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Table 6. Percent of full-time employees participating in employer-sponsored medical
benefits by type of medical plan and requirement for employer contributions to cost,
small private establishments, 1996
Professional,
Type of plan and All technical, Clerical Blue-collar
contribution requiremment full-time and and sales and service
employees related employees(2) employees(3)
employees(1)
All plans(3)................ 100 100 100 100
Traditional fee-for-service
plans(4)................ 36 31 34 41
Preferred provider
organizations(5)........ 35 41 36 32
Health maintenance
organizations(6)........ 27 27 28 25
Requirement to contribute
for single coverage
None....................... 48 49 46 48
Employee contribution
required................ 52 51 54 51
Requirement to contribute
for family coverage
None....................... 24 21 20 29
Employee contribution
required................ 75 78 80 70
1 Includes clerical, administrative support, and sales occupations.
2 Includes production, craft, repair, laborer, and service occupations.
3 Includes other types, not shown separately.
4 These plans pay for specific medical procedures as expenses are incurred.
5 Groups of hospitals and physicians that contract to provide comprehensive
medical services at prearranged prices. To encourage use of organization members,
the health plan limits reimbursement rates when participants use nonmember services.
6 Includes Federally qualified and other HMOs that deliver comprehensive health
care on a prepayment rather than fee-for-service basis.
NOTE: Because of rounding, sums of individual items may not equal totals.