U.S. Group Health Insurance (HMO, PPO, POS, HDHP/SO) Market Trends Analysis Report 2025-2030 South And Midwest Lead In Market Share, With PPO And HDHP/SO Plans Gaining Popularity

(MENAFN- GlobeNewsWire - Nasdaq) The U.S. Group Health Insurance Market, valued at USD 1.41 trillion in 2024, is projected to hit USD 1.61 trillion by 2030, growing at a 2.20% CAGR. A 2021 report shows 48.5% of Americans depend on employer-chosen group health plans, reflecting strong demand. The South and Midwest lead in market share, with PPO and HDHP/SO plans gaining popularity. This report offers in-depth market analysis, future trends, competitive landscape insights, and actionable strategies.

Dublin, July 03, 2025 (GLOBE NEWSWIRE) -- The "U.S. Group Health Insurance Market Size, Share & Trends Analysis Report by Plan Type (HMO, PPO, POS, HDHP/SO), Firm Size (Small Firm, Large Firm), Region (Northeast, Midwest) with Growth Forecasts, 2025-2030" report has been added to ResearchAndMarkets.com's offering.
The U.S. Group Health Insurance Market was valued at USD 1.41 trillion in 2024, and is projected to reach USD 1.61 trillion by 2030, rising at a CAGR of 2.20%

The availability of group health insurance enables the advantage for companies with an advantage in the hiring phases that aids in retaining qualified personnel, and increases engagement and productivity at work as a whole. According to statistics from the Kaiser Family Foundation's Health Insurance Coverage of the Total Population data for 2021, 48.5% of Americans rely on a group health plan chosen by their employer for insurance coverage, showcasing the high demand for group health insurance.

In 2022, the South area owned the biggest proportion of the U.S. market, followed by the Midwest region. This is due to the presence of prominent insurance plans and a sizable population with standard group health insurance. Florida State has the largest revenue share for the South in 2022, while Illinois has a sizable revenue share supporting the Midwest region.

Additionally, the market is aided by the growing popularity of Preferred Provider Organization (PPO), High-Deductible Health Plans with a Savings Option (HDHP/SO) plans. According to the Employer Health Benefits 2022 Annual Survey Report from the Kaiser Family Foundation (KFF), the PPO and HDHP/SO plans accounted for 49% and 29% of covered workers' enrolment in 2022, reflecting the rising demand for these plans.
The U.S. market for group health insurance is affected to some extent by the overall consolidation of the healthcare sector. For instance, at the start of 2020, Cigna and Oscar collaborated to sell health insurance policies to small businesses. The plans use member-focused technologies from Oscar and the regional and national provider networks of Cigna. As a result, Cigna and Oscar are able to provide small group health insurance across the nation in more than a dozen of the most important areas, including Kansas City, Georgia, Connecticut, Tennessee, and Arizona.
U.S. Group Health Insurance Market Report Highlights

• The PPO plan segment held the largest revenue share of 49.46% in 2024 and is expected to grow at the fastest CAGR over the forecast period.
• The High-Deductible Health Plans with a Savings Option (HDHP/SO) segment is expected to grow at a significant CAGR over the forecast period.
• The large firm segment held the largest revenue share of 92.92% in 2024. The small firm segment is expected to grow at a lucrative CAGR over the forecast period.
• The South region held the largest share of the U.S. market in 2024 due to the presence of noteworthy insurance plans and the substantial population covered by overall group health insurance.
• Midwest region continued to hold the second-largest share of the U.S. group health insurance market.

Companies Featured

• Health Care Service Corporation
• Unitedhealth Group
• Kaiser Foundation Health Plan, Inc.
• Blue Cross Blue Shield Association
• Anthem, Inc. (Now Elevance Health)
• The IHC Group
• Health Partners Group Ltd
• Mississippi Insurance Group, LLC
• Providence Health Plan
• Harvard Pilgrim Health Care, Inc.

Key Attributes:

Report Attribute	Details
No. of Pages	100
Forecast Period	2024 - 2030
Estimated Market Value (USD) in 2024	$1.41 Trillion
Forecasted Market Value (USD) by 2030	$1.61 Trillion
Compound Annual Growth Rate	2.2%
Regions Covered	United States

Key Topics Covered:
Chapter 1. Methodology and Scope
Chapter 2. Executive Summary
Chapter 3. Market Variables, Trends, & Scope
3.1. Market Lineage Outlook
3.1.1. Parent Market Outlook
3.1.2. Related/Ancillary Market Outlook
3.2. Market Dynamics
3.2.1. Market Driver Analysis
3.2.2. Market Restraint Analysis
3.3. Regulatory Framework
3.4. Business Environment Analysis Tools
3.4.1. Industry Analysis - Porter's Five Forces Analysis
3.4.1.1. Supplier power
3.4.1.2. Buyer power
3.4.1.3. Substitution threat
3.4.1.4. Threat of new entrant
3.4.1.5. Competitive rivalry
3.4.2. PESTEL Analysis
3.4.3. Regulatory Framework
3.4.4. Employer-sponsored Insured Population, by state, from 2008-2024
Chapter 4. Plan Type Business Analysis
4.1. U.S. Group Health Insurance Market: Plan Type Movement Analysis
4.2. U.S. Group Health Insurance Market: Plan Type Segment Dashboard
4.3. Plan Type Movement & Market Share Analysis, 2024 & 2030
4.4. U.S. Group Health Insurance Market Estimates & Forecast, by Plan Type
4.5. Health Maintenance Organization (HMO)
4.5.1. Health Maintenance Organization (HMO) Market, 2018-2030 (USD Billion)
4.6. Preferred Provider Organization (PPO)
4.7. Point of Service (POS)
4.8. High-Deductible Health Plans with a Savings Option (HDHP/SO)
4.9. Conventional (Indemnity plans)
Chapter 5. Firm size Business Analysis
5.1. U.S. Group Health Insurance Market: Firm size Movement Analysis
5.2. U.S. Group Health Insurance Market: Firm size Segment Dashboard
5.3. Firm size Movement & Market Share Analysis, 2024 & 2030
5.4. U.S. Group Health Insurance Market Estimates & Forecast, by Firm size
5.5. Small Firm
5.5.1. Small Firm Market, 2018-2030 (USD Billion)
5.5.2. Self-Funded Plan
5.5.3. Level-Funded Plan
5.5.4. Fully Insured
5.6. Large Firm
Chapter 6. Regional Business Analysis
6.1. U.S. Group Health Insurance Market: Regional Movement Analysis, 2024 & 2030
6.2. Key Country Dynamics
6.3. Competitive Scenario
6.4. Regulatory Framework
Chapter 7. Competitive Landscape
7.1. Company Categorization
7.2. Company Market Position Analysis
7.3. Estimated Company Market Share Analysis, 2024
7.4. Strategy Mapping
7.4.1. Partnership/Collaboration/Alliance
7.4.2. New Service Launch
7.4.3. Mergers & Acquisitions
7.4.4. Others
7.5. Company Profiles/Listing
7.5.1. Overview
7.5.2. Financial performance
7.5.3. Service benchmarking
7.5.4. Strategic initiatives
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• U.S. Group Health Insurance Market

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