What group health coverage actually costs

Group healthcare pricing starts with the math, so here is the math.

Most broker sites will not put a number on this page. This one does. The examples below show how premium and plan design can trade places. Your number still depends on your team, your state, available plans, and how you buy.

Illustrative plan comparison

Show pricing and you will get bookings.

Choose a coverage level to compare illustrative monthly premium ranges. Each lower figure is the supplied monthly premium for that coverage level. Deductibles and out-of-pocket maximums are annual individual amounts.

Showing illustrative monthly ranges for Employee Only.

SignaIllustrative small group

Plan A

Lowest deductible

$880 - $1,144per month

Annual deductible
$1,000
Annual out-of-pocket max
$5,000
Coinsurance
20%
Primary care copay
$20 per visit
Specialist copay
$40 per visit
SignaIllustrative small group

Plan B

Balanced

$723 - $940per month

Annual deductible
$3,500
Annual out-of-pocket max
$7,350
Coinsurance
20%
Primary care copay
$45 per visit
Specialist copay
$90 per visit
SignaIllustrative small group

Plan C

Lower premium

$589 - $766per month

Annual deductible
$7,350
Annual out-of-pocket max
$7,350
Coinsurance
0%
Primary care copay
$50 per visit
Specialist copay
$100 per visit

Illustrative group health plan comparison updated July 2026 using the supplied in-network rate card. Every upper range is 30 percent above its listed monthly premium. These are planning examples, not carrier or PEO quotes.

Every card shows a planning range, not one promised price. The lower figure comes from the supplied in-network rate card, and the upper figure is 30 percent higher. The cheapest premium is not always the cheapest plan when people use healthcare.

The complete cost

The premium is only the first number.

What coverage costs the business depends on the premium and four additional parts of the arrangement.

Employer contribution
How much of each coverage tier the business pays. A 50 percent contribution and a 75 percent contribution create different employer and employee costs.
Who enrolls
Employee-only coverage is one number. Spouse, child, and family tiers can change total monthly spend substantially.
Tax treatment
Owner tax treatment can differ, including for S corporation shareholders. Confirm the treatment with the company tax advisor before relying on a comparison.
The next renewal
The starting premium is not the full price story. Renewal terms and plan changes belong in the comparison.

What moves your number up or down.

Swipe to review every pricing factor.

Common factors that may change group healthcare pricing. The effect depends on the market and arrangement.
FactorHow it can affect the comparison
Average employee ageMay affect rates where age rating is permitted and can change the mix of available options.
State and rating areaPlan availability, rules, networks, and pricing vary by market.
Group size and participationCan change the market segment, participation requirements, and available arrangements. It does not guarantee a lower rate.
Buying routeOpen-market, level-funded, association, and PEO-sponsored arrangements price and administer coverage differently.
Contribution strategyChanges how premium is divided between the employer and employees and may affect participation.
Owner income and entity typeMay change the tax result, not the carrier sticker price. Tax advice belongs with the company tax advisor.

Four buying paths

The routes to a better-fit rate.

Small employers can compare more than one way to buy coverage. An honest review explains where each route fits instead of treating one arrangement as the default.

Swipe to compare buying routes.

Four ways a small employer may access group healthcare coverage.
RouteHow it worksWhere it may fit
Open-market small groupStandard small-group plans quoted for the employer.A baseline worth pricing when plans are available.
Level-funded planA partially self-funded arrangement with a contractual risk cap.Employers prepared to review underwriting, claims risk, fees, and contract terms.
Association or chamber planCoverage accessed through an eligible membership group.Availability and fit depend on state, industry, plan rules, and membership.
PEO-sponsored planBenefits offered inside a broader co-employment, payroll, HR, and compliance arrangement.Employers that want to compare the total PEO arrangement, not healthcare alone.

A PEO may provide access to a different benefit arrangement, but it does not guarantee lower pricing. Eligibility, underwriting, state rules, bundled fees, responsibilities, and exit terms all belong in the comparison.

Move from benchmark to review

Move from the market benchmark to your review path.

The examples answer the category question. Return to the embedded review above to continue from the benchmark to your next step.

Screen my renewal pathPREQUALIFY LINK HERE

The embedded experience is the single healthcare review path on this page.

Pricing questions owners ask

Group healthcare pricing questions, answered.

Why will nobody just tell me the price?

The honest answer is a range until workforce, location, participation, and plan design are in the math. A broker can still publish useful benchmarks and explain the factors, so an owner can decide whether a review is worth having.

Is group coverage always cheaper than individual plans?

No. Individual coverage paired with an eligible reimbursement arrangement can fit some employers. Group coverage may fit others as the workforce, contribution strategy, and coverage needs change. The useful comparison uses real options for the company, not a universal rule.

What is different for S corporation owners?

Health premium reporting and possible deduction treatment can differ for shareholders who own more than 2 percent. The plan comparison should identify the owner issue, and the company tax advisor should confirm the tax treatment.