Employer survey shows continued growth in self-funding, Health Savings Accounts

Pennsylvania’s employers continue to favor self-funded insurance plans and more employers than ever are offering their employees Health Savings Accounts to pay for qualified medical expenses, according to a recent survey. Conrad Siegel, recently released its annual Medical and Prescription Drug Survey. The survey was conducted late last year and was answered by 104 organizations, 82% of which were from the midstate.

While the survey’s results pre-date the COVID-19 pandemic, Rob Glus, a partner and consulting actuary at Conrad Siegel, says he has yet to see businesses change their health plans as a result of the pandemic.


  • Possibly the biggest change from Conrad Siegel’s last survey was a jump in the number of employers who said they offered HSAs to their employees, which increased from 32% to 45%.
  • Last year’s survey showed a large jump in the number of employers who shifted from fully-insured arrangements to self-funding — 49% to 58%. This year, that number plateaued at 57%
  • The survey also showed that more than half of companies do not offer coverage to spouses who have access to insurance through their employer, and 41% have some form of spousal coverage provisions. If the employee’s spouse still chooses to be covered under spouse’s plan, the average surcharge was $2,551 a year.


Read the full story: CPBJ