Summary of the 2023 Employer Health Benefits Annual Survey
November 26, 2023
Summary of the 2023 Employer Health Benefits Annual Survey

Each year, the Kaiser Family Foundation conducts a survey to examine employer-sponsored health benefits trends. This article summarizes the main points of the 2023 Employer Health Benefits Survey.


Health Insurance Premiums

In 2023, the average premiums for employer-sponsored health insurance were $8,435 for single coverage and $23,968 for family coverage. The average single and family premiums increased by 7% over the last year, which was faster than the previous year (2% and 1%, respectively). Premiums for 2023 were expected to increase more in recent years since many 2022 premiums were locked in months before inflation became a significant concern.


Additionally, the Kaiser report notes an increase of 5.2% in workers’ wages and inflation of 5.8%. The average premium for family coverage has risen 22% over the last five years, compared with a 27% increase in workers’ wages and 21% inflation.


Premiums under high deductible health plans with savings options (HDHP/SOs) were still lower than the average premium. HDHP/SOs’ annual premiums for single and family coverages were $7,753 and $22,344, respectively.


Conversely, on average, the premiums for workers enrolled in preferred provider organization (PPO) plans were higher than others. The average PPO premium was $8,906 for single coverage and $25,228 for family coverage in 2023.


Worker Contributions

The average worker contribution toward the premium was 17% for single coverage and 29% for family coverage in 2023, similar to 2022 percentages.


In terms of dollar amounts, workers contributed $1,401 and $6,575 toward their premiums for single coverage and family coverage in 2023, respectively. Once again, these numbers were similar to 2022 figures but greater than five years ago.


Plan Enrollment

Enrollment figures were reasonably similar to last year’s. The following were the most common plan types in 2023:


  • PPOs: 47% of workers covered
  • HDHP/SOs: 29% of workers covered
  • Health maintenance organizations (HMOs): 13% of workers covered
  • Point-of-service (POS) plans: 10% of workers covered
  • Conventional (indemnity) plans: 1% of workers covered


Self-funding

In the past few years, self-funded plans have become more popular. Many large organizations self-fund or pay for some or all health services for their workers directly from their own funds rather than purchase health insurance. In 2023, 65% of covered workers—including 18% at small firms and 83% in large firms—are enrolled in self-funded plans. The percentage of covered workers in self-funded plans in 2023 was similar to 2022.


Employee Cost Sharing

Most workers must pay a share of their health care costs, and the average deductible for single coverage was $1,735 in 2023, similar to last year’s number. The average annual deductible has increased 10% over the past five years and 53% over the past decade. The percentage of covered workers with a general deductible of $2,000 or greater for single coverage has increased by 5% over the last five years.


Beyond deductibles, most workers cover some portion of the costs of their health care services. For example, 63% of covered workers had coinsurance, and 10% had a copay for hospital admissions. The average hospital admission coinsurance rate was 20% in 2023; the average payment amount is $404.


In addition, nearly all workers are covered by a plan with an out-of-pocket maximum (OOPM), but the costs vary considerably. Among covered workers with single coverage, 13% had an OOPM of less than $2,000, and 21% had an OOPM of $6,001 or more.


Availability of Employer-sponsored Coverage

While nearly all large firms (those with 200 or more workers) offer health benefits to at least some workers, small firms (three to 199 workers) are significantly less likely to do so. In 2023, 53% of all firms offered some health benefits, which was similar to last year’s percentage (51%).


Although the vast majority of workers are employed by firms offering health benefits, many aren’t covered by their employers. Some are not eligible to enroll, while others choose not for various reasons. Overall, 79% of workers are eligible for health benefits at firms that offer coverage, and 75% of eligible workers take up the organization’s offer. That works out to be 59% of workers at firms that offer health benefits enrolling in coverage.


Among firms that offer health benefits and firms that do not, 53% of all workers were covered by health plans offered by their employer. This is similar to last year’s percentage.


Health Promotion and Wellness Programs

Many firms have programs that help workers identify health issues and manage chronic conditions. The 2023 Kaiser report highlights the following programs:


  • Health risk assessments—Among organizations offering health benefits, 36% of small firms and 54% of large firms provided workers the opportunity to complete a health risk assessment, similar to last year. Among large firms that offer a health risk assessment, 59% used incentives or penalties to encourage workers to complete the assessment, higher than the percentage (50%) in 2022.


  • Biometric screenings—Similar to last year’s trend, in 2023, workers at 15% of small firms and 42% of large firms were given the opportunity to complete a biometric screening. Among large firms with a biometric screening program, 67% use incentives or penalties to encourage workers to complete the assessment. Although this is a larger share than last year (57%), it is not significantly different.


