Economic News Release

Table 8. Average plan limits for full-time employees participating in medical plans other than health maintenance organizations




Table 8.  Average plan limits for full-time employees participating in medical plans other
than health maintenance organizations, small private establishments, 1996
                                                                                          
                                                                                          
                                                 Professional,                            
                                        All        technical,     Clerical    Blue-collar 
          Average Limit              full-time        and        and sales    and service 
                                     employees      related     employees(2)  employees(3)
                                                  employees(1)                            
                                                                                                                                                                                    
                                                                                          
Annual deductible(4)                                                                      
  Individual......................      $306          $318          $298          $304    
  Family..........................       744           782           717           746    
                                                                                          
Annual out-of-pocket expense                                                              
   maximum(5) ($ in thousands)                                                            
  Individual...................... 	 1.5           1.7           1.6           1.4          
  Family.......................... 	 3.2           3.5           3.4           3.0          
                                                                                          
Lifetime Maximum(6) ($ in                                                                 
   millions)...................... 	 1.4           1.6           1.4           1.2          

  1 Includes professional, technical, executive, and administrative occupations.
  2 Includes clerical, administrative support, and sales occupations.
  3 Includes production, craft, repair, laborer, and service occupations.
  4 Amount of covered expenses that an individual or family must pay before any changes
are paid by the plan.  Further deductibles for specific medical services are excluded.
  5 Amount of covered expenses that an individual or family must pay, exclusive of
deductibles, before the plan pays 100 percent of additional expenses.  Expenses for
certain medical services, such as mental health care, may not be subject to this limit.
  6 Total amount of covered expenses the plan will pay for each individual.  When the
amount varied for employees and dependants, the employee amount was used.

  NOTE: Average limits are calculated only for participants in plans that specify the
limit(s).

Recommend this page using: