Employer Health Insurance Premium by State

KFF tracks what employees actually contribute to employer health insurance per year, by state. Below are state-level single + family contributions plus the share of median household income that family coverage consumes.

Highest family premium Alaska $7,380/yr · 8.3% of median income
Lowest family premium Hawaii $4,800/yr · 4.9% of median income
States above 10% income share 5 where family coverage exceeds a 10th of household income

States ranked by annual employer family-coverage premium

#StateSingle AnnualFamily AnnualMedian IncomeFamily % of Income
1Alaska$2,184$7,380$89,3368.3%
2New Jersey$2,160$7,320$101,0507.2%
3Connecticut$2,100$7,200$93,7607.7%
4New Hampshire$2,100$7,080$95,6287.4%
5New York$2,040$6,960$84,5788.2%
6Massachusetts$2,040$6,840$101,3416.7%
7Rhode Island$2,040$6,840$86,3727.9%
8Florida$2,040$6,780$71,7119.5%
9Vermont$1,980$6,720$78,0248.6%
10Alabama$1,908$6,540$62,02710.5%
11Maine$1,920$6,480$71,7739.0%
12Georgia$1,920$6,420$74,6648.6%
13Texas$1,920$6,420$76,2928.4%
14California$1,680$6,360$96,3346.6%
15Illinois$1,872$6,300$81,7027.7%
16Pennsylvania$1,860$6,300$76,0818.3%
17Colorado$1,836$6,240$92,4706.7%
18Maryland$1,836$6,240$101,6526.1%
19Montana$1,860$6,240$69,9228.9%
20Louisiana$1,860$6,180$60,02310.3%
21Arizona$1,800$6,120$76,8728.0%
22Kansas$1,800$6,060$72,6398.3%
23Michigan$1,800$6,060$71,1498.5%
24Missouri$1,800$6,060$68,9208.8%
25North Carolina$1,800$6,060$69,9048.7%
26South Carolina$1,800$6,060$66,8189.1%
27Virginia$1,800$6,060$90,9746.7%
28Wisconsin$1,800$6,060$75,6708.0%
29Wyoming$1,800$6,060$74,8158.1%
30Delaware$1,776$6,000$82,8557.2%
31Arkansas$1,716$5,880$58,77310.0%
32Minnesota$1,740$5,880$87,5566.7%
33Nebraska$1,740$5,880$74,9857.8%
34Ohio$1,740$5,880$69,6808.4%
35South Dakota$1,740$5,880$72,4218.1%
36Washington$1,740$5,880$94,9526.2%
37West Virginia$1,740$5,880$57,91710.2%
38Kentucky$1,728$5,820$62,4179.3%
39Idaho$1,740$5,760$74,6367.7%
40Oregon$1,680$5,760$80,4267.2%
41Indiana$1,680$5,640$70,0518.1%
42Mississippi$1,680$5,640$54,91510.3%
43Nevada$1,680$5,640$75,5617.5%
44New Mexico$1,680$5,640$62,1259.1%
45North Dakota$1,680$5,640$75,9497.4%
46Oklahoma$1,680$5,640$63,6038.9%
47Tennessee$1,680$5,640$67,0978.4%
48Iowa$1,620$5,520$73,1477.5%
49Utah$1,620$5,520$91,7506.0%
50Hawaii$1,320$4,800$98,3174.9%

Method

  • Premiums = KFF Employer Health Benefits Survey state-grain single and family employee-contribution averages. Excludes deductibles, co-insurance, out-of-pocket maximums.
  • Note on self-employed. ACA marketplace plans run 1.5-3x these numbers without subsidies; with subsidies the picture varies wildly by income tier.

Sources: KFF Employer Health Benefits Survey, U.S. Census ACS.