Is most health insurance coverage in the US sponsored by employers?

Asked by: Marie Bayer  |  Last update: September 24, 2025
Score: 4.3/5 (37 votes)

Introduction. Employer-sponsored health insurance (ESI) is the primary source of health coverage in the United States, covering 178 million people, including 63 percent of working-age adults (ages 19 to 64).

What percent of Americans have employer-sponsored health insurance?

In 2023, 53.7 percent of the U.S. population had employment-based health insurance coverage.

What percentage of health care costs are paid by employers?

Employers will pay different percentages of health insurance costs depending on their plan type. But on average, you should expect to pay between 82 and 85% of health insurance costs for individual coverage and between 67 and 75% of insurance costs for family plans.

Are the majority of those who have health insurance in the US covered by employer-sponsored health insurance?

Most Americans get their health coverage from private health plans. In 2023, about 165 million individuals got their health coverage from an employer plan and 16.3 million got their coverage from plans purchased through Marketplaces established through the 2010 Patient Protection and Affordable Care Act.

Do employers provide health insurance in USA?

The US is the largest private health insurance market in the world. As there is no single nationwide system for health insurance in the US, most healthcare cover is provided via employers and, as a result, health insurance is seen as the critical employee benefit by most employees.

What experts say about who has the world's best health-care system | Opinion

33 related questions found

What percentage of insurance do employers pay?

In 2021, the average employer contribution to employee-only health insurance premiums in California was 82%, which means that, on average, employees paid 18% of the premium cost. For family/dependent coverage, the average employer contribution was 70%, and the employee contribution was 30%.

What are some disadvantages of employer-sponsored health insurance?

Overall cost

One disadvantage of group health insurance is its cost. The average price of group coverage has increased in recent years, and businesses and employees alike have seen increases in premiums and deductibles.

Why is employer-sponsored health insurance so dominant?

Employers are leading the way in the private sector to provide greater healthcare cost and quality transparency. With more cost information, employees can make better decisions on where and when to seek care. To make smart decisions, employees need the right information and decision-making tools.

What is the largest employer sponsored health program in the United States?

The Federal Employees Health Benefits (FEHB) Program is the largest employer sponsored health benefits program of its kind. Established by an Act of Congress in 1959, the FEHB Program began covering employees on July 1, 1960.

Who benefits most from employer-based health insurance in the US?

Today, employer-sponsored insurance represents the single largest source of health benefits in the United States, covering more than 70 percent of workers, 53 percent of children, and 36 percent of nonworking adults (see the exhibit below).

Why is employer health insurance so expensive?

Ultimately, health care cost growth drives premium costs. Compared to other high-income countries, the United States consistently has the highest health care costs. One of the drivers of these costs are the prices providers charge for their services.

What percentage of Americans are covered by government health insurance?

In 2023, private health insurance coverage continued to be more prevalent than public coverage, at 65.4 percent and 36.3 percent, respectively.

What is one compelling reason for enrolling in employer-sponsored health insurance?

Your employer often splits the cost of premiums with you. Your employer does all of the work choosing the plan options. Premium contributions from your employer are not subject to federal taxes, and your contributions can be made pre-tax, which lowers your taxable income.

Which person will probably have the most expensive health insurance premiums?

Explanation: The person who will probably have the most expensive health insurance premiums is C. individual insurance. Private health insurance is expensive for those with low incomes and does not work well for the elderly, whose average healthcare costs can be very high.

Who is the number 1 healthcare company in USA?

1. UnitedHealth Group (UNH) UnitedHealth Group holds its position at the forefront of the healthcare sector, pushing the boundaries of digital and personalized care.

What percentage of Americans have employer-sponsored health insurance?

Overall, 60.4% of people under age 65, or about 164.7 million people, had employment-sponsored health insurance in 2023.

What is the average percentage employers pay for health insurance?

Employers pay an average of $7,034 for health insurance for individual workers. Private industry employers typically cover 59% to 80% of healthcare premiums.

Which one is the drawback of employer-sponsored health insurance?

Job lock. The term job lock refers to the tendency of employer-sponsored health insurance to discourage people from changing jobs; from starting a business of their own; or from reducing their hours to care for family members or move gradually toward retirement.

How much is health insurance not through an employer?

A recent study by eHealth found that for the first half of the 2021 Open Enrollment Period, these were the average national monthly costs for ACA-compliant plans: Average monthly premiums for individual coverage: $484. Average monthly premiums for families: $1,230. Average annual deductibles for individuals: $4,394.

How much does the average American pay for health insurance?

The average annual health insurance premiums in 2024 are $8,951 for single coverage and $25,572 for family coverage. The average single coverage premium increased 6% in 2024 while the average family premium increased 7%. The average family premium has increased 24% since 2019 and 52% since 2014.

Can employees decline health coverage from employer?

Not Mandatory: You are not required to take your employer's health insurance if you don't want it; you can opt-out and choose another plan. Consider Coverage and Costs: Before opting out, compare your employer's plan with other options, considering both coverage and costs, including any potential tax benefits.

What is a normal deductible for health insurance?

What is a typical deductible? Deductibles can vary significantly from plan to plan. According to a KFF analysis, the 2024 average deductible for individual, employer-provided coverage was $1,787 ($2,575 at small companies vs. $1,538 at large companies).