2016 Employer Health Benefits Survey
Section One: Cost of Health Insurance
- View Exhibits
- Exhibit 1.1: Average Monthly and Annual Premiums for Covered Workers, Single and Family Coverage, by Plan Type, 2016
- Exhibit 1.2: Average Monthly and Annual Premiums for Covered Workers, by Plan Type and Firm Size, 2016
- Exhibit 1.3: Average Monthly and Annual Premiums for Covered Workers, by Plan Type and Region, 2016
- Exhibit 1.4: Average Monthly and Annual Premiums for Covered Workers, by Plan Type and Industry, 2016
- Exhibit 1.5: Average Annual Premiums for Covered Workers with Single Coverage, by Firm Characteristics and Firm Size, 2016
- Exhibit 1.6: Average Annual Premiums for Covered Workers with Family Coverage, by Firm Characteristics and Firm Size, 2016
- Exhibit 1.7: Distribution of Annual Premiums for Single and Family Coverage Relative to the Average Annual Single or Family Premium, 2016
- Exhibit 1.8: Distribution of Premiums for Single and Family Coverage Relative to the Average Annual Single or Family Premium, 2016
- Exhibit 1.9: Distribution of Annual Premiums for Covered Workers with Single Coverage, 2016
- Exhibit 1.10: Distribution of Annual Premiums for Covered Workers with Family Coverage, 2016
- Exhibit 1.11: Average Annual Premiums for Single and Family Coverage, 1999-2016
- Exhibit 1.12: Average Annual Premiums for Covered Workers with Family Coverage, by Firm Size, 1999-2016
- Exhibit 1.13: Average Annual Premiums for Covered Workers with Family Coverage, by Firm Size, 1999-2016
- Exhibit 1.14: Average Annual Premiums for Covered Workers with Single Coverage, by Firm Wage Level, 1999-2016
- Exhibit 1.15: Average Annual Premiums for Covered Workers with Family Coverage, by Firm Wage Level, 1999-2016
- Exhibit 1.16: Total Premium Increases for Covered Workers with Family Coverage, 2001-2016
- Exhibit 1.17: Among Workers in Large Firms (200 or More Workers), Average Annual Health Insurance Premiums for Family Coverage, by Funding Arrangement, 1999-2016
Section Two: Health Benefits Offer Rates
- View Exhibits
- Exhibit 2.1: Percentage of Firms Offering Health Benefits, 1999-2016
- Exhibit 2.2: Percentage of Firms Offering Health Benefits, by Firm Size, 1999-2016
- Exhibit 2.3: Percentage of Firms Offering Health Benefits, by Firm Size, Region, and Industry, 2016
- Exhibit 2.4: Percentage of Firms Offering Health Benefits to At Least Some of Their Workers, by Firm Size, 2016
- Exhibit 2.5: Percentage of Firms Offering Health Benefits, by Firm Size, 1999-2016
- Exhibit 2.6: Among Firms Offering Health Benefits, Percentage That Offer Health Benefits to Part-Time Workers, by Firm Size, 1999-2016
- Exhibit 2.7: Among Firms Offering Health Benefits, Percentage of Firms That Offer to Part-Time Workers, by Firm Size, 2016
- Exhibit 2.8: Among Firms Offering Health Benefits, Percentage of Firms That Offer to Temporary Workers, by Firm Size, 1999-2016
- Exhibit 2.9: Among Firms Offering Health Benefits, Percentage of Firms That Offer to Part-Time Workers, by Firm Size, 1999-2016
- Exhibit 2.10: Among Firms Offering Health Benefits, Percentage of Firms That Offer to Temporary Workers, by Firm Size, 1999-2016
- Exhibit 2.11: Among Firms Offering Health Benefits, Percentage of Firms That Offer to Spouses, Dependents and Partners, 2016
- Exhibit 2.12: Among Firms Offering Benefits, Percentage of Firms That Offer to Same-Sex and Opposite-Sex Domestic Partners, By Firm Size, Region and Industry, 2016
- Exhibit 2.13: Among Firms Offering Health Benefits, Percentage of Firms That Offer to Unmarried Same-Sex and Opposite-Sex Domestic Partners, by Firm Size, 2008-2016
- Exhibit 2.14: Among Firms Offering Health Benefits to Spouses, Firm’s Approach to Spousal Coverage, by Firm Size, 2016
- Exhibit 2.15: Among Firms Offering Health Benefits to Spouses, Percentage of Firms That Have Made a Significant Reduction in the Amount They Contribute to Cover an Employee's Spouse in the Last Year, by Firm Size, Region, and Industry, 2016
- Exhibit 2.16: Among Firms Offering Benefits, Percentage of Firms That Provide Additional Incentives to Employees for Various Enrollment Decisions, by Firm Size, 2016
- Exhibit 2.17: Among Small Firms Not Offering Health Benefits, Most Important Reason for Not Offering, 2016
