Survey: 54% of Small- to Mid-Sized Businesses Report Double-Digit Health Plan Premium Increases for 2027
eHealth published original survey research finding that 54% of small- to mid-sized businesses offering group health coverage face double-digit premium increases for 2027, with more than one in five reporting hikes of 15% or more. Cost pressure is reshaping employer behavior: 73% are considering dropping traditional group coverage next year, 85% of them citing high cost as the primary motivator, and 85% overall worry they cannot afford benefits within three years. The data supports demand for alternatives eHealth sells, with familiarity with CHOICE Arrangements (formerly ICHRA) rising to 57% from 46% a year ago and 58% of employers already pursuing alternatives to fully insured plans.
Key figures
- Survey window
- August 24-28, 2026
- Margin of error
- +/- 4%
- Survey respondents
- more than 500 owners and managers
- Choice arrangement familiarity
- 57%, up from 46% a year ago (+11 points)
- Pct surprised by size of increase
- 80%
- Pct citing cost as primary motivator
- 85%
- Pct pursuing alternative arrangements
- 58%
- Pct considering dropping group coverage
- 73%
- Pct reporting increase of 15pct or more
- over one in five employers
- Pct facing double digit premium increase
- 54%
- Pct worrying unaffordable within 3 years
- 85%
AI analysis
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AI-generated analysis of a public disclosure. Not investment advice; verify against the original document.