In 2003, premiums for job-based health benefits rose by 13.9%. This is the third consecutive year of double-digit premium increases, and a higher rate of growth than any year since 1990. Premium increases in 2003 exceeded the overall rate of inflation by nearly 12 percent age points.

The cost of coverage for a family of four is now nearly $9,100 per year. HMO coverage remains the lowest cost health plan option. Premiums for insured Plans rose at a higher rate than premium equivalents for self-funded plans, an indication that insurers may be putting more emphasis on profitability in setting premiums.