Product Code: GVR-4-68040-041-6
U.S. Group Health Insurance Market Growth & Trends:
The U.S. group health insurance market size is expected to reach USD 1.61 trillion by 2030, registering a CAGR of 2.2% from 2025 to 2030, according to a new report by Grand View Research, Inc. The availability of group health insurance enables the advantage for companies with an advantage in the hiring phases that aids in retaining qualified personnel, and increases engagement and productivity at work as a whole. According to statistics from the Kaiser Family Foundation's Health Insurance Coverage of the Total Population data for 2021, 48.5% of Americans rely on a group health plan chosen by their employer for insurance coverage, showcasing the high demand for group health insurance.
In 2022, the South area owned the biggest proportion of the U.S. market, followed by the Midwest region. This is due to the presence of prominent insurance plans and a sizable population with standard group health insurance. Florida State has the largest revenue share for the South in 2022, while Illinois has a sizable revenue share supporting the Midwest region. Additionally, the market is aided by the growing popularity of Preferred Provider Organization (PPO), High-Deductible Health Plans with a Savings Option (HDHP/SO) plans. According to the Employer Health Benefits 2022 Annual Survey Report from the Kaiser Family Foundation (KFF), the PPO and HDHP/SO plans accounted for 49% and 29% of covered workers' enrolment in 2022, reflecting the rising demand for these plans.
The U.S. market for group health insurance is affected to some extent by the overall consolidation of the healthcare sector. For instance, at the start of 2020, Cigna and Oscar collaborated to sell health insurance policies to small businesses. The plans use member-focused technologies from Oscar and the regional and national provider networks of Cigna. As a result, Cigna and Oscar are able to provide small group health insurance across the nation in more than a dozen of the most important areas, including Kansas City, Georgia, Connecticut, Tennessee, and Arizona.
U.S. Group Health Insurance Market Report Highlights:
- The PPO plan segment held the largest revenue share of 49.46% in 2024 and is expected to grow at the fastest CAGR over the forecast period.
- The High-Deductible Health Plans with a Savings Option (HDHP/SO) segment is expected to grow at a significant CAGR over the forecast period.
- The large firm segment held the largest revenue share of 92.92% in 2024. The small firm segment is expected to grow at a lucrative CAGR over the forecast period.
- The South region held the largest share of the U.S. market in 2024 due to the presence of noteworthy insurance plans and the substantial population covered by overall group health insurance.
- Midwest region continued to hold the second-largest share of the U.S. group health insurance market.
Table of Contents
Chapter 1. Methodology and Scope
- 1.1. Market Segmentation & Scope
- 1.1.1. Segment Definitions
- 1.2. Estimates and Forecast Timeline
- 1.3. Research Methodology
- 1.4. Information Procurement
- 1.4.1. Purchased Database
- 1.4.2. GVR's Internal Database
- 1.4.3. Secondary Sources
- 1.4.4. Primary Research
- 1.4.5. Details of Primary Research
- 1.4.6. Research Assumption
- 1.5. Information or Data Analysis
- 1.5.1. Data Analysis Models
- 1.6. Market Formulation & Data Visualization
- 1.7. Model Details
- 1.7.1. Volume Price Analysis
- 1.8. Objectives
- 1.8.1. Objective - 1
- 1.8.2. Objective - 2
- 1.8.3. Objective - 3
- 1.9. List of Secondary Sources
- 1.10. List of Abbreviations
Chapter 2. Executive Summary
- 2.1. U.S. Group Health Insurance Market
- 2.1.1. Market Snapshot
- 2.1.2. Segment Snapshot
- 2.1.2.1. Plan type segment outlook
- 2.1.2.2. Firm size segment outlook
- 2.1.2.3. Plan funding segment outlook
- 2.1.2.4. Regional segment outlook
- 2.1.3. Competitive Landscape Snapshot
Chapter 3. Market Variables, Trends, & Scope
- 3.1. Market Lineage Outlook
- 3.1.1. Parent Market Outlook
