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Employee Benefits Survey
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Table 1. Medical care benefits: Plan type, private industry workers, 2017
(All workers participating in medical care plans = 100 percent)
Characteristics Fee-for-service plan Health maintenance organization
Total Traditional Exclusive provider organization(1) Preferred provider organization(2) Point of service plan(3) Not determinable Total Traditional Open access Not determinable

Worker characteristics

All workers

82 2 7 68 4 - 18 13 5 -

Management, professional, and related

78 - 9 61 6 - 22 16 6 -

Management, business, and financial

80 - 9 68 - - 20 15 5 -

Professional and related

76 - 9 57 9 - 24 17 7 -

Sales and office

86 - 7 74 - - 14 11 3 -

Sales and related

91 - 5 85 - - 9 7 - -

Office and administrative support

84 - 8 70 - - 16 13 - -

Natural resources, construction, and maintenance: Construction, extraction, farming, fishing, and forestry

- - - 67 - - - - - -

Production, transportation, and material moving

88 - 7 79 - - 12 8 4 -

Production

89 - 11 75 - - 11 8 - -

Transportation and material moving

87 - 3 83 - - 13 9 - -

Full time

82 2 8 68 4 - 18 13 5 -

Part time

85 - - 64 - - 15 - - -

Union

85 1 5 75 - - 15 9 - -

Nonunion

81 2 8 67 4 - 19 13 5 -

Average wage within the following categories(4):

Second 25 percent

82 2 7 69 4 - 18 12 6 -

Third 25 percent

84 1 9 70 4 - 16 12 4 -

Highest 25 percent

79 - 7 65 4 - 21 15 6 -

Highest 10 percent

79 - 9 64 4 - 21 16 5 -

Establishment characteristics

Goods-producing industries

87 - 7 75 - - 13 10 3 -

Construction

85 - - 72 - - 15 - - -

Manufacturing

87 - 8 77 - - 13 10 - -

Service-providing industries

80 - 7 65 5 - 20 14 6 -

Trade, transportation, and utilities

88 - 3 83 - - 12 8 - -

Retail trade

92 - - 86 - - 8 - - -

Transportation and warehousing

89 - - 87 - - 11 9 - -

Information

92 3 - 83 - - 8 7 - -

Financial activities

86 - 7 76 - - 14 11 3 -

Finance and insurance

91 - 7 81 - - 9 8 - -

Credit intermediation and related activities

91 - - 83 - - 9 8 - -

Insurance carriers and related activities

89 - - 76 - - 11 8 - -

Education and health services

69 - 8 41 16 - 31 22 - -

Educational services

67 - - 50 5 - 33 23 10 -

Junior colleges, colleges, and universities

69 - - 55 8 - 31 22 9 -

100 workers or more

83 - 6 69 6 - 17 11 5 -

100 to 499 workers

83 - 5 74 - - 17 12 6 -

500 workers or more

84 - 7 63 11 - 16 11 5 -

Geographic areas

Northeast

77 - 14 53 8 - 23 14 8 -

New England

70 - 19 45 - - 30 21 9 -

Middle Atlantic

80 - 13 56 10 - 20 12 8 -

South

85 - 7 71 4 - 15 8 7 -

West South Central

89 - - 73 - - 11 7 - -

Midwest

90 - 5 80 4 - 10 7 - -

East North Central

89 - 4 79 - - 11 8 - -

West

74 2 5 63 3 - 26 24 - -

Mountain

- - - 73 - - - - - -

Pacific

67 - 4 59 - - 33 30 - -

Footnotes:
(1) This type of plan obligates employees to use only the planís providers in order to receive coverage.
(2) This type of plan provides coverage through a network of participating health care providers. Enrollees may receive services outside the network, but generally at a higher cost. The additional costs may be in the form of higher deductibles, higher coinsurance rates, or both, or in the form of nondiscounted charges from providers.
(3) This type of plan provides services through a network of participating health care providers. Services received within the network or through select medical facilities generally provide more generous benefits than services received outside the network.
(4) Surveyed occupations are classified into wage categories based on the average wage for the occupation, which may include workers with earnings both above and below the threshold. The categories were formed using percentile estimates generated using data from the National Compensation Survey publication, "Employer Costs for Employee Compensation - March 2017."

Note: Because of rounding, sums of individual items may not equal totals. Dashes indicate that no data were reported or that data do not meet publication criteria. For definitions of major plans, key provisions, and related terms, see the "Glossary of Employee Benefit Terms" at www.bls.gov/ncs/ebs/glossary20162017.htm.
Source: U.S. Bureau of Labor Statistics, National Compensation Survey.

 

Last Modified Date: May 15, 2018