- Exhibit 2.18: Among Small Firms (3-199 Workers) Not Offering Health Benefits, Percentage of Firms That Report the Following Actions, 2009-2016
- Exhibit 2.19: Among Small Firms Not Offering Health Benefits, Percentage of Firms That Provide Employees Funds to Purchase Non-Group Insurance, by Firm Size, 2012-2016
- Exhibit 2.20: Among Firms With 3-50 Full-Time Equivalents (FTEs) Not Offering and Offering Health Benefits, Percentage of Firms That Looked at Coverage Through a SHOP Exchange, by Firm Size, 2016
- Exhibit 2.21: Among Firms With 3-50 Full-Time Equivalents (FTEs) Not Offering Health Benefits Who Looked at Coverage Through a SHOP Exchange, Reasons Why They Did Not Purchase a Plan, 2016
- Exhibit 2.22: Among Firms With 3-50 Full-Time Equivalents (FTEs) Offering Health Benefits Who Looked at Coverage Through a SHOP Exchange, Reasons Why They Did Not Purchase a Plan, 2016
Section Three: Employee Coverage, Eligibility, and Participation
- View Exhibits
- Exhibit 3.1: Percentage of All Workers Covered by Their Employers’ Health Benefits, in Firms Both Offering and Not Offering Health Benefits, by Firm Size, 1999-2016
- Exhibit 3.2: Eligibility, Take-Up Rate, and Coverage in Firms Offering Health Benefits, by Firm Size, Region, and Industry, 2016
- Exhibit 3.3: Among Workers in Firms Offering Health Benefits, Percentage of Workers Eligible for Health Benefits Offered by Their Firm, by Firm Characteristics, 2016
- Exhibit 3.4: Among Workers in Firms Offering Health Benefits, Percentage of Eligible Workers Who Take Up Health Benefits Offered by Their Firm, by Firm Characteristics, 2016
- Exhibit 3.5: Among Workers in Firms Offering Health Benefits, Percentage of Workers Covered by Health Benefits Offered by Their Firm, by Firm Characteristics, 2016
- Exhibit 3.6: Eligibility, Take-Up Rate, and Coverage for Workers in Firms Offering Health Benefits, by Firm Size, 1999-2016
- Exhibit 3.7: Percentage of Covered Workers in Firms with a Waiting Period for Coverage and Average Waiting Period in Months, by Firm Size, Region, and Industry, 2016
- Exhibit 3.8: Distribution of Covered Workers with the Following Waiting Periods for Coverage, 2016
- Exhibit 3.9: Percentage of Covered Workers in Firms with a Waiting Period for Coverage and Average Waiting Period in Months, by Firm Size, 2002-2016
Section Four: Types of Plans Offered
- View Exhibits
- Exhibit 4.1: Among Firms Offering Health Benefits, Percentage of Firms That Offer One, Two, or Three or More Plan Types, by Firm Size, 2016
- Exhibit 4.2: Percentage of Covered Workers in Firms Offering One, Two, or Three or More Plan Types, by Firm Size, 2016
- Exhibit 4.3: Among Firms Offering Health Benefits, Percentage of Firms That Offer the Following Plan Types, by Firm Size, 2016
- Exhibit 4.4: Among Firms Offering Health Benefits, Percentage of Covered Workers in Firms That Offer the Following Plan Types, by Firm Size, 2016
- Exhibit 4.5: Among Firms Offering Only One Type of Health Plan, Percentage of Covered Workers in Firms That Offer the Following Plan Type, by Firm Size, 2016
Section Five: Market Shares of Health Plans
- View Exhibits
- Exhibit 5.1: Distribution of Health Plan Enrollment for Covered Workers, by Plan Type, 1988-2016
- Exhibit 5.2: Distribution of Health Plan Enrollment for Covered Workers, by Plan Type and Firm Size, 2016
- Exhibit 5.3: Distribution of Health Plan Enrollment for Covered Workers, by Firm Size, Region, and Industry, 2016
Section Six: Worker and Employer Contributions for Premiums
- View Exhibits
- Exhibit 6.1: Average Percentage of Premium Paid by Covered Workers for Single and Family Coverage, 1999-2016
- Exhibit 6.2: Average Monthly Worker Premium Contributions Paid by Covered Workers for Single and Family Coverage, 1999-2016
- Exhibit 6.3: Average Annual Worker and Employer Contributions to Premiums and Total Premiums for Single Coverage, 1999-2016
- Exhibit 6.4: Average Annual Worker and Employer Contributions to Premiums and Total Premiums for Family Coverage, 1999-2016
- Exhibit 6.5: Average Annual Firm and Worker Premium Contributions and Total Premiums for Covered Workers for Single and Family Coverage, by Plan Type, 2016
- Exhibit 6.6: Average Annual Firm and Worker Premium Contributions and Total Premiums for Covered Workers for Single and Family Coverage, by Firm Size, 2016