- 3.1.2. Related/Ancillary Market Outlook
- 3.2. Market Dynamics
- 3.2.1. Market Driver Analysis
- 3.2.2. Market Restraint Analysis
- 3.3. Regulatory Framework
- 3.4. Business Environment Analysis Tools
- 3.4.1. Industry Analysis - Porter's Five Forces Analysis
- 3.4.1.1. Supplier power
- 3.4.1.2. Buyer power
- 3.4.1.3. Substitution threat
- 3.4.1.4. Threat of new entrant
- 3.4.1.5. Competitive rivalry
- 3.4.2. PESTEL Analysis
- 3.4.3. Regulatory Framework
- 3.4.4. Employer-sponsored Insured Population, by state, from 2008 - 2024
Chapter 4. Plan Type Business Analysis
- 4.1. U.S. Group Health Insurance Market: Plan Type Movement Analysis
- 4.2. U.S. Group Health Insurance Market: Plan Type Segment Dashboard
- 4.3. Plan Type Movement & Market Share Analysis, 2024 & 2030
- 4.4. U.S. Group Health Insurance Market Estimates & Forecast, by Plan Type
- 4.5. Health Maintenance Organization (HMO)
- 4.5.1. Health Maintenance Organization (HMO) Market, 2018 - 2030 (USD Billion)
- 4.6. Preferred Provider Organization (PPO)
- 4.6.1. Preferred Provider Organization (PPO) Market, 2018 - 2030 (USD Billion)
- 4.7. Point of Service (POS)
- 4.7.1. Point of Service (POS) Market, 2018 - 2030 (USD Billion)
- 4.8. High-Deductible Health Plans with a Savings Option (HDHP/SO)
- 4.8.1. High-Deductible Health Plans with a Savings Option (HDHP/SO) Market, 2018 - 2030 (USD Billion)
- 4.9. Conventional (Indemnity plans)
- 4.9.1. Conventional (Indemnity plans) Market, 2018 - 2030 (USD Billion)
Chapter 5. Firm size Business Analysis
- 5.1. U.S. Group Health Insurance Market: Firm size Movement Analysis
- 5.2. U.S. Group Health Insurance Market: Firm size Segment Dashboard
- 5.3. Firm size Movement & Market Share Analysis, 2024 & 2030
- 5.4. U.S. Group Health Insurance Market Estimates & Forecast, by Firm size
- 5.5. Small Firm
- 5.5.1. Small Firm Market, 2018 - 2030 (USD Billion)
- 5.5.2. Self-Funded Plan
- 5.5.2.1. Self-Funded Plan Market, 2018 - 2030 (USD Billion)
- 5.5.3. Level-Funded Plan
- 5.5.3.1. Level-Funded Plan Market, 2018 - 2030 (USD Billion)
- 5.5.4. Fully Insured
- 5.5.4.1. Fully Insured Market, 2018 - 2030 (USD Billion)
- 5.6. Large Firm
- 5.6.1. Large Firm Market, 2018 - 2030 (USD Billion)
Chapter 6. Regional Business Analysis
- 6.1. U.S. Group Health Insurance Market: Regional Movement Analysis, 2024 & 2030
- 6.2. Key Country Dynamics
- 6.3. Competitive Scenario
- 6.4. Regulatory Framework
- 6.5. South
- 6.5.1. South U.S. Group Health Insurance Market Estimates And Forecasts, 2018 - 2030 (Billion)
- 6.5.2. Florida
- 6.5.2.1. Florida Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.5.3. Georgia
- 6.5.3.1. Georgia Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.5.4. Maryland
- 6.5.4.1. Maryland Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.5.5. North Carolina
- 6.5.5.1. North Carolina Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.5.6. Virginia
- 6.5.6.1. Virginia Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.5.7. Alabama
- 6.5.7.1. Alabama Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.5.8. Kentucky
- 6.5.8.1. Kentucky Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.5.9. Tennessee
- 6.5.9.1. Tennessee Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.5.10. Louisiana
- 6.5.10.1. Louisiana Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.5.11. Oklahoma
- 6.5.11.1. Oklahoma Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.5.12. Texas
- 6.5.12.1. Texas Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.5.13. Others (Delaware, West Virginia, Mississippi, Arkansas)
- 6.5.13.1. Others Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.6. Northeast
- 6.6.1. Northeast U.S. Group Health Insurance Market Estimates And Forecasts, 2018 - 2030 (Billion)
- 6.6.2. Connecticut
- 6.6.2.1. Connecticut Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.6.3. Massachusetts
- 6.6.3.1. Massachusetts Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.6.4. Pennsylvania
- 6.6.4.1. Pennsylvania Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.6.5. New Jersey
