Group Insurance

Group insurance is a type of insurance policy that provides coverage to a group of people, typically offered through an employer or other organization. This type of insurance policy can cover a range of benefits, including health, life, disability, and dental insurance. Here are some key features of group insurance:

• Coverage for a group: Group insurance provides coverage to a group of people, usually employees of a company or members of an organization.

• Lower premiums: Because group insurance is offered to a large number of people, the cost of premiums is generally lower than what individuals would pay for the same coverage.

• Employer-sponsored: Group insurance is often sponsored by employers, who may pay some or all of the premiums as part of an employee benefit package.

• Limited flexibility: Group insurance policies typically offer a limited range of options for coverage and benefits, which may not meet the needs of every individual in the group.

• No individual underwriting: With group insurance, individuals are not required to undergo medical underwriting, meaning that pre-existing conditions are not typically taken into account when determining coverage.

For example, a large corporation may offer group health insurance to its employees as part of their benefits package. The insurance policy covers all employees who meet certain eligibility requirements, such as working a certain number of hours per week. The premiums for the policy are paid by the employer and deducted from the employees' paychecks.

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According to Mployer Insights’ 2026 analysis of 76,000+ employer benefit plans, disability insurance remains a major market differentiator, with only 41% of U.S. employers offering short-term disability (STD) and 38% offering long-term disability (LTD). While 60% salary replacement serves as the national standard across both benefit types, standard plan designs disproportionately expose higher earners due to median benefit caps of $1,602/week for STD and $8,273/month for LTD. Furthermore, alignment between STD benefit durations (median 26 weeks) and LTD elimination periods (68% at 90 days) remains a critical area for plan structure optimization.
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According to Mployer Insights’ 2026 analysis of 50,000+ employer health plans, prescription drugs account for over 25% of total benefit expenses, with Tier 4 specialty drugs driving the majority of high-cost claims. While Tier 4 copays average $123 with coinsurance requirements in 31% of plans, individual oncology therapies like Darzalex Faspro ($170,800/yr) and Keytruda ($158,200/yr) frequently exceed average individual stop-loss deductibles ($141,938). To mitigate exposure, self-funded employers are increasingly turning to independent, transparent PBM models and biosimilar substitution—which yields up to a 73% net cost reduction per patient.