Group Health Insurance Cost Calculator
Wondering Why Your Company’s Rates are High?
Use our Benefits Risk Calculator to estimate your group’s medical risk score, compare your current costs to a benchmark range, and uncover potential opportunities to reduce renewal pressure.
*Complete the calculator in under 60 seconds. Results are directional and intended for benchmarking only.
What This Group Health Insurance Calculator Helps You Measure
Your results reflect key cost drivers like group size, employee age, contributions, COBRA participation, industry, and state mix. This helps identify whether your benefits costs are stable or if optimization opportunities exist. For benchmarking only—not underwriting or final pricing.
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Once you generate your score, you’ll see:
- Benefits risk score
- Your current monthly PEPM
- Benchmark monthly PEPM
- Directional annual savings range
- Weighted factors contributing to the result
Use this as a starting point for a more informed conversation about plan design, contribution strategy, employee demographics, and renewal readiness.
Calculator inputs
Results
| Factor | Points | Weight | Weighted |
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Get a free custom benefits analysis
Confirm your company details and contact permission to request a custom review.
Your Free Benchmark Report
See how your current health plan compares against key cost drivers, renewal pressure, and potential savings.
Why Employers Use HRDelivered for Benefits Strategy
HRDelivered helps employers streamline benefits, payroll, HR administration, and compliance through a more connected workforce solution. That means your benefits strategy is supported by operational expertise, technology, and hands-on service—not treated as a disconnected renewal event. HRDelivered also emphasizes wellness, engagement, and employee support tools that can strengthen participation, improve communication, and support long-term cost control.
Need a Closer Look at Your Benefits Costs?
Your calculator result is only the first step. A custom benefits review can help identify which cost drivers matter most, where your current plan may be underperforming, and what options may improve stability, employee value, and renewal outcomes.
Frequently Asked Questions (FAQ)
How is the Benefits Risk Calculator score determined?
The Benefits Risk Calculator score is determined by evaluating common group health insurance cost drivers, including employee count, current premium, average employee age, employees over age 65, COBRA participation, employer contribution percentage, state mix, and industry. These factors are weighted to estimate a general group health insurance risk profile used for cost benchmarking.
Is this calculator providing an insurance quote?
No. This group health insurance calculator does not provide an insurance quote, underwriting decision, or guaranteed pricing. It is designed only to benchmark small business health insurance costs against general ranges based on common cost drivers.
What does PEPM mean in Health Insurance Costs?
PEPM stands for per employee per month. In group health insurance cost calculations, PEPM is used to compare monthly benefits spending across different employer sizes and plan designs.
What Should Employers do if Their Benefits Risk Score is Medium or High?
If your Benefits Risk Calculator score is medium or high, it typically indicates that one or more group health insurance cost drivers may be increasing renewal risk. Employers often review workforce demographics, employer contribution strategy, and plan performance to identify opportunities for improved cost stability.
Can Employee Engagement Affect Group Health Insurance Costs?
Employee engagement can influence group health insurance performance by improving plan understanding, appropriate utilization, and participation in wellness and preventive care programs. HRDelivered supports employee benefits communication and engagement strategies designed to improve overall benefits effectiveness.
Can Wellness Programs Reduce Long-Term Group Health Insurance Costs?
Wellness programs may help reduce long-term group health insurance costs by encouraging preventive care, supporting healthier behaviors, and potentially lowering future claims. Many employers include wellness initiatives as part of a broader health insurance cost management strategy.