Tier 3 * 1 * 0 * 0 * 1 * 0 * 0
Prescription Cost - Percentage
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
2017 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
6
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $417 4 * 0 * 0 $417 4 * 0 * 0
EE+ Spouse $1,028 4 * 0 * 0 $1,028 4 * 0 * 0
EE+ Child(ren) $723 4 * 0 * 0 $723 4 * 0 * 0
Family $1,362 4 * 0 * 0 $1,362 4 * 0 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $143 4 * 0 * 0 $143 4 * 0 * 0
EE+ Spouse $342 4 * 0 * 0 $342 4 * 0 * 0
EE+ Child(ren) $246 4 * 0 * 0 $246 4 * 0 * 0
Family $460 4 * 0 * 0 $460 4 * 0 * 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
2017 Mini Health & Welfare Benefits SurveyHMO Plans
Average Monthly Premiums
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
Employee Monthly Cost - Flat Amount
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 * 2 * 0 * 0 * 2 * 0 * 0
Out-of-Network 50% 4 * 0 * 0 50% 4 * 0 * 0
Specialist
In-Network * 2 * 0 * 0 * 2 * 0 * 0
Out-of-Network 50% 4 * 0 * 0 50% 4 * 0 * 0
Urgent Care
In-Network * 2 * 0 * 0 * 2 * 0 * 0
Out-of-Network 50% 4 * 0 * 0 50% 4 * 0 * 0
Outpatient Hospital
In-Network 20% 3 * 0 * 0 20% 3 * 0 * 0
Out-of-Network 50% 4 * 0 * 0 50% 4 * 0 * 0
Inpatient Hospital
In-Network * 2 * 0 * 0 * 2 * 0 * 0
Out-of-Network 50% 4 * 0 * 0 50% 4 * 0 * 0
Emergency Room
In-Network * 2 * 0 * 0 * 2 * 0 * 0
Out-of-Network * 2 * 0 * 0 * 2 * 0 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE
In-Network $2,875 4 * 0 * 0 $2,875 4 * 0 * 0
Out-of-Network $5,750 4 * 0 * 0 $5,750 4 * 0 * 0
EE+Spouse
In-Network * 1 * 0 * 0 * 1 * 0 * 0
Out-of-Network * 1 * 0 * 0 * 1 * 0 * 0
EE+Child(ren)
In-Network * 1 * 0 * 0 * 1 * 0 * 0
Out-of-Network * 1 * 0 * 0 * 1 * 0 * 0
Family
In-Network $6,375 4 * 0 * 0 $6,375 4 * 0 * 0
Out-of-Network $14,000 4 * 0 * 0 $14,000 4 * 0 * 0
Average Deductibles
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
2017 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
8
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic $10 4 * 0 * 0 $10 4 * 0 * 0
Brand $35 4 * 0 * 0 $35 4 * 0 * 0
Non-Formulary * 1 * 0 * 0 * 1 * 0 * 0
Mail Order (No Tier) * 0 * 0 * 0 * 0 * 0 * 0
Mail Order - Tier 1 $25 3 * 0 * 0 $25 3 * 0 * 0
Mail Order - Tier 2 $88 3 * 0 * 0 $88 3 * 0 * 0
Mail Order - Tier 3 $167 3 * 0 * 0 $167 3 * 0 * 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 * 0 * 0 * 0 * 0 * 0 * 0
Non-Formulary * 0 * 0 * 0 * 0 * 0 * 0
Mail Order (No Tier) * 0 * 0 * 0 * 0 * 0 * 0
Mail Order - Tier 1 * 0 * 0 * 0 * 0 * 0 * 0
Mail Order - Tier 2 * 0 * 0 * 0 * 0 * 0 * 0
Mail Order - Tier 3 * 0 * 0 * 0 * 0 * 0 * 0
Prescription Cost - Percentage
Total 1-50 Employees 51-100 Employees 101-499 Employees 500-999 Employees 1000+ Employees
2017 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
9
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $438 169 $464 40 $403 37 $434 71 $514 12 $404 9
EE+ Spouse $938 163 $986 39 $867 36 $921 69 $1,130 11 $900 8
EE+ Child(ren) $843 159 $858 39 $763 34 $826 68 $1,152 10 $862 8
Family $1,319 169 $1,384 40 $1,232 37 $1,297 71 $1,558 12 $1,244 9
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $117 129 $138 22 $115 29 $107 59 $123 11 $131 8
EE+ Spouse $295 131 $359 23 $280 29 $268 61 $278 10 $392 8
EE+ Child(ren) $265 125 $353 21 $242 27 $232 60 $295 9 $334 8
Family $432 134 $600 23 $389 30 $380 61 $404 11 $538 9
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE 27% 54 29% 19 29% 14 25% 18 * 1 * 2
EE+ Spouse 30% 53 32% 18 30% 14 28% 18 * 1 * 2
EE+ Child(ren) 30% 52 32% 18 30% 14 28% 17 * 1 * 2
Family 30% 53 32% 18 31% 14 27% 18 * 1 * 2
2017 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
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