  • Health and wellness promotion programs—Organizations offer such programs to help employees improve their lifestyles and avoid unhealthy habits. Most employers—62% of small and 80% of large—offered a program in at least one of these areas: smoking cessation, weight management, and behavioral or lifestyle coaching. These figures are similar to those of last year.


  • Disease management programs—Among organizations that offer health benefits, 36% of small firms and 64% of large firms offer disease management programs to improve employee health and reduce enrollees’ costs for certain chronic illnesses. These programs aim to educate workers about their disease and suggest treatment options.


Telemedicine

Large firms are more likely than small firms to cover telemedicine services. In 2023, 91% of large employers with 50 or more workers covered health care services through telemedicine in their largest health plan, similar to last year. While small firms are more likely than large firms to provide telemedicine services only through their health plan, large firms are more likely to provide telemedicine services through a specialized telemedicine provider.


Since the COVID-19 pandemic officially ended, medical services are now generally available in person, and many employees have partially or fully returned to their workplaces. The Kaiser report highlighted how employers with 50 or more enrollees felt about the importance of telemedicine going forward. Overall, 28% of organizations believe telemedicine will be “very important” in providing access to enrollees in the future; another 32% say it’ll be “important.” While 41% of organizations say telemedicine will be “very important” in providing access to behavioral health services in the future, an additional 30% say it will be “important.” Fewer organizations feel that primary and specialty care—27% and 16%, respectively—will be “very important” in providing health care access.


Abortion Services

The U.S. Supreme Court decision in Dobbs v. Jackson, overturning Roe v. Wade, and subsequent state activity to regulate abortion has increased interest in coverage for abortion services in employer plans. In the 2023 survey, 32% of large firms (those with 200 or more workers) offering health benefits said that legally provided abortions are covered in most or all circumstances, and 18% said legally provided abortions are only covered under limited circumstances (e.g., rape, incest, or health or life endangerment of the pregnant enrollee). The majority of employers (40%) answered “Don’t know” to the prompt, perhaps reflecting the complexity of the issue and the changing landscape of state laws.


A small percentage (7%) of large firms offering health benefits provide or plan to provide financial assistance for travel expenses for enrollees who travel out of state to obtain an abortion if they do not have access near their home.


Conclusion

As expected, the average annual premiums for both single and family coverage significantly increased in 2023 as the economy impacts health benefits. Looking ahead, inflation and wages are projected to moderate over the next two years. Employers should begin identifying tools and resources to offset higher premiums and offer robust mental health support.


For more information on benefits offerings, contact us today.

