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Group Health Insurance in the US Procurement Price, Data and Insights
This report is intended to assist buyers of group health insurance. These policies cover a portion of the healthcare costs for a group of people, such as the employees of a business or organization. Group health insurance policies are often uniform, meaning the same types of benefits are offered to all participating members of the group. Insurers offer several types of managed care programs, which can include health maintenance organizations (HMOs), preferred provider organizations (PPOs), and point of service (POS) plans.
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What’s included in this market coverage
IBISWorld's research coverage on the Group Health Insurance procurement and pricing environment in the United States includes market dynamics, buyer power scores, supply chain vendors with pricing trends and forecasts.
About this Market
What’s this procurement report about?
This procurement coverage of the Group Health Insurance market in the United States includes Employee Health Insurance, Health Maintenance Organizations, Preferred Provider Organizations and High Deductible Health Plan. Standard coding in this coverage includes ISIC-6512-Non-life insurance, NACE-65.12-Non-Life Insurance, NAICS-524114-Direct Health and Medical Insurance Carriers and UNSPSC-84131602-Health or hospitalization insurance.
What common market terminology is included?
Common market terminology included in the Group Health Insurance procurement coverage includes Coinsurance (The percentage of costs shared between the covered individual and their insurer. A plan with 20.0% coinsurance means the individual pays 20.0% of their healthcare costs and the insurer pays the remaining 80.0%.), Co-payment (The payment participants must make for each visit to a healthcare provider. The co-payment typically ranges from $20.00 to $60.00 per visit and is higher for specialists than for general practitioners.), Deductible (The amount a plan participant must pay before their insurer will begin covering their costs. If a plan has a $1,000 deductible, the plan participant must pay 100.0% of their first $1,000 of healthcare costs; after that amount has been paid, their benefits will take effect.), Medical Loss Ratio (MLR) (The proportion of an insurer's revenue that must go toward paying benefits as mandated by law.) and Underwriting (The process by which insurers evaluate the potential risk of clients. Underwriting is used to determine how much insurers should charge for insurance because riskier clients come with higher costs and therefore pay a higher premium.).
What companies are included as top suppliers?
The top companies covered in the Group Health Insurance procurement report as suppliers are Independence Health Group, Inc., Highmark Inc., Emblemhealth Inc., Kaiser Permanente and Humana Inc..
Opportunity Assessment
What’s included in the Opportunity Assessment chapter?
The Opportunity Assessment chapter provides a comprehensive market analysis of the Group Health Insurance market in the United States category, including buyer power scoring, market pricing trends, vendor landscape, cost structure, and strategic negotiation levers.
The market pricing trends include the Market Price (2026) per employee per year, a five year price forecast and a supply chain risk score. Vendor coverage includes a market share and cost structure breakdown.
Analysis includes a comprehensive SWOT analysis of and recent developments impacting the Group Health Insurance market environment.
Buyer Power Score
What’s included in the Buyer Power Score chapter?
The Buyer Power Score chapter assesses key components impacting Group Health Insurance procurement including the recent price trend, forecast price trend, availability of substitutes, switching costs, product specialization, average vendor risk, market share concentration, supply chain risk, price driver volatility and recent price volatility.
These components generate a Buyer Power Score that ranges from -5 (strongly favoring sellers) to +5 (strongly favoring buyers) plus a recommended strategy for procurement specialists.
Price Environment
What’s included in the Price Environment chapter?
The Price Environment chapter covers detailed pricing analysis and datasets on Group Health Insurance market environment. This includes insights into market pricing Market Price (2026), price forecasts, volatility, specialization, substitutes and switching costs.
Datasets in the Price Environment chapter include vendor cost structure, breakdowns of wage rates by geography and specialty, key external economic and labor drivers impacting the market and market pricing models.
Supply Chain & Vendors
What’s included in the Supply Chain & Vendors chapter?
The Supply Chain & Vendors chapter covers the concentration, risk and diversity of the Group Health Insurance market. This includes datasets on the market’s top suppliers, detailed analysis on the key sourcing risks and supply chain dynamics, with environmental, social and governance (ESG) considerations and scores.
Business Requirements
What’s included in the Business Requirements chapter?
The Business Requirements chapter covers vendor relationships, qualifications, service level agreements and key performance indicators. These inputs provide insight into the planning process through the buying lead time, vendor relationship and vendor qualifications. The sourcing process include key RFP elements like an organizational overview, project budget, selection criteria, project schedule, proposal format, inventory control, cost containment, regulation, quality control, distribution and key contract clauses.
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Frequently Asked Questions
What is the current market price for Group Health Insurance?
The 2026 benchmark market price for Group Health Insurance is $8550 per employee per year. Prices have increased at a CAGR of 6.69 from 2023-26.
Who are the top vendors in the Group Health Insurance market?
The top vendors in the Group Health Insurance market include Independence Health Group, Inc., Highmark Inc., Emblemhealth Inc., Kaiser Permanente and Humana Inc..
What industries supply the Group Health Insurance market?
The top industries supplying the Group Health Insurance market are Commercial Real Estate in the US, Commercial Banking in the US, Computer & Packaged Software Wholesaling in the US, Computer Manufacturing in the US, Reinsurance Carriers in the US and Portfolio Management & Investment Advice in the US.
What is the supply chain risk for Group Health Insurance?
Moderate vendor and supply chain risk necessitates balanced risk management strategies. With both vendor risk and supply chain risk at medium levels, buyers must prepare for potential but not frequent disruptions stemming from supplier financial instability or upstream challenges. To mitigate these risks, buyers should diversify their supplier base, monitor vendor performance, and ensure backup options are in place. Proactive contract management and contingency planning are essential to minimize operational interruptions, maintain consistent service delivery, and protect against volatility without over-investing in unnecessary risk controls.
What factors affect the price of Group Health Insurance?
Firm size affects group health insurance pricing primarily through economies of scale and risk pooling. Larger firms can negotiate lower premium rates due to their ability to spread risk over a larger pool of employees, while smaller firms may face higher rates because of a limited risk pool and potentially higher claims costs per capita.
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