10
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Office Visit
In-Network 19% 69 21% 17 18% 6 19% 35 17% 5 18% 6
Out-of-Network 41% 138 44% 36 41% 25 40% 57 36% 11 43% 9
Specialist
In-Network 19% 67 21% 17 18% 6 19% 33 17% 5 18% 6
Out-of-Network 41% 136 44% 36 41% 25 40% 55 36% 11 43% 9
Urgent Care
In-Network 19% 70 21% 18 18% 6 19% 35 17% 5 18% 6
Out-of-Network 41% 132 45% 32 41% 25 40% 56 35% 10 43% 9
Outpatient Hospital
In-Network 20% 83 22% 23 19% 8 19% 38 20% 7 19% 7
Out-of-Network 42% 132 49% 34 40% 23 39% 56 35% 10 43% 9
Inpatient Hospital
In-Network 20% 84 22% 24 19% 8 19% 38 20% 7 19% 7
Out-of-Network 41% 136 45% 35 41% 25 39% 56 36% 11 43% 9
Emergency Room
In-Network 19% 76 21% 20 19% 8 19% 36 18% 6 18% 6
Out-of-Network 39% 98 37% 27 40% 14 37% 40 37% 10 54% 7
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE
In-Network $3,217 178 $3,297 43 $3,447 38 $3,079 75 $2,931 13 $3,422 9
Out-of-Network $6,828 158 $7,945 38 $7,598 33 $6,312 66 $4,583 12 $6,056 9
EE+Spouse
In-Network $6,116 156 $5,841 43 $6,922 32 $5,891 62 $6,055 11 $6,200 8
Out-of-Network $13,560 142 $15,784 38 $15,732 28 $11,717 58 $10,860 10 $12,125 8
EE+Child(ren)
In-Network $6,149 152 $5,841 43 $7,133 30 $5,889 61 $6,060 10 $6,200 8
Out-of-Network $13,665 139 $15,784 38 $16,056 27 $11,800 57 $10,733 9 $12,125 8
Family
In-Network $6,229 178 $5,945 43 $6,908 38 $6,017 75 $6,000 13 $6,811 9
Out-of-Network $13,566 158 $16,021 38 $15,227 33 $12,111 66 $10,333 12 $12,078 9
2017 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
Average Deductibles
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 $10 82 $10 18 $12 21 $9 36 $9 4 $10 3
Brand $37 77 $39 18 $37 20 $35 33 $38 3 $33 3
Non-Formulary $62 71 $66 16 $63 16 $59 33 $68 3 $57 3
Mail Order (No Tier) $18 9 * 1 * 2 $14 6 * 0 * 0
Mail Order - Tier 1 $24 74 $26 16 $25 21 $25 31 $18 4 * 2
Mail Order - Tier 2 $88 73 $89 15 $88 21 $91 31 $64 4 * 2
Mail Order - Tier 3 $152 70 $151 14 $160 20 $153 30 $108 4 * 2
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic 19% 40 21% 9 20% 4 18% 22 18% 3 * 2
Brand 20% 44 21% 9 22% 6 20% 24 18% 3 * 2
Non-Formulary 21% 45 21% 11 22% 7 23% 22 18% 3 * 2
Mail Order (No Tier) 17% 31 20% 6 * 2 16% 18 18% 3 * 2
Mail Order - Tier 1 19% 24 21% 5 20% 3 18% 11 18% 3 * 2
Mail Order - Tier 2 21% 24 21% 5 20% 3 22% 11 18% 3 * 2
Mail Order - Tier 3 18% 23 21% 5 20% 3 17% 10 18% 3 * 2
2017 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
Prescription Cost - Percentage
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 $489 15 * 2 $364 4 $526 6 $535 3 * 0
EE+ Spouse $956 13 * 1 $731 3 $1,018 6 $1,045 3 * 0
EE+ Child(ren) $869 14 * 1 $650 4 $967 6 $999 3 * 0
Family $1,419 14 * 1 $1,114 4 $1,592 6 $1,489 3 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE $108 9 * 1 * 2 $77 4 * 2 * 0
EE+ Spouse $256 9 * 1 * 2 $215 4 * 2 * 0
EE+ Child(ren) $228 10 * 1 $233 3 $176 4 * 2 * 0
Family $385 10 * 1 $451 3 $314 4 * 2 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE 32% 7 * 1 * 1 20% 4 * 1 * 0
EE+ Spouse 30% 6 * 0 * 1 21% 4 * 1 * 0
EE+ Child(ren) 30% 6 * 0 * 1 21% 4 * 1 * 0
Family 30% 6 * 0 * 1 21% 4 * 1 * 0
2017 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 * 2 * 0 * 0 * 1 * 1 * 0
Out-of-Network 45% 10 * 0 37% 3 48% 4 50% 3 * 0
Specialist
In-Network * 2 * 0 * 0 * 1 * 1 * 0
Out-of-Network 45% 10 * 0 37% 3 48% 4 50% 3 * 0
Urgent Care
In-Network * 2 * 0 * 0 * 1 * 1 * 0
Out-of-Network 45% 10 * 0 37% 3 48% 4 50% 3 * 0
Outpatient Hospital
In-Network 25% 4 * 0 * 0 30% 3 * 1 * 0
Out-of-Network 44% 9 * 0 33% 3 48% 4 * 2 * 0
Inpatient Hospital
In-Network 25% 4 * 0 * 0 30% 3 * 1 * 0
Out-of-Network 46% 9 * 0 37% 3 48% 4 * 2 * 0
Emergency Room
