Procurement Market Intelligence Report

Group Health Insurance
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Group Health Insurance Global Overview

Definition

Summary

This report is intended to assist buyers of group health insurance. These policies cover a portion of the healthcare costs for a group of people, such as the employees of a business or organization. Group health insurance policies are often uniform, meaning the same types of benefits are offered to all participating members of the group. Insurers offer several types of managed care programs, which can include health maintenance organizations (HMOs), preferred provider organizations (PPOs), and point of service (POS) plans.

This Report Includes:

  • Employee Health Insurance
  • Health Maintenance Organizations
  • Preferred Provider Organizations
  • Point of Service Plans

Not in this Report:

  • Life Insurance
  • Disability Insurance
  • Vision Insurance
  • Dental Insurance

Global Group Health Insurance Market - Suppliers by Region

Country/Region Number of Suppliers
#1 China 1,550
#2 United States 1,100
#3 Europe 995

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  • Canada
  • United States
  • Mexico
  • Latin America
  • South America
  • India
  • China
  • Europe
  • Africa & Middle East
  • Australi & New Zealand
  • Oceania & Southeast Asia

2

Geography Drilldown - US & Europe

Average Cost of Group Health Insurance

United States

2026 Market Pricing
$5,000.00 to $XX,XXX.XX
per employee per year

Europe

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Average Price

Prices in the Group Health Insurance market range from $5,000.00 to $XX,XXX.XX, depending on Level of Coverage, Plan Type, Number of Individuals Covered and Firm Size. For example, lower prices are associated with Minimal coverage ($5,000 to $6,000 per employee per year), whereas higher prices are associated with Comprehensive coverage ($6,000 to $12,000 per employee per year).

Need the scoop on international price trends?

Between our Europe and Canada collections, we provide price data for 350 markets so you can instantly compare prices across borders. Or, use our custom research services for intel on prices in any region across the globe.

Group Health Insurance Category Price Trends

Pricing trends are indicated by the compound annual growth rate (CAGR) during a set period of time. For the Group Health Insurance market, prices in the US have grown 6.1% from 2022 to 2025. Meanwhile, the recent three-year CAGR for Europe is +1.0%.

United States (2022-2025)

6.1%
Compound Annual Growth Rate

Europe (2022-2025)

1.0%

Compound Annual Growth Rate

Wondering where prices are heading?

Price trend forecasts are available to subscribers, along with price driver projections and forward-looking cost structure data.

Cost Analysis - Total Cost of Ownership for Group Health Insurance

Total cost of ownership is Low in the Group Health Insurance market. The average cost of ownership differs depending on the contract but generally includes costs negotiated before the contract begins, costs billed during the contract period and unforeseen costs.

Negotiated Before

Customization

Buyers may face additional costs if they customize health plans from the standard models being offered, depending on the vendor.

Billed During

Additional Fees

Policy holders will often face additional costs such as deductibles and co-payments. Additionally, some companies that provide group health insurance may choose to cover these or some of these costs as an added benefit for their employees.

Buyer Power in Procurement Negotiations

In 2026, buyer power amounts to -2.9 in the United States. Buyer power is most positively impacted by Forecast Price Trend. It is most negatively impacted by Availability of Substitutes. Subscribers can access details on eight other factors that impact buyer power. Learn more

United States

-2.9

Europe

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Buyer power forecasts: your glimpse into the future

Develop strategies for the upcoming year and identify unforeseen opportunities for buying now

  • Actionable "Buy Now" and "Buy Later" insights
  • Near-real-time updates to current and forecast Buyer Power Scores
  • Methodology and weightings for Buyer Power Score Components

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Supply Chain Risk

The average level of supply chain risk is assessed as Medium, which has a negative impact on buyer power. The level of supply chain risk is affected by industry volatility, barriers to entry, competition, import penetration, regulation and industry financial risk. Buyers in this market can mitigate procurement and supply chain management risks by monitoring risk levels for individual first and second tier suppliers:

1st

Tier Suppliers

  • Insurance & Reinsurance Carriers
  • Commercial Real Estate Lessors
  • Computer & Packaged Software Wholesalers

2nd

Tier Suppliers

  • Portfolio Management Firms
  • Commercial Bankers
  • Computer Manufacturers

Biggest Group Health Insurance Suppliers in the US by Revenue

The largest Group Health Insurance vendors by revenue in the US are Kaiser Permanente, Humana Inc. and Centene Corporation. Subscribers can sort and filter by market share concentration, profit level and other factors. Learn more

Supplier Operational Size Headquarters Number of Employees Market Share (%) Market Share Performance (3yr trend) Total Revenue ($ million) Profit Level (%) Risk Level
Unitedhealth Group Incorporated Global EDEN PRAIRIE >10,000 20-25
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Cvs Health Corporation National WOONSOCKET, RI >10,000 5-10
Anthem, Inc. National INDIANAPOLIS, IN >10,000 5-10
Humana Inc. National LOUISVILLE >10,000 5-10
Cigna Corp Global BLOOMFIELD >10,000 < 5
Centene Corporation International ST LOUIS, MO >10,000 < 5
Highmark Inc. National Pittsburgh, PA >10,000 < 5
Independence Health Group, Inc. National Philadelphia, PA 1,001-10,000 < 5
Healthcare Services Group, Inc. International BENSALEM >10,000 < 5

Looking for a list of suppliers by country?

Subscribers can access vendor information on Canadian and European suppliers, too. We also offer custom research services to help with vendor sourcing anywhere in the world.

