19. 81% 82% 83%
87% 88%
94%*
98%* 98% 98%
31%
35%
38% 38% 38%
44%*
49%
55% 57%
19% 19% 19%
15%* 15% 13% 13%
16% 18%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2009 2010 2011 2012 2013 2014 2015 2016 2017
Covered Workers with an OOP Maximum OOP Maximum Above $3,000 OOP Maximum Above $6,000
Figure 18
Percentage of Covered Workers Enrolled in a Plan with an Out-of-Pocket Maximum for
Single Coverage, 2009-2017
* Estimate is statistically different from estimate for the previous year shown (p < .05).
NOTE: OOP refers to ‘out-of-pocket.’ Out-of-pocket maximums reported are for in-network services. Covered workers without an OOP
maximum are considered to be exposed to at least the specified threshold. Some of these workers may be enrolled in plans whose cost-sharing
structure has other limits that make it impossible to reach the specified threshold.
SOURCE: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2009-2017.
24. * Estimate is statistically different between All Small Firms and All Large Firms estimates (p < .05).
NOTE: 'Specific Wellness Programs' include 'Programs to Help Employees Stop Smoking', 'Programs to Help Employees Lose Weight', or 'Other
Lifestyle or Behavioral Coaching'.
SOURCE: Kaiser Family Foundation and Health Research & Educational Trust, Employer Health Benefits Survey, 2017.
Exhibit 6:
Among Firms Offering Health Benefits, Percentage of Firms Offering Various Wellness and
Health Promotion Activities and Incentives, by Firm Size, 2017
27%*
85%*
7%*
28%*
52%*
32%*
62%*
7%*
58%*
2%*
5%*
21%*
5%*
38%*
0% 20% 40% 60% 80% 100%
Incentive for Participating In
or Completing Wellness Programs
Offers Specific Wellness Programs
Incentive for Meeting
Biometric Outcomes
Incentive for Completing
Biometric Screening
Offers Biometric Screening
Incentive for Completing
Health Risk Assessment
Offers Health Risk Assessment
All Small Firms (3-199 Workers) All Large Firms (200 or More Workers)
Health Risk Assessments
Biometric Screenings
Wellness Programs
Figure 23