U.S. health care cost trends for companies 1999-2020

This survey represents US company's health care cost trends from 1999 to 2020. For 2020, the health costs of U.S. employers for employees after plan and contribution changes are forecasted to increase some 4.9 percent.

Health care cost trends of U.S. companies from 1999 to 2020

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Release date

April 2020


United States

Survey time period

1999 to 2020

Number of respondents

610 respondents

Special properties

U.S. employers with at least 100 employees

Supplementary notes

Respondents collectively employ over 11 million full-time employees and operate in all major industry sectors.
A company’s medical benefit expenses for insured plans include the premium paid by the company. For a self-insured plan, these expenses include all medical and drug claims paid by the plan, company contributions to medical accounts (FSA/HRA/HSA) and costs of administration minus employee premium contributions. The annual change in costs is based on costs for active employees after plan and contribution changes. Respondents are asked to report trends directly in the survey.
* Expected.
** Projected.

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