Profit Analysis

The average profit margin across vendors in the Group Health Insurance market is 9.1% and steady. Profit levels shift depending on suppliers' spend on wages, purchases and overhead. The highest cost component for vendors is Overhead. The cost trend for this component is stagnating, when considering movement between 2025 and 2026. To understand cost forecasts for 2027 and uncover the implications on profit, start your subscription. Learn more

Vendor & Supply Chain Analysis

On average, vendor risk is considered moderate in the market, indicating that buyers may face service disruptions due to vendor complications such as financial instability.

Market share concentration in the market is moderate, indicating that some vendors control a moderate amount of market revenue; however, vendors in the market still operate competitively.

The market has a moderate level of supply chain risk, indicating that buyers may face some disruptions due to issues or fluctuations in the vendor's upstream supply chain.

Vendors in the market regularly use computers to provide services and the United States is a net importer of computers, indicating a wide availability of computers to select from at a competitive price point. While tariffs have impacted semiconductors, electronics, and computer parts, this market is not significantly impacted by these tariffs do to low frequency in purchases of these goods.

Supplier Information

Unitedhealth Group Incorporated

Unitedhealth Group Incorporated is a public company operating globally in the finance and insurance, professional, scientific and technical services and healthcare and social assistance sectors. The company's offerings include flexible spending account management services, healthcare consulting services, Subscribe to learn more

Anthem, Inc.

Elevance Health, Inc. is a health benefits company that provides network-based, managed care, and risk-based plans to individuals, groups, and Medicaid and Medicare markets. It offers fee-based customers claims processing, stop-loss insurance, provider network access, medical management, care management, Subscribe to learn more

Cvs Health Corporation

Cvs Health Corporation is a public company operating nationally in the manufacturing and finance and insurance sectors. The company's offerings include personal paper products, pharmacy benefit management services, group health insurance, disability insurance, vision insurance. Founded in 1963, the company... Subscribe to learn more

Humana Inc.

Humana Inc. is engaged in providing medical and specialty insurance products and an integrated healthcare services delivery model. It organizes its business into two reportable segments: the Insurance segment, which retails medical and supplemental benefit plans to Medicare and state-based contract beneficiaries... Subscribe to learn more

Centene Corporation

Centene Corporation is a public company operating internationally in the information and finance and insurance sectors. The company's offerings include financial analysis software, group health insurance and group dental insurance. Founded in 1984, the company is currently headquartered in ST LOUIS, Missouri,... Subscribe to learn more

Cigna Corp

Cigna Corp is a public company operating globally in the finance and insurance sector. The company's offerings include flexible spending account management services, pharmacy benefit management services, group health insurance, disability insurance, vision insurance. Founded in 1792, the company is currently... Subscribe to learn more

EmblemHealth Inc.

EmblemHealth Inc. is a private company operating nationally in the finance & insurance sector. The company's offerings include flexible spending account management services and group health insurance. Founded in 1937, the company is currently headquartered in New York City, New York, United States of America... Subscribe to learn more

Healthcare Services Group, Inc.

Healthcare Services Group, Inc. is a management, administrative, and operation services provider to the healthcare industry. It offers housekeeping services, dietary services, and administrative services, including centralized financial management and support, legal services, and human resources management.... Subscribe to learn more

Highmark Inc.

Highmark Inc. is a private company operating nationally in the finance & insurance sector. The company's offerings include group health insurance, vision insurance and group dental insurance. Founded in 1977, the company is currently headquartered in Pittsburgh, Pennsylvania, United States of America with... Subscribe to learn more

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Procurement Management KPIs for the Group Health Insurance Market

Managing vendor performance throughout the contract period is easier when tracking specific key performance indicators (KPIs). For example, buyers should monitor Average Response Time and Customer Complaints. Buyers may experience better performance throughout their contracts if they establish service level agreements (SLAs) based on Benefits and other factors.

KPI Level of Importance (1-5) Measurements Key Considerations
Average Response Time

Time to respond to buyer's contact with vendor

Time to respond to employee's contact with vendor

Buyers should assess how responsive insurance providers are to outreach from both the buyer and the employees participating in the program.

Poor response times indicate poor customer service.

Customer Complaints

Number of complaints made per month

Vendor response to complaints

Buyers should keep track of complaints made against the vendor from both employees and the buyer themselves to assess the quality of the provider.

Buyers should categorize complaints by varying severity levels, as numerous complaints that are considered severe may warrant a change in vendors.

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Questions to Ask During Procurement Negotiations

How can I gain leverage during negotiations?

Qualifications

How many policies do you manage?

How do your services compare to those of your competitors?

Vendor Financial Risk

How does your company respond to increases in the price of healthcare?

What are your credit ratings according to A.M. Best, Standard and Poor's and Moody's?

Service Performance

Do your policies comply with the requirements of the PPACA?

What prescription drugs are covered under the plan?

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Group Health Insurance RFP Guidelines

What should my RFP include?

Organizational Overview

Buyers should give an overview of their organizations, including the number of employees, location(s) and type of ownership.

Buyers should list which employees are eligible for coverage (i.e., full-time employees).

Statement Of Need

Buyers should list the minimum benefits the plan should offer to participants.

Buyers should outline other services the insurer must provide (mailing ID cards, preparing monthly claims reports, etc.).

Project Budget

Vendors should include a detailed breakdown of their premium rates, deductibles and other costs.

Buyers should outline any other costs for which insurers are responsible (e.g., mailing).

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