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June 5, 2026
June in Upstate New York has a way of bringing everyone outside. Graduation parties fill backyards, grills get fired up, pools open for the season, and weekends start revolving around family, friends, neighbors, and good weather. Most homeowners think about the fun parts of hosting: food, seating, parking, decorations, and whether the weather will cooperate. Insurance is usually not at the top of the checklist. But when you invite people onto your property, you also take on a certain level of responsibility for their safety. That does not mean you should be afraid to host. It simply means it is worth understanding how liability works, where common risks show up, and when it may be a good idea to review your homeowners insurance before summer gatherings begin. What does liability mean for homeowners? Liability, in the context of homeowners insurance, generally refers to your financial responsibility if someone is injured or their property is damaged and you are found legally responsible. For example, a guest could trip on uneven patio stones, fall on a wet pool deck, get bitten by a dog, or be injured during a backyard game. In some situations, the liability portion of a homeowners policy may help with expenses such as legal defense costs, settlements, or medical-related claims, depending on the details of the situation and the terms of the policy. Every policy is different, and coverage depends on the facts of the claim. Still, liability coverage is one of the most important parts of a homeowners policy, especially for people who regularly host guests. Summer gatherings can create more exposure than homeowners realize A typical backyard party may feel casual, but from an insurance perspective, there are a lot of moving pieces. Guests may be walking through your yard, driveway, garage, deck, patio, or pool area. Children may be running around. People may be using stairs, outdoor furniture, grills, fire pits, trampolines, or playsets. If alcohol is served, the level of responsibility can become even more complicated. In Upstate NY, summer entertaining often includes properties with larger yards, older homes, uneven walkways, detached garages, rural driveways, lake access, pools, docks, or recreational vehicles. These features can make a home a wonderful place to gather, but they can also create risks that should be managed thoughtfully. The key question is not, “Could something go wrong?” The better question is, “Have I taken reasonable steps to make the property safe, and do I understand what my insurance may or may not cover?” Common hosting risks to think about before guests arrive Some risks are easy to overlook because they are part of everyday life at home. A loose step you have learned to avoid may not be obvious to a first-time guest. A dog that is comfortable around your family may react differently in a crowded backyard. A pool that feels routine to you may be a major attraction for children at a party. Before hosting, it is worth walking your property the way a guest would. Look for uneven walkways, loose railings, poor lighting, wet surfaces, cluttered stairs, exposed extension cords, unstable outdoor furniture, or areas where children could wander unsupervised. If you have a pool, trampoline, fire pit, grill, pond, dock, or other attractive feature, think carefully about supervision and access. These are often the areas where accidents happen quickly. You don't need to make your home perfect. But taking a few practical steps before a party can reduce the chance of injury and help show that you took safety seriously. Alcohol adds another layer of responsibility Many graduation parties, BBQs, and summer gatherings include alcohol. For hosts, this is an area where caution matters. New York has laws that can create consequences for providing alcohol to minors. Even beyond legal concerns, alcohol can increase the chance of falls, arguments, poor decisions, or unsafe driving after a party. If alcohol will be served, hosts should think about how it will be monitored, especially at graduation parties where underage guests may be present. Keep alcohol in a controlled area, avoid self-serve access for minors, and consider having non-alcoholic options readily available. It is also wise to pay attention to guests who may need a ride or should not be driving. This is not just a legal issue. It is a safety issue, a community issue, and potentially an insurance issue. Are pools, trampolines, and backyard features covered? Many homeowners assume that if something is on their property, it is automatically covered under their policy. That is not always the case. Certain features, such as pools, trampolines, diving boards, treehouses, docks, or recreational equipment, may need to be disclosed to your insurance carrier. Some companies have specific eligibility rules, safety requirements, exclusions, or underwriting guidelines around these risks. For example, an insurer may want to know whether a pool is fenced, whether a trampoline has a safety net, or whether there are certain structures on the property. If your home has changed since your policy was written, your coverage may not reflect your current situation. This is one reason a summer insurance review can be so valuable. If you added a pool, built a deck, installed a fire pit, bought a trampoline, added a dog, or started hosting more often, it may be time to check in with your agent. Why your liability limit matters Homeowners insurance policies include liability limits. That limit is the maximum amount the policy may pay for a covered liability claim, subject to the policy terms. The challenge is that serious injuries can become expensive quickly. Medical bills, legal fees, lost wages, and settlement costs can add up, especially if an accident results in long-term injury. Many homeowners have not looked at their liability limit in years. Some may have selected a limit when they first bought the home and never revisited it. But life changes. Home values change. Assets change. Families grow. Teen drivers, pets, pools, boats, camps, and frequent entertaining can all change your overall risk picture. A higher homeowners liability limit may be available, and some households may also benefit from a personal umbrella policy. When an umbrella policy may be worth discussing A personal umbrella policy provides additional liability protection above the limits of certain underlying policies, such as homeowners, auto, or recreational vehicle insurance. It is designed for larger liability claims where the underlying policy limit may not be enough. For summer hosts, an umbrella policy can be especially worth discussing if you have a pool, own a boat or recreational vehicle, have teen drivers, entertain often, own a rental or seasonal property, or simply want additional protection for your assets. Umbrella coverage is not a replacement for a homeowners policy. It works alongside eligible underlying policies, and it has its own terms, limits, and exclusions. But for many households, it can be a practical way to strengthen their