1、ContentsIntroduction.Health Insurance Offerings.Health Care Spending Accounts.Employee Health Insurance Participation.Health Insurance Premiums.Voluntary Benefit Offerings and Participation.Conclusion.About Benefitfocus.Data Appendix.For more information,visithttps:/ we published our Benefitfocus St

2、ate of Employee Benefits 2021 report,we explored how an evolving multi-generational workforce and the impact of COVID-19 affected health care costs and health plan design for large employers(1,000+employees).Now,this report focuses on the trends across midsize groups(100-999 employees)within our cus

3、tomer base.So,we asked ourselves:How did midsize employers respond to the same unique set of circumstances?How did their response compare to large employers?What does that mean for employees?As with the large employer data,we aggregated,anonymized and analyzed the last four years of annual fall enro

4、llment data from midsize employer customers using our platform to answer these questions.The result is an unprecedented view of employee benefit insights and trends from both before and during a global pandemic for:Health Insurance Offerings Health Care Spending Accounts Employee Health Insurance Pa

5、rticipation Health Insurance Premiums Voluntary Benefit Offerings and Participation1 Age groups used in this report:Generation Z(born after 1997),millennials(born 1981-1996),Generation X(born 1965-1980),baby boomers(born 1946-1964),and traditionalists(born 1945 or before).2 The phrases“the last four

6、 annual enrollment periods”and“the last four years”refer to the fall of 2017 through the fall of 2020 for effective dates of 1/1/18 and 1/1/21.42021.B,Inc.All Rights Reserved.Health Insurance OfferingsSince 2018,the difference in the percentage of midsize employers only offering traditional health i