In-Network 25% 4 * 0 * 0 30% 3 * 1 * 0
Out-of-Network 40% 8 * 0 * 2 37% 3 50% 3 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
EE
In-Network $2,338 13 * 2 $1,638 4 $3,400 5 * 2 * 0
Out-of-Network $4,850 12 * 1 $4,688 4 $6,620 5 * 2 * 0
EE+Spouse
In-Network $5,030 10 * 1 * 2 $6,800 5 * 2 * 0
Out-of-Network $9,530 10 * 1 * 2 $13,240 5 * 2 * 0
EE+Child(ren)
In-Network $5,030 10 * 1 * 2 $6,800 5 * 2 * 0
Out-of-Network $9,530 10 * 1 * 2 $13,240 5 * 2 * 0
Family
In-Network $4,750 12 * 1 $3,350 4 $6,800 5 * 2 * 0
Out-of-Network $9,317 12 * 1 $8,250 4 $13,240 5 * 2 * 0
2017 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 7 * 1 * 1 $10 4 * 1 * 0
Brand $35 7 * 1 * 1 $34 4 * 1 * 0
Non-Formulary $67 7 * 1 * 1 $68 4 * 1 * 0
Mail Order (No Tier) * 0 * 0 * 0 * 0 * 0 * 0
Mail Order - Tier 1 $19 7 * 0 * 2 $18 4 * 1 * 0
Mail Order - Tier 2 $83 7 * 0 * 2 $85 4 * 1 * 0
Mail Order - Tier 3 $156 7 * 0 * 2 $169 4 * 1 * 0
Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses Amount # of Responses
Generic * 1 * 0 * 0 * 0 * 1 * 0
Brand * 1 * 0 * 0 * 0 * 1 * 0
Non-Formulary * 1 * 0 * 0 * 0 * 1 * 0
Mail Order (No Tier) * 2 * 0 * 1 * 0 * 1 * 0
Mail Order - Tier 1 * 1 * 0 * 0 * 0 * 1 * 0
Mail Order - Tier 2 * 1 * 0 * 0 * 0 * 1 * 0
Mail Order - Tier 3 * 2 * 0 * 1 * 0 * 1 * 0
2017 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
Section 2
Health Benefit Information
Industry Breakdown
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 $528 159 * 2 $517 6 $520 62 $547 19 $517 11 $535 29 $524 28
EE+ Spouse $1,113 157 * 2 $1,061 6 $1,126 61 $1,161 18 $1,081 10 $1,146 29 $1,036 29
EE+ Child(ren) $1,016 143 * 2 $986 6 $1,014 54 $1,040 15 $980 11 $981 26 $1,065 27
Family $1,577 158 * 2 $1,563 6 $1,568 61 $1,644 18 $1,592 11 $1,600 29 $1,496 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
EE $142 128 * 2 * 1 $122 55 $114 13 $199 10 $164 23 $167 23
EE+ Spouse $357 132 * 2 * 2 $313 55 $415 14 $463 11 $347 23 $383 23
EE+ Child(ren) $330 116 * 2 * 2 $295 45 $357 13 $391 11 $335 20 $382 21
Family $508 131 * 2 * 2 $443 54 $608 14 $663 11 $488 23 $552 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
EE 30% 55 * 1 38% 3 27% 17 20% 6 41% 4 32% 16 34% 8
EE+ Spouse 34% 55 * 1 38% 3 30% 18 25% 6 42% 4 36% 16 40% 7
EE+ Child(ren) 34% 52 * 1 38% 3 30% 18 25% 4 36% 4 38% 15 39% 7
Family 33% 55 * 1 38% 3 30% 18 29% 6 35% 4 35% 16 42% 7
Non-Profit Service/Financial
Service/FinancialTotal Construction Health Manufacturing Non-Profit 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
2017 Mini Health & Welfare Benefits SurveyPPO Plans
Service/Financial
Total
Wholesale/Distribution/Retail
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 $28 146 $30 3 $27 6 $26 51 $28 16 $28 13 $29 28 $29 27
Out-of-Network 45% 123 * 2 47% 6 43% 43 43% 14 45% 12 47% 25 51% 19
Specialist
In-Network $48 144 $58 3 $43 6 $45 51 $48 16 $45 13 $52 28 $52 25
Out-of-Network 46% 123 * 2 47% 6 44% 44 43% 14 45% 12 48% 24 51% 19
Urgent Care
In-Network $73 145 $83 3 $83 6 $64 50 $71 17 $75 13 $74 28 $86 26
Out-of-Network 46% 110 * 2 47% 6 47% 40 40% 11 45% 11 46% 22 51% 17
Outpatient Hospital
In-Network 21% 115 * 2 20% 5 20% 42 26% 14 21% 10 21% 20 20% 21
Out-of-Network 46% 119 57% 3 47% 6 46% 44 42% 13 45% 11 46% 23 51% 17
Inpatient Hospital
In-Network 21% 115 * 1 20% 5 20% 42 25% 14 21% 10 21% 20 20% 23
Out-of-Network 46% 124 57% 3 47% 6 46% 44 43% 15 45% 11 46% 24 51% 19
Emergency Room
In-Network $243 143 $267 3 $258 6 $238 49 $243 15 $246 13 $248 28 $249 27
Out-of-Network $231 95 $267 3 $251 4 $225 32 $253 10 $241 11 $242 18 $218 15
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 $1,802 164 $3,000 3 $2,000 6 $1,685 62 $1,714 19 $1,673 13 $2,079 31 $1,763 29