overall protection. Do renters and condo owners need to think about liability too? Yes. Liability is not just a concern for traditional homeowners. If you rent a home or apartment and host friends for a summer gathering, renters insurance may include personal liability coverage. If you own a condo or townhouse, your condo policy may include liability coverage as well. However, the details can vary, and shared spaces may introduce additional considerations. For example, if a guest is injured inside your rented apartment, on your balcony, or in an area you are responsible for maintaining, your policy may come into play. If the injury occurs in a common area, the situation may involve the landlord, property owner, HOA, or condo association. The main point is simple: if you host guests, liability coverage is worth understanding, regardless of whether you own a house. A few simple steps before your next gathering Before your next graduation party, BBQ, pool day, or backyard get-together, take a little time to prepare your property. Make sure walkways are clear, stairs are well lit, railings are secure, and outdoor areas are free of obvious hazards. Keep pets separated if they may become overwhelmed. Supervise pools and play areas. Be thoughtful about alcohol, especially when minors are present. Check that grills, fire pits, and extension cords are placed safely. It is also smart to review your homeowners, renters, or condo insurance before hosting season gets into full swing. Ask about your liability limit, medical payments coverage, any exclusions that may apply, and whether an umbrella policy makes sense for your household. Hosting should feel enjoyable, not stressful Summer gatherings are part of what makes this season special in Upstate NY. Whether you are celebrating a graduate, inviting neighbors over for a cookout, or opening the pool for the first time, a little preparation can go a long way. Insurance may not be the most exciting part of party planning, but it can be one of the most important. Understanding your liability coverage helps you host with more confidence, protect your guests, and avoid surprises if something unexpected happens. Before the guests arrive, take a few minutes to look around your property and review your coverage. It is a small step that can make a big difference. If you are unsure whether your current policy fits your summer plans, our Personal Insurance Team at Simco Insurance & Wealth Management can help you review your options and understand what coverage may make sense for you and your family.
May 15, 2026
For many employers, managing a 401(k) plan has become more time-consuming than expected. What should feel like a straightforward administrative process often turns into ongoing coordination between payroll systems, retirement providers, HR teams, and compliance partners. The challenge usually is not the retirement plan itself. More often, the friction comes from the systems and processes supporting it. Manual uploads, delayed updates, repeated reconciliation work, and disconnected data flows can quietly create extra administrative burden over time. Because these issues develop gradually, many organizations begin treating them as “just part of the process.” But they do not have to be. As retirement administration continues to evolve, employers are taking a closer look at the operational side of their plans and asking whether their current processes are truly efficient, scalable, and aligned. Here are five questions worth asking about your organization’s 401(k) administration process. 1. Are We Still Manually Uploading Payroll Files? One of the most common inefficiencies in retirement administration is still surprisingly widespread: manually extracting payroll data and uploading files from one system to another every pay period. While this process may seem manageable, it creates unnecessary administrative work and introduces opportunities for error. Payroll teams often spend time formatting files, validating contribution data, and confirming whether updates were successfully processed. Over time, those extra steps add up. Modern payroll integrations can automate much of this process by securely transferring contribution, eligibility, and employee census data directly between systems. That reduces repetitive manual work while helping ensure retirement information stays current and accurate. If your team still relies heavily on manual uploads each pay cycle, it may be worth evaluating whether your current process is creating more administrative lift than necessary. 2. How Many Systems Need to Be Checked to Confirm an Update Went Through? This is where many employers begin to feel the operational strain of disconnected systems. An employee updates their deferral amount. A payroll change is processed. A loan repayment adjustment is made. Then someone has to verify whether the update actually flowed correctly between platforms. In environments where systems are not fully connected, HR and payroll teams often become the “checkpoint” between vendors, manually confirming updates and troubleshooting discrepancies after the fact. This is also where the difference between one-way and two-way integrations becomes important. A one-way, or 180° integration, typically sends payroll information outward to the retirement provider but does not automatically sync updates back into the payroll or HCM system . A two-way, or 360° integration, allows updates to move between systems automatically, helping reduce duplicate work and missed changes. The less time teams spend double-checking systems, the more time they can spend supporting employees and broader business priorities. 3. Could We Easily Pull Accurate Data for Compliance Testing and Reporting? Retirement plans operate within a highly regulated environment, and compliance depends heavily on accurate, timely data. Annual testing and reporting often require employers to provide detailed information including compensation data, contribution amounts, hire dates, demographic information, eligibility records, and more. For organizations using disconnected systems, collecting that information can become a time-intensive process. Missing fields, outdated data, or formatting inconsistencies often lead to repeated file requests and last-minute corrections during annual testing periods. This creates stress not only for HR and payroll teams, but also for plan administrators, TPAs, and recordkeepers responsible for maintaining compliance standards. Integrated payroll and retirement systems help streamline this process by automatically capturing and syncing data throughout the year, improving visibility and reducing the need for manual data gathering when reporting deadlines approach. 