- 6.6.5.1. New Jersey Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.6.6. New York
- 6.6.6.1. New York Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.6.7. Others (New Hampshire, Rhode Island, Vermont, Maine)
- 6.6.7.1. Others Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.7. Midwest
- 6.7.1. Midwest U.S. Group Health Insurance Market Estimates And Forecasts, 2018 - 2030 (Billion)
- 6.7.2. Illinois
- 6.7.2.1. Illinois Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.7.3. Indiana
- 6.7.3.1. Indiana Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.7.4. Michigan
- 6.7.4.1. Michigan Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.7.5. Ohio
- 6.7.5.1. Ohio Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.7.6. Wisconsin
- 6.7.6.1. Wisconsin Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.7.7. Lowa
- 6.7.7.1. Iowa Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.7.8. Kansas
- 6.7.8.1. Kansas Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.7.9. Minnesota
- 6.7.9.1. Minnesota Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.7.10. Missouri
- 6.7.10.1. Missouri Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.7.11. Nebraska
- 6.7.11.1. Nebraska Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.7.12. Others (North Dakota, South Dakota)
- 6.7.12.1. Others Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.8. West
- 6.8.1. West U.S. Group Health Insurance Market Estimates And Forecasts, 2018 - 2030 (Billion)
- 6.8.2. Arizona
- 6.8.2.1. Arizona Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.8.3. Colorado
- 6.8.3.1. Colorado Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.8.4. Nevada
- 6.8.4.1. Nevada Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.8.5. Utah
- 6.8.5.1. Utah Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.8.6. California
- 6.8.6.1. California Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.8.7. Oregon
- 6.8.7.1. Oregon Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.8.8. Washington
- 6.8.8.1. Washington Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
- 6.8.9. Others (Idaho, Montana, New Mexico, Wyoming, Alaska, Hawaii)
- 6.8.9.1. Others Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
Chapter 7. Competitive Landscape
- 7.1. Company Categorization
- 7.2. Company Market Position Analysis
- 7.3. Estimated Company Market Share Analysis, 2024
- 7.4. Strategy Mapping
- 7.4.1. Partnership/Collaboration/Alliance
- 7.4.2. New Service Launch
- 7.4.3. Mergers & Acquisitions
- 7.4.4. Others
- 7.5. Company Profiles/Listing
- 7.5.1. Health Care Service Corporation
- 7.5.1.1. Overview
- 7.5.1.2. Financial performance
- 7.5.1.3. Service benchmarking
- 7.5.1.4. Strategic initiatives
- 7.5.2. Unitedhealth Group
- 7.5.2.1. Overview
- 7.5.2.2. Financial performance
- 7.5.2.3. Service benchmarking
- 7.5.2.4. Strategic initiatives
- 7.5.3. Kaiser Foundation Health Plan, Inc.
- 7.5.3.1. Overview
- 7.5.3.2. Financial performance
- 7.5.3.3. Service benchmarking
- 7.5.3.4. Strategic initiatives
- 7.5.4. Blue Cross Blue Shield Association
- 7.5.4.1. Overview
- 7.5.4.2. Financial performance
- 7.5.4.3. Service benchmarking
- 7.5.4.4. Strategic initiatives
- 7.5.5. Anthem, Inc. (Now Elevance Health)
- 7.5.5.1. Overview
- 7.5.5.2. Financial performance
- 7.5.5.3. Service benchmarking
- 7.5.5.4. Strategic initiatives
- 7.5.6. The IHC Group
- 7.5.6.1. Overview
- 7.5.6.2. Financial performance
- 7.5.6.3. Service benchmarking
- 7.5.6.4. Strategic initiatives
- 7.5.7. Health Partners Group Ltd
- 7.5.7.1. Overview
- 7.5.7.2. Financial performance
- 7.5.7.3. Service benchmarking
- 7.5.7.4. Strategic initiatives
- 7.5.8. Mississippi Insurance Group, LLC
- 7.5.8.1. Overview
- 7.5.8.2. Financial performance
- 7.5.8.3. Service benchmarking
- 7.5.8.4. Strategic initiatives
- 7.5.9. Providence Health Plan
- 7.5.9.1. Overview
- 7.5.9.2. Financial performance
- 7.5.9.3. Service benchmarking
- 7.5.9.4. Strategic initiatives
- 7.5.10. Harvard Pilgrim Health Care, Inc.
- 7.5.10.1. Overview
- 7.5.10.2. Financial performance
- 7.5.10.3. Service benchmarking
- 7.5.10.4. Strategic initiatives