Out-of-Network $4,358 147 $8,833 3 $4,417 6 $4,067 56 $3,908 17 $4,833 12 $4,229 28 $4,858 24
EE+Spouse
In-Network $3,712 144 $6,333 3 $4,000 6 $3,353 57 $3,388 16 $4,167 9 $4,361 27 $3,620 25
Out-of-Network $8,789 128 $17,667 3 $8,833 6 $8,169 51 $7,571 14 $8,875 8 $9,133 24 $9,770 21
EE+Child(ren)
In-Network $3,894 134 $6,333 3 $4,000 6 $3,597 50 $3,586 14 $4,278 9 $4,481 27 $3,698 24
Out-of-Network $9,366 120 $17,667 3 $8,833 6 $8,844 45 $8,167 12 $9,375 8 $9,404 24 $10,484 21
Family
In-Network $3,755 162 $6,333 3 $4,000 6 $3,422 61 $3,481 19 $3,904 13 $4,355 31 $3,723 28
Out-of-Network $9,159 145 $17,667 3 $8,833 6 $8,424 55 $7,640 17 $11,000 12 $8,811 28 $10,833 23
Total Construction Health Manufacturing Non-Profit
Average Deductibles
Total Construction Health Manufacturing Non-Profit Service/Financial
Average Co-Pay Amounts
2017 Mini Health & Welfare Benefits SurveyPPO Plans
Wholesale/Distribution/Retail Other
Wholesale/Distribution/Retail OtherService/Financial
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 $10 136 $10 3 $12 3 $11 51 $11 18 $10 11 $10 24 $10 24
Brand $36 125 $35 3 $47 3 $35 43 $36 16 $35 11 $36 24 $34 23
Non-Formulary $63 116 $70 3 * 2 $60 40 $68 15 $66 11 $65 23 $63 20
Mail Order (No Tier) $19 6 * 0 * 0 $16 4 * 2 * 0 * 0 * 0
Mail Order - Tier 1 $21 123 * 2 $17 6 $19 38 $25 14 $23 13 $21 25 $21 23
Mail Order - Tier 2 $76 121 * 2 $64 6 $73 36 $81 14 $77 13 $81 25 $75 23
Mail Order - Tier 3 $141 120 * 2 $121 6 $133 36 $162 13 $144 13 $144 25 $143 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 22% 15 * 0 * 0 21% 9 * 0 * 1 * 2 22% 3
Brand 26% 26 * 0 * 0 25% 17 * 2 * 1 * 2 21% 4
Non-Formulary 33% 27 * 0 * 0 31% 18 * 2 * 0 * 2 27% 5
Mail Order (No Tier) 25% 3 * 0 * 0 * 1 * 0 * 0 * 1 * 1
Mail Order - Tier 1 25% 10 * 0 * 0 20% 6 * 2 * 1 * 0 * 1
Mail Order - Tier 2 34% 11 * 0 * 0 29% 7 * 2 * 1 * 0 * 1
Mail Order - Tier 3 29% 7 * 0 * 0 29% 6 * 0 * 0 * 0 * 1
Service/Financial
Prescription Cost - Percentage
Wholesale/Distribution/Retail Other
Total Construction Health Manufacturing Non-Profit Service/Financial
Total Construction Health Manufacturing Non-Profit
Wholesale/Distribution/Retail Other
2017 Mini Health & Welfare Benefits SurveyPPO Plans
Prescription Cost - Flat Amount
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 $658 12 * 0 * 0 $603 5 * 2 $928 3 * 0 * 1
EE+ Spouse $1,238 11 * 0 * 0 $1,337 5 * 2 * 2 * 0 * 1
EE+ Child(ren) $1,154 9 * 0 * 0 $1,278 4 * 2 * 2 * 0 * 0
Family $1,882 12 * 0 * 0 $1,768 5 * 2 $2,535 3 * 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 $155 6 * 0 * 0 * 2 * 1 * 2 * 0 * 1
EE+ Spouse $230 6 * 0 * 0 * 2 * 1 * 1 * 0 * 1
EE+ Child(ren) $175 4 * 0 * 0 * 1 * 1 * 1 * 0 * 0
Family $492 7 * 0 * 0 * 2 * 1 * 2 * 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 21% 7 * 0 * 0 26% 4 * 1 * 1 * 0 * 1
EE+ Spouse 24% 6 * 0 * 0 31% 3 * 1 * 1 * 0 * 1
EE+ Child(ren) 25% 5 * 0 * 0 31% 3 * 1 * 1 * 0 * 0
Family 24% 6 * 0 * 0 31% 3 * 1 * 1 * 0 * 1
Non-Profit Service/Financial
Service/FinancialTotal Construction Health Manufacturing Non-Profit 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
2017 Mini Health & Welfare Benefits SurveyPOS Plans
Service/Financial
Total
Wholesale/Distribution/Retail
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 $26 13 * 0 * 0 $25 6 * 2 $20 3 * 0 * 1
Out-of-Network 43% 8 * 0 * 0 * 2 * 1 * 2 * 0 * 2
Specialist
In-Network $44 13 * 0 * 0 $43 6 * 2 $28 3 * 0 * 1
Out-of-Network 43% 8 * 0 * 0 * 2 * 1 * 2 * 0 * 2
Urgent Care
In-Network $68 13 * 0 * 0 $71 6 * 2 $52 3 * 0 * 1
Out-of-Network 43% 7 * 0 * 0 * 1 * 1 * 2 * 0 * 2
Outpatient Hospital
In-Network 17% 3 * 0 * 0 * 1 * 1 * 1 * 0 * 0
Out-of-Network 39% 8 * 0 * 0 * 2 * 1 * 2 * 0 * 2
Inpatient Hospital
In-Network * 2 * 0 * 0 * 0 * 0 * 1 * 0 * 1
Out-of-Network 39% 8 * 0 * 0 * 2 * 1 * 2 * 0 * 2
Emergency Room
In-Network $209 11 * 0 * 0 $217 6 * 2 $192 3 * 0 * 0
Out-of-Network $213 5 * 0 * 0 $213 3 * 1 * 1 * 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 $2,090 10 * 0 * 0 $2,500 4 * 2 * 1 * 0 * 2
Out-of-Network $4,944 9 * 0 * 0 $4,825 4 * 2 * 1 * 0 * 1
EE+Spouse
In-Network $4,200 9 * 0 * 0 $4,500 4 * 1 * 1 * 0 * 2
Out-of-Network $10,000 8 * 0 * 0 $8,900 4 * 1 * 1 * 0 * 1
EE+Child(ren)
In-Network $4,200 9 * 0 * 0 $4,500 4 * 1 * 1 * 0 * 2
Out-of-Network $10,000 8 * 0 * 0 $8,900 4 * 1 * 1 * 0 * 1
Family
In-Network $4,180 10 * 0 * 0 $5,000 4 * 2 * 1 * 0 * 2
Out-of-Network $9,889 9 * 0 * 0 $9,650 4 * 2 * 1 * 0 * 1
Total Construction Health Manufacturing Non-Profit
Average Deductibles
Total Construction Health Manufacturing Non-Profit Service/Financial
Average Co-Pay Amounts
2017 Mini Health & Welfare Benefits SurveyPOS Plans
Wholesale/Distribution/Retail Other
Wholesale/Distribution/Retail OtherService/Financial
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 $11 10 * 0 * 0 $12 4 * 2 * 2 * 0 * 1
Brand $37 9 * 0 * 0 $35 3 * 2 * 2 * 0 * 1
Non-Formulary $63 8 * 0 * 0 $53 3 * 2 * 2 * 0 * 0
Mail Order (No Tier) * 0 * 0 * 0 * 0 * 0 * 0 * 0 * 0
Mail Order - Tier 1 $20 9 * 0 * 0 $16 4 * 2 * 2 * 0 * 0
Mail Order - Tier 2 $77 9 * 0 * 0 $66 4 * 2 * 2 * 0 * 0
Mail Order - Tier 3 $134 9 * 0 * 0 $106 4 * 2 * 2 * 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 * 1 * 0 * 0 * 0 * 0
Brand * 2 * 0 * 0 * 1 * 0 * 0 * 0 * 1
Non-Formulary * 1 * 0 * 0 * 0 * 0 * 0 * 0 * 1
Mail Order (No Tier) * 1 * 0 * 0 * 0 * 0 * 0 * 0 * 1
Mail Order - Tier 1 * 1 * 0 * 0 * 0 * 0 * 0 * 0 * 1
Mail Order - Tier 2 * 1 * 0 * 0 * 0 * 0 * 0 * 0 * 1
Mail Order - Tier 3 * 1 * 0 * 0 * 0 * 0 * 0 * 0 * 1
Service/Financial
Prescription Cost - Percentage
Wholesale/Distribution/Retail Other
Total Construction Health Manufacturing Non-Profit Service/Financial
Total Construction Health Manufacturing Non-Profit
Wholesale/Distribution/Retail Other
2017 Mini Health & Welfare Benefits SurveyPOS Plans
Prescription Cost - Flat Amount
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 $417 4 * 1 * 0 * 0 * 0 $482 3 * 0 * 0
EE+ Spouse $1,028 4 * 1 * 0 * 0 * 0 $1,060 3 * 0 * 0
EE+ Child(ren) $723 4 * 1 * 0 * 0 * 0 $814 3 * 0 * 0
Family $1,362 4 * 1 * 0 * 0 * 0 $1,489 3 * 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 $143 4 * 1 * 0 * 0 * 0 $172 3 * 0 * 0
EE+ Spouse $342 4 * 1 * 0 * 0 * 0 $378 3 * 0 * 0
EE+ Child(ren) $246 4 * 1 * 0 * 0 * 0 $291 3 * 0 * 0
Family $460 4 * 1 * 0 * 0 * 0 $531 3 * 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
Non-Profit Service/Financial
Service/FinancialTotal Construction Health Manufacturing Non-Profit 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
2017 Mini Health & Welfare Benefits SurveyHMO Plans
Service/Financial
Total
Wholesale/Distribution/Retail
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 * 2 * 0 * 0 * 0 * 0 * 2 * 0 * 0
Out-of-Network 50% 4 * 1 * 0 * 0 * 0 43% 3 * 0 * 0
Specialist
In-Network * 2 * 0 * 0 * 0 * 0 * 2 * 0 * 0
Out-of-Network 50% 4 * 1 * 0 * 0 * 0 43% 3 * 0 * 0
Urgent Care
In-Network * 2 * 0 * 0 * 0 * 0 * 2 * 0 * 0
Out-of-Network 50% 4 * 1 * 0 * 0 * 0 43% 3 * 0 * 0
Outpatient Hospital
In-Network 20% 3 * 0 * 0 * 0 * 0 20% 3 * 0 * 0
Out-of-Network 50% 4 * 1 * 0 * 0 * 0 43% 3 * 0 * 0
Inpatient Hospital
In-Network * 2 * 0 * 0 * 0 * 0 * 2 * 0 * 0
Out-of-Network 50% 4 * 1 * 0 * 0 * 0 43% 3 * 0 * 0
Emergency Room
In-Network * 2 * 0 * 0 * 0 * 0 * 2 * 0 * 0
Out-of-Network * 2 * 0 * 0 * 0 * 0 * 2 * 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 $2,875 4 * 1 * 0 * 0 * 0 $2,667 3 * 0 * 0
Out-of-Network $5,750 4 * 1 * 0 * 0 * 0 $5,333 3 * 0 * 0
EE+Spouse
In-Network * 1 * 1 * 0 * 0 * 0 * 0 * 0 * 0
Out-of-Network * 1 * 1 * 0 * 0 * 0 * 0 * 0 * 0
EE+Child(ren)
In-Network * 1 * 1 * 0 * 0 * 0 * 0 * 0 * 0
Out-of-Network * 1 * 1 * 0 * 0 * 0 * 0 * 0 * 0
Family
In-Network $6,375 4 * 1 * 0 * 0 * 0 $6,167 3 * 0 * 0
Out-of-Network $14,000 4 * 1 * 0 * 0 * 0 $14,000 3 * 0 * 0
Total Construction Health Manufacturing Non-Profit
Average Deductibles
Total Construction Health Manufacturing Non-Profit Service/Financial
Average Co-Pay Amounts
2017 Mini Health & Welfare Benefits SurveyHMO Plans
Wholesale/Distribution/Retail Other
Wholesale/Distribution/Retail OtherService/Financial
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 4 * 1 * 0 * 0 * 0 $10 3 * 0 * 0
Brand $35 4 * 1 * 0 * 0 * 0 $35 3 * 0 * 0
Non-Formulary * 1 * 1 * 0 * 0 * 0 * 0 * 0 * 0
Mail Order (No Tier) * 0 * 0 * 0 * 0 * 0 * 0 * 0 * 0
Mail Order - Tier 1 $25 3 * 0 * 0 * 0 * 0 $25 3 * 0 * 0
Mail Order - Tier 2 $88 3 * 0 * 0 * 0 * 0 $88 3 * 0 * 0
Mail Order - Tier 3 $167 3 * 0 * 0 * 0 * 0 $167 3 * 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 * 0 * 0 * 0 * 0 * 0 * 0 * 0 * 0
Brand * 0 * 0 * 0 * 0 * 0 * 0 * 0 * 0
Non-Formulary * 0 * 0 * 0 * 0 * 0 * 0 * 0 * 0
Mail Order (No Tier) * 0 * 0 * 0 * 0 * 0 * 0 * 0 * 0
Mail Order - Tier 1 * 0 * 0 * 0 * 0 * 0 * 0 * 0 * 0
Mail Order - Tier 2 * 0 * 0 * 0 * 0 * 0 * 0 * 0 * 0
Mail Order - Tier 3 * 0 * 0 * 0 * 0 * 0 * 0 * 0 * 0
Service/Financial
Prescription Cost - Percentage
Wholesale/Distribution/Retail Other
Total Construction Health Manufacturing Non-Profit Service/Financial
Total Construction Health Manufacturing Non-Profit
Wholesale/Distribution/Retail Other
2017 Mini Health & Welfare Benefits SurveyHMO Plans
Prescription Cost - Flat Amount
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 $438 169 $377 6 * 1 $409 65 $497 16 $408 21 $490 25 $452 33
EE+ Spouse $938 163 $785 6 * 1 $883 62 $1,020 16 $908 21 $1,066 23 $958 32
EE+ Child(ren) $843 159 $811 6 * 1 $794 60 $929 15 $790 21 $864 23 $918 31
Family $1,319 169 $1,159 6 * 1 $1,245 65 $1,446 16 $1,281 22 $1,420 25 $1,392 32
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 $117 129 $108 4 * 0 $113 45 $86 12 $153 16 $144 22 $95 28
EE+ Spouse $303 132 $333 4 * 1 $264 45 $292 12 $371 19 $388 20 $268 29
EE+ Child(ren) $267 128 $275 4 * 0 $233 43 $266 12 $306 19 $326 20 $259 28
Family $432 134 $511 4 * 1 $365 45 $503 12 $508 19 $516 22 $397 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
EE 27% 54 38% 3 * 0 31% 24 19% 6 27% 5 24% 9 23% 6
EE+ Spouse 30% 53 41% 3 * 0 31% 24 26% 6 29% 5 31% 8 24% 6
EE+ Child(ren) 30% 52 38% 3 * 0 31% 24 25% 5 29% 5 31% 8 23% 6
Family 30% 53 42% 3 * 0 31% 24 29% 6 27% 5 30% 8 23% 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
2017 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 19% 69 * 0 * 0 21% 26 20% 11 20% 5 20% 10 16% 16
Out-of-Network 41% 138 50% 3 * 0 39% 53 50% 13 44% 19 45% 22 34% 27
Specialist
In-Network 19% 67 * 0 * 0 21% 26 20% 10 20% 5 20% 9 16% 16
Out-of-Network 41% 136 50% 3 * 0 39% 53 51% 12 44% 19 46% 21 34% 27
Urgent Care
In-Network 19% 70 * 0 * 0 21% 27 19% 11 20% 5 20% 10 16% 16
Out-of-Network 41% 132 50% 3 * 0 40% 51 50% 12 44% 19 45% 19 34% 27
Outpatient Hospital
In-Network 20% 83 * 2 * 0 22% 31 20% 12 20% 5 20% 14 17% 18
Out-of-Network 42% 132 50% 3 * 0 39% 49 48% 12 51% 19 45% 21 34% 27
Inpatient Hospital
In-Network 20% 84 * 2 * 0 22% 32 20% 12 20% 5 20% 14 17% 18
Out-of-Network 41% 136 50% 3 * 0 40% 52 50% 12 42% 19 45% 22 34% 27
Emergency Room
In-Network 19% 76 * 1 * 0 21% 29 20% 12 20% 5 20% 10 17% 18
Out-of-Network 39% 98 * 2 * 0 37% 35 43% 12 41% 11 42% 16 33% 21
