Calculators
Group Health Insurance Cost Calculator
Calculate employer and employee costs for a group health plan by coverage tier, with cost per employee.
- Runs in your browser
- Nothing uploaded
The tool
Enter your numbers below. Results update as you type, and nothing leaves your browser.
Everything you enter stays on your own machine. Nothing is sent to us or to anyone else, which you can confirm in your browser network tab.
What people use it for
- Budgeting employee benefits
- Comparing plan renewal options
- Setting contribution strategies
- Benefits communication
About this tool
What the Group Health Insurance Cost Calculator does
Group health premiums are set by coverage tier, from employee-only to family. Employers choose how much of each tier they pay, often a higher share for employee-only cover. Multiplying enrolment by tier premiums and contribution shares gives the employer’s annual cost and each employee’s payroll deduction.
Formula
- Employer cost = Σ enrolled × premium × employer share × 12
- Employee contribution per month = premium × (1 − employer share)
Worked example
Using the starting values in the calculator above:
| Input | Value |
|---|---|
| Coverage tiers | 4 entries |
| Result | Value |
|---|---|
| Employer annual cost | $453,600 |
| Employer cost per enrolled employee | $8,400 |
| Employee contributions per year | $224,400 |
| Total annual premium | $678,000 |
How to read the result
Affordability rules, such as those under the US Affordable Care Act for larger employers, limit what employees can be charged for the cheapest employee-only plan.
Defined-contribution and ICHRA models are alternatives that cap employer cost.
Estimates for planning only. Actual premiums and benefits depend on the insurer, policy terms and underwriting.
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Questions
Questions about this tool
The things clients actually want to know — costs, timelines, ownership and what happens after launch.
Often a majority of employee-only premiums and a smaller share of family premiums.
Premium levels based on who is covered: employee only, with spouse, with children, or family.
Usually yes, through a Section 125 plan in the US.
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