Workers Now Pay $7,471 on Average Annually for Family Health Coverage, Up 9% or $621 from 2025, Benchmark Employer Health Benefits Survey Finds - Summary - MDSpire
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Workers’ Average Annual Contribution to Employer-Sponsored Family Health Coverage Reaches $7,471, Up 9% From 2025, Survey Finds

  • By

  • kffrainl

  • October 22, 2026

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Objective:

The article reports findings from KFF’s 2026 Employer Health Benefits Survey, including worker contributions to family premiums, total premiums, employer cost-sharing changes, deductibles, and selected benefit coverage.

Approach:
  • Survey: KFF’s 28th annual national survey included more than 1,900 employers with at least 10 workers.
  • Coverage context: Employer-sponsored insurance covers nearly 157 million Americans younger than 65.
Key Findings:
  • Workers contributed an average of $7,471 annually toward family premiums in 2026, up $621 (9%) from 2025.
  • At small firms, workers’ average annual family contribution was $9,687, $2,847 more than at large firms.
  • Average total annual family premiums, including employer contributions, reached $28,303, up $1,310 (5%) from 2025.
  • From 2021, family premiums rose 28% and worker contributions 26%; wages rose 27% and inflation 24%. From 2025, wages rose 3.7% and inflation 2.7%.
  • Among large employers, 44% increased workers’ premium contributions and 21% raised deductibles or other cost-sharing for most services.
  • For workers with an annual deductible for single coverage, the average was $1,955. It averaged $2,624 at small firms and $1,772 at large firms.
  • Among large firms, 18% covered GLP-1 drugs for weight loss. Of firms with this coverage, 27% reported a moderate effect on prescription spending and 29% a significant effect.
  • IVF coverage was offered by 27% of large firms, unchanged since 2024.
Interpretation:

KFF President and CEO Drew Altman said the 9% increase in workers’ family-premium contributions should be added to reasons voters are deeply concerned about health care costs.

Limitations:
  • The provided article context does not include the survey’s detailed methodology, response rate, or uncertainty estimates.
Conclusion:

The survey reports higher average worker contributions and total family premiums in 2026, alongside variation by employer size and changes in selected benefit costs and coverage.

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