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 $3,217 178 $3,329 7 * 1 $3,155 69 $2,776 17 $3,546 24 $3,560 24 $3,143 34
Out-of-Network $6,828 158 $6,000 7 * 1 $6,462 60 $6,676 17 $7,528 20 $7,717 23 $6,638 29
EE+Spouse
In-Network $6,116 156 $6,300 4 * 1 $6,196 63 $5,275 16 $6,460 21 $6,885 20 $5,752 29
Out-of-Network $13,560 142 $12,500 4 * 1 $13,070 56 $13,375 16 $14,339 18 $16,842 19 $11,907 27
EE+Child(ren)
In-Network $6,149 152 $6,300 4 * 1 $6,243 61 $5,227 15 $6,460 21 $6,885 20 $5,814 28
Out-of-Network $13,665 139 $12,500 4 * 1 $13,202 54 $13,467 15 $14,617 18 $16,842 19 $11,907 27
Family
In-Network $6,229 178 $6,657 7 * 1 $6,188 69 $5,759 17 $6,535 24 $6,892 24 $5,912 34
Out-of-Network $13,566 158 $12,000 7 * 1 $13,138 60 $14,176 17 $14,455 20 $15,552 23 $12,181 29
2017 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 $10 82 $13 4 * 0 $10 34 $10 8 $9 10 $9 10 $10 15
Brand $37 77 $52 3 * 0 $38 31 $36 8 $34 10 $38 10 $34 14
Non-Formulary $62 71 * 2 * 0 $64 29 $62 7 $61 9 $66 10 $59 13
Mail Order (No Tier) $18 9 * 0 * 0 $16 7 * 0 * 1 * 1 * 0
Mail Order - Tier 1 $24 74 $26 4 * 0 $28 27 $26 8 $22 10 $25 11 $18 13
Mail Order - Tier 2 $88 73 $91 4 * 0 $92 27 $84 7 $93 10 $89 11 $78 13
Mail Order - Tier 3 $152 70 $158 4 * 0 $153 25 $152 7 $161 10 $150 10 $150 13
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 19% 41 * 0 * 0 20% 19 20% 3 * 1 20% 6 15% 11
Brand 20% 45 * 0 * 0 22% 23 20% 3 * 1 20% 6 18% 11
Non-Formulary 22% 46 * 0 * 0 24% 24 * 2 * 2 20% 6 20% 11
Mail Order (No Tier) 17% 31 * 0 * 0 18% 14 * 2 * 0 18% 6 15% 8
Mail Order - Tier 1 19% 24 * 0 * 0 21% 11 * 0 * 1 17% 3 15% 8
Mail Order - Tier 2 21% 24 * 0 * 0 26% 11 * 0 * 1 17% 3 15% 8
Mail Order - Tier 3 18% 23 * 0 * 0 21% 10 * 0 * 1 17% 3 15% 8
2017 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 $489 15 * 1 * 0 $498 9 * 0 * 1 * 1 * 2
EE+ Spouse $956 13 * 1 * 0 $951 8 * 0 * 1 * 1 * 1
EE+ Child(ren) $869 14 * 1 * 0 $867 8 * 0 * 1 * 1 * 2
Family $1,419 14 * 1 * 0 $1,421 8 * 0 * 1 * 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 $108 9 * 0 * 0 $96 5 * 0 * 0 * 1 * 2
EE+ Spouse $256 9 * 0 * 0 $264 5 * 0 * 1 * 1 * 1
EE+ Child(ren) $228 10 * 0 * 0 $239 5 * 0 * 1 * 1 * 2
Family $385 10 * 0 * 0 $360 5 * 0 * 1 * 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 32% 7 * 1 * 0 25% 5 * 0 * 0 * 1 * 0
EE+ Spouse 30% 6 * 1 * 0 21% 4 * 0 * 0 * 1 * 0
EE+ Child(ren) 30% 6 * 1 * 0 21% 4 * 0 * 0 * 1 * 0
Family 30% 6 * 1 * 0 21% 4 * 0 * 0 * 1 * 0
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
2017 Mini Health & Welfare Benefits SurveyHealth Reimbursement Account Plans
Wholesale/Distribution/Retail OtherTotal Construction Health Manufacturing Non-Profit
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 * 2 * 0 * 0 * 2 * 0 * 0 * 0 * 0
Out-of-Network 45% 10 * 0 * 0 43% 6 * 0 * 1 * 1 * 2
Specialist
In-Network * 2 * 0 * 0 * 2 * 0 * 0 * 0 * 0
Out-of-Network 45% 10 * 0 * 0 43% 6 * 0 * 1 * 1 * 2
Urgent Care
In-Network * 2 * 0 * 0 * 2 * 0 * 0 * 0 * 0
Out-of-Network 45% 10 * 0 * 0 43% 6 * 0 * 1 * 1 * 2
Outpatient Hospital
In-Network 25% 4 * 0 * 0 25% 4 * 0 * 0 * 0 * 0
Out-of-Network 44% 9 * 0 * 0 44% 5 * 0 * 1 * 1 * 2
Inpatient Hospital
In-Network 25% 4 * 0 * 0 25% 4 * 0 * 0 * 0 * 0
Out-of-Network 46% 9 * 0 * 0 44% 5 * 0 * 1 * 1 * 2
Emergency Room
In-Network 25% 4 * 0 * 0 25% 4 * 0 * 0 * 0 * 0
Out-of-Network 40% 8 * 0 * 0 36% 5 * 0 * 0 * 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
In-Network $2,257 14 * 1 * 0 $2,467 9 * 0 * 1 * 1 * 2
Out-of-Network $4,569 13 * 1 * 0 $4,725 8 * 0 * 1 * 1 * 2
EE+Spouse
In-Network $4,745 11 * 0 * 0 $4,988 8 * 0 * 0 * 1 * 2
Out-of-Network $8,836 11 * 0 * 0 $9,388 8 * 0 * 0 * 1 * 2
