Medical Benefits

Employee Medical Benefits Summary New Jersey

Employee benefits such as high-quality, low-cost medical insurance are an important part of total employee compensation. Employer-sponsored healthcare covers around 300,000 individuals in New Jersey across a variety of industries, including Verizon Communications and Burlington Coat Factory Warehouse.

The Affordable Care Act (ACA) requires that you provide health benefits to your employees in New Jersey if you have more than 50 workers. We've broken down what medical benefits look like, regardless of your company size, whether you're a small employer (1-50 workers) or a large corporation (51+).

Small Employer Guide to Medical Benefits

Cost & Coverage

Among the 15,000 small employers in New Jersey representing over 62,800 employees, 66% provide access to medical benefits, while 66% of employees take advantage of the benefit. On average, if you’re a small employer in New Jersey, the employer covers 79% for single employees and 73% for families, which costs the small employer approximately $478 each month for individuals and $1273 for families. The employee also has to pay a monthly amount which totals out to $126 for a single and $464 for a family on average. A family individual component can range from $307 at the 25th percentile to $684 at the 75th percentile.

Plan Design

For small organizations, 21% select a high deductible health plan, 18% opt for an HMO, and 38% pick a PPO. Having several plan options to choose from allows for coverage alternatives that range from a restricted network with access to only specific PCPs, specialists, and hospitals to an open network with access to numerous physicians and hospitals.

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Tax Advantaged Accounts

Small business owners in New Jersey can help their staff save money and pay bills on time by offering tax-optimizing healthcare savings accounts (HSAs) or healthcare flexible spending accounts (FSAs). Both an HSA and an FSA are excellent ways for employees to manage their medical expenditures while lowering the employer's cost. Both an HSA and an FSA are fantastic methods for small businesses in New Jersey to assist their workers in managing their medical expenses in the most cost-effective way possible. 29% of employers in New Jersey offer an HSA, while 44% provide an FSA.

Dental and Vision

When looking at your comprehensive employee benefits package, dental and vision benefits are two of the most important features. Only 32% of small businesses provide vision coverage, whereas 43% of small enterprises provide dental benefits. This is significantly lower than what we observe among major employers (77% dental usage and 75% vision usage).

Large Employer Guide to Medical Benefits

Cost & Coverage

In the state of New Jersey, 6,000 large employers provide medical coverage to over 311,000 individuals, with 73% taking advantage of the benefit. Larger employers, compared to smaller ones, are generally able to provide most comprehensive medical benefits. On average, New Jersey employers cover 81% of the monthly premium for single employees and 81% of the premium for families. On the employer side, this equates to a monthly premium average of $542 per month for singles and $1572 for families. For employees, this costs an average of $123 per month for single employees and $361 for families, with costs ranging anywhere from $88 each month for a family at the 25th percentile to $176 for a family at the 75th percentile. However, if you’re lucky enough to work with a few select New Jersey large employers, 14.5% cover all medical expenses for single individuals, and 11.4% cover all expenses for families.

Plan Design & Cost

Employee demographics can influence plan designs. 43% of enrollees at New Jersey businesses are enrolled in PPO plans, 19% are in HMO plans, and 35% are in High Deductible Health Plans. The plan type influences the extent of coverage available from doctors and hospitals, as well as copays, deductibles, and other factors.

Tax Advantaged Accounts

It's critical for employers to give employees the ability to manage their medical expenses tax-advantaged. The Flexible Spending Account (FSA) and Health Savings Account (HSA) are two of the most popular methods. An HSA is offered by 49% of large New Jersey businesses, and an FSA is offered by 68%.

Dental & Vision

Larger employers offer a wider range of dental and vision plans at a higher rate than smaller ones. In New Jersey, 67% of big companies provide dental insurance and 82% utilize the benefit, whereas 48% provide vision coverage and 75% use the benefit.

Medical Benefits Considerations

Whether you're a small or large employer in New Jersey, selecting a broker to design your plan's benefits is a crucial choice. If you want a list of employers in your region that specialize in medical plans, contact us today.


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