4. How Much Time Is HR Spending Fixing Preventable Errors? Many retirement administration issues do not start as major problems. More often, they begin as small discrepancies that require manual follow-up, whether it is a contribution that does not align with payroll data, an incorrect eligibility date, a delayed deferral update, or an incomplete census file. On their own, these issues may seem relatively minor. Over time, however, they create a significant amount of reactive work for HR and payroll teams that are left validating information, correcting inconsistencies, and coordinating between systems and providers. What makes this especially frustrating is that many of these issues are preventable. They are often the result of disconnected systems, delayed synchronization, or processes that rely too heavily on manual intervention. When teams spend large portions of their time validating data, reconciling discrepancies, and coordinating between providers, it becomes harder to focus on strategic priorities like employee engagement, workforce planning, and benefits strategy. Reducing friction behind the scenes can have a meaningful impact on both operational efficiency and the employee experience. 5. Is Our Current Process Built to Scale as We Grow? Processes that work for a smaller workforce can quickly become difficult to manage as an organization grows. More employees mean more payroll activity, more contribution data, more eligibility tracking, and more opportunities for inconsistencies across systems. Without connected infrastructure, administrative complexity tends to grow alongside headcount. That is why many employers are reevaluating whether their current retirement administration processes are sustainable long term. The goal is not simply to “manage” the workload, but to create systems that scale efficiently without increasing manual effort at the same pace. Connected payroll, HR, and retirement systems can help organizations reduce administrative burden, improve accuracy, and create a more streamlined experience for both employers and employees. A More Connected Approach to Retirement Administration A well-run 401(k) plan should not require constant oversight to function smoothly. When payroll, HR, and retirement administration systems work together, organizations gain better visibility into data, fewer manual touchpoints, improved reporting efficiency, and greater confidence in their processes overall. At Simco , we help employers simplify workforce management by aligning payroll, HR, benefits, and retirement administration through more connected systems and support models. For organizations evaluating their current retirement administration process, sometimes the most valuable first step is simply asking the right questions. Looking Ahead Retirement administration will likely continue becoming more data-driven, integrated, and compliance-focused in the years ahead. Employers that take time now to evaluate how information flows between payroll, HR, and retirement systems will be better positioned to reduce operational friction, support employees more effectively, and scale with greater confidence over time.
April 27, 2026
Living in the Finger Lakes, especially throughout Canandaigua and Ontario County, offers a quality of life that is hard to match. The lakes, the landscape, and the changing seasons are part of what makes this area special. Those same characteristics, however, also create very specific risks to your home and property. Many of these risks are not fully understood until a loss occurs. This overview is meant to help bring clarity before that happens. Heavy Rain and Flooding: A Common Misunderstanding Spring in our region often brings a combination of heavy rainfall and saturated ground, sometimes alongside lingering snowmelt. When the ground can no longer absorb water, it finds its way into basements and lower levels. What many homeowners do not realize: • Standard homeowners insurance does not cover flood damage • Sewer or drain backup coverage is not automatically included • Even minor water intrusion can result in significant repair costs Flooding remains one of the most common and misunderstood gaps in coverage. Summer Storms and Wind Damage Severe weather events have become more frequent and more intense in recent years. Across the Finger Lakes, we regularly see: • Trees falling onto homes or structures • Roof and siding damage from high winds • Power surges impacting appliances and electronics While many of these losses are typically covered, there are important considerations: • Tree removal coverage is often limited • Poorly maintained trees can create complications in claims • Deductibles may be higher than expected, especially for wind-related losses Tornado Activity in Upstate New York Tornadoes are not something most people associate with our region, but they do happen in upstate New York. They are often smaller in scale, but still strong enough to damage roofs, garages, sheds, outbuildings, and surrounding property. In many cases, tornado-related damage is covered under a standard homeowners policy. The bigger concern is whether homeowners have reviewed their limits, deductibles, and property details before a loss occurs. Hail Damage: Often Overlooked Hail damage does not always present itself immediately. Over time, it can: • Compromise roofing materials • Reduce the lifespan of your roof • Lead to leaks or structural issues later on An important detail many homeowners are unaware of: some policies now settle roof claims based on actual cash value rather than full replacement cost, which can significantly reduce claim payouts. Lakefront and Hillside Exposures The natural features that define the Finger Lakes also introduce unique risks: • Shoreline erosion • Slope instability • Ground shifting following heavy rain It is important to understand: • Land itself is not insurable • Earth movement, including landslides, is typically excluded These are among the most significant uncovered exposures in our area. Lightning and Power Surges A single storm can damage electronics, appliances, and home office equipment. While coverage may apply, it is often subject to policy limits, deductibles, and specific conditions. If you work from home or rely on expensive electronics, it is worth reviewing how your policy handles power surge damage before you need to file a claim. What Homeowners Often Learn Too Late After working through claims with families across the region, a consistent pattern emerges: “I thought that was covered.” “No one explained that to me.” “I wish I had reviewed this sooner.” Insurance is not just about having a policy in place. It is about understanding how that policy responds in real-world situations. A Local Approach to Reviewing Your Coverage As part of the Finger Lakes community, we believe homeowners should have a clear understanding of their coverage before they need to rely on it. We offer straightforward, no-pressure coverage reviews that include: • A clear explanation of your current policy • Identification of potential gaps based on local risks • Honest answers to your questions • Guidance on whether any adjustments make sense for your situation Looking Ahead Seasonal weather in the Finger Lakes is predictable in one sense: it will come. The better question is whether your coverage reflects the realities of where you live. Taking the time to review now can help ensure you are prepared when it matters most.

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