EE+Child(ren)
In-Network $4,727 11 * 0 * 0 $4,963 8 * 0 * 0 * 1 * 2
Out-of-Network $8,818 11 * 0 * 0 $9,363 8 * 0 * 0 * 1 * 2
Family
In-Network $4,569 13 * 1 * 0 $5,050 8 * 0 * 1 * 1 * 2
Out-of-Network $8,785 13 * 1 * 0 $9,450 8 * 0 * 1 * 1 * 2
2017 Mini Health & Welfare Benefits SurveyHealth Reimbursement Account 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
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 7 * 0 * 0 $11 6 * 0 * 0 * 0 * 1
Brand $35 7 * 0 * 0 $35 6 * 0 * 0 * 0 * 1
Non-Formulary $67 7 * 0 * 0 $67 6 * 0 * 0 * 0 * 1
Mail Order (No Tier) * 0 * 0 * 0 * 0 * 0 * 0 * 0 * 0
Mail Order - Tier 1 $19 7 * 0 * 0 $20 5 * 0 * 1 * 0 * 1
Mail Order - Tier 2 $83 7 * 0 * 0 $88 5 * 0 * 1 * 0 * 1
Mail Order - Tier 3 $156 7 * 0 * 0 $165 5 * 0 * 1 * 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
Generic * 1 * 0 * 0 * 1 * 0 * 0 * 0 * 0
Brand * 1 * 0 * 0 * 1 * 0 * 0 * 0 * 0
Non-Formulary * 1 * 0 * 0 * 1 * 0 * 0 * 0 * 0
Mail Order (No Tier) * 2 * 0 * 0 * 1 * 0 * 0 * 0 * 1
Mail Order - Tier 1 * 1 * 0 * 0 * 1 * 0 * 0 * 0 * 0
Mail Order - Tier 2 * 1 * 0 * 0 * 1 * 0 * 0 * 0 * 0
Mail Order - Tier 3 * 2 * 0 * 0 * 1 * 0 * 0 * 0 * 1
2017 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 Manufacturing Non-Profit Service/Financial Wholesale/Distribution/Retail
30
Section 3
Supplemental Healthcare
Questions
What percent of your employees are enrolled in:
Traditional Health Plans 45%
High Deductible Health Plans 55%
Responses 226
If you contribute to the HSA or HRA, what is the annual amount contributed?
HSA HRA
Single $740 $1,470
Employee + 1 $1,260 $2,750
Employee + Child(ren) $1,260 $2,720
Family $1,340 $2,810
Responses 94 47
Yes 24%
No 76%
Responses 245
Monthly surcharge amount:
Average $160
Responses 158
What actions has your company taken in the last 12 months to curb healthcare cost increases?
None 17%
Increased Employee Co-Payment 8%
Increased Employee Contribution to Premium 43%
Increased Employee-Paid Deductible 18%
Utilization Review 19%
Claim Precertification 3%
Reduced Benefits 5%
Increased Prescription Co-Pay 8%
Increased Use of Formularies 7%
Instituted Tiered Co-Pay for Prescriptions 4%
Raised Out-of-Pocket Maximum 15%
Introduced High Deductible Plan or Other Consumer-Driven Plan 5%
Added Wellness Program 23%
Conducted Audits to Determine Dependent Eligibility 8%
Other 22%
Responses 238
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 8%
Increase Employee Contribution to Premium 29%
Increase Employee-Paid Deductible 8%
Utilization Review 23%
Claim Precertification 0%
Reduce Benefits 3%
Increase Prescription Co-Pay 6%
Increase Use of Formularies 2%
Institute Tiered Co-Pay for Prescriptions 1%
Raise Out-of-Pocket Maximum 7%
Introduce High Deductible Plan or Other Consumer-Driven Plan 5%
Add Wellness Program 17%
Conduct Audits to Determine Dependent Eligibility 9%
Other 25%
Responses 216
Offer a wellness program?
Yes 60%
No 40%
Responses 240
If Yes, what benefits do you currently offer?
Seasonal Flu Vaccinations 71%
Smoking Cessation Programs 54%
Health Fairs 28%
Fitness Center Membership Discounts/Reimbursement 38%
Biometric Screenings 61%
Weight Loss Programs 32%
Onsite Nurse 4%
Onsite Gym/Exercise Equipment 22%
Health Risk Assessments 50%
24 Hour Nurse Line 48%
CPR/First Aid Clinics 22%
Other 23%
Responses 154
Do you offer an incentive to participate in wellness
Yes 53%
No 47%
Responses 217
Are dependents eligible to participate in your Wellness Program?
Yes 42%
No 58%
Responses 195
Which dependents are eligible to participate in your Wellness Program?
Spouses 98%
Children 41%
Dependent grandchildren 5%
Other 5%
Responses 81
Percentages may exceed 100% due to multiple responses being allowed. 32