Where workers pay the most, least for employer-sponsored health insurance

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Workers in 19 states spend 10% or more of their median household income on health insurance premiums and deductibles for family coverage through their employer, according to an analysis published Feb. 11 by the Commonwealth Fund.

The analysis used federal data on private-sector employer-sponsored insurance to measure the combined cost of employee premium contributions and deductibles as a share of state median household income. Southern states dominated the high end of the spectrum, with Louisiana topping the list at 15.6%. Workers in Washington, D.C. paid the least at 5.7%.

States ranked by share of median household income spent on employer-sponsored health insurance:

Louisiana: 15.6%
Florida: 13.7%
Mississippi: 13.7%
North Carolina: 13.7%
Nevada: 12.7%
West Virginia: 12.5%
Arkansas: 12.1%
Oklahoma: 12.1%
New Mexico: 11.9%
Alabama: 11.7%
Tennessee: 11.3%
Georgia: 11.2%
California: 11.1%
South Carolina: 11.1%
Kentucky: 11.0%
Texas: 10.9%
Montana: 10.5%
Arizona: 10.3%
Wyoming: 10.2%
Kansas: 9.9%
Delaware: 9.8%
Maine: 9.7%
Michigan: 9.7%
South Dakota: 9.7%
Missouri: 9.6%
Alaska: 9.5%
Idaho: 9.5%
Vermont: 9.4%
Indiana: 9.3%
Hawaii: 9.2%
Pennsylvania: 9.2%
Colorado: 9.1%
Rhode Island: 9.1%
Illinois: 8.8%
Iowa: 8.8%
Minnesota: 8.8%
Wisconsin: 8.8%
New York: 8.7%
Ohio: 8.7%
Nebraska: 8.5%
North Dakota: 8.2%
Virginia: 8.1%
Washington: 8.0%
Utah: 7.9%
Connecticut: 7.8%
Oregon: 7.7%
Massachusetts: 7.5%
New Jersey: 7.5%
Maryland: 7.3%
New Hampshire: 6.9%
District of Columbia: 5.7%

At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory changes, cost management strategies and innovations shaping the future of payer-provider collaboration. Apply for complimentary registration now.

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