- Exhibit 6.7: Average Annual Firm and Worker Premium Contributions and Total Premiums for Covered Workers for Single and Family Coverage, by Firm Wage Level, 2016
- Exhibit 6.8: Average Annual Worker Premium Contributions Paid by Covered Workers for Single Coverage, by Firm Size, 1999-2016
- Exhibit 6.9: Average Annual Worker Premium Contributions Paid by Covered Workers for Family Coverage, by Firm Size, 1999-2016
- Exhibit 6.10: Average Annual Worker Premium Contributions Paid by Covered Workers for Single and Family Coverage, by Firm Size, 1999-2016
- Exhibit 6.11: Average Annual Firm and Worker Premium Contributions and Total Premiums for Covered Workers for Single Coverage, by Plan Type and Firm Size, 2016
- Exhibit 6.12: Average Annual Firm and Worker Premium Contributions and Total Premiums for Covered Workers for Family Coverage, by Plan Type and Firm Size, 2016
- Exhibit 6.13: Average Monthly and Annual Worker Premium Contributions Paid by Covered Workers for Single and Family Coverage, by Plan Type and Firm Size, 2016
- Exhibit 6.14: Average Monthly and Annual Worker Premium Contributions Paid by Covered Workers for Single and Family Coverage, by Plan Type and Region, 2016
- Exhibit 6.15: Average Annual Premium Contribution Paid by Covered Workers for Single and Family Coverage, by Firm Characteristics, 2016
- Exhibit 6.16: Distribution of Worker Premium Contributions for Single and Family Coverage Relative to the Average Annual Worker Premium Contribution, 2016
- Exhibit 6.17: Distribution of Percentage of Premium Paid by Covered Workers for Single and Family Coverage, 2002-2016.
- Exhibit 6.18: Distribution of Percentage of Premium Paid by Covered Workers for Single Coverage, by Firm Size, 2002-2016
- Exhibit 6.19: Distribution of Percentage of Premium Paid by Covered Workers for Family Coverage, by Firm Size, 2002-2016
- Exhibit 6.20: Distribution of the Percentage of Total Premium Paid by Covered Workers for Single and Family Coverage, by Firm Wage Level, 2016
- Exhibit 6.21: Average Percentage of Premium Paid by Covered Workers for Single Coverage, by Firm Characteristics and Size, 2016
- Exhibit 6.22: Average Percentage of Premium Paid by Covered Workers for Family Coverage, by Firm Characteristics and Size, 2016
- Exhibit 6.23: Average Percentage of Premium Paid by Covered Workers for Single and Family Coverage, by Plan Type and Firm Size, 2016
- Exhibit 6.24: Average Percentage of Premium Paid by Covered Workers for Single and Family Coverage, by Plan Type and Region, 2016
- Exhibit 6.25: Average Percentage of Premium Paid by Covered Workers, by Plan Type and Industry, 2016
- Exhibit 6.26: Among Firms Offering Family Coverage, Percentage of Firms Using Various Approaches to Family Premium Contributions, by Firm Size, 2016
- Exhibit 6.27: Average Annual Worker Contributions for Covered Workers with Family Coverage, by Firm Wage Level, 1999-2016
- Exhibit 6.28: Among Firms Offering Health Benefits, Percentage of Firms That Require Employees Who Use Tobacco to Contribute More to the Premium or Cost-Sharing, by Firm Size and Region, 2016
Section Seven: Employee Cost Sharing
- View Exhibits
- Exhibit 7.1: Percentage of Covered Workers with No General Annual Health Plan Deductible for Single and Family Coverage, by Plan Type and Firm Size, 2016
- Exhibit 7.2: Percentage of Covered Workers in a Plan that Includes a General Annual Deductible for Single Coverage, By Firm Size, 2006-2016
- Exhibit 7.3: Percentage of Covered Workers in a Plan that Includes a General Annual Deductible and Average Deductible for Single Coverage, By Firm Characteristics, 2016
- Exhibit 7.4: Among Covered Workers with No General Annual Health Plan Deductible for Single and Family Coverage, Percentage of Workers Who Have the Following Types of Cost Sharing, by Plan Type, 2016
- Exhibit 7.5: Among Covered Workers with a General Annual Health Plan Deductible for Single Coverage, Average Deductible, by Plan Type and Firm Size, 2016
- Exhibit 7.6: Among Covered Workers with a General Annual Health Plan Deductible for Single Coverage, Average Deductible, by Plan Type and Region, 2016
- Exhibit 7.7: Among Covered Workers with a General Annual Health Plan Deductible for Single Coverage, Average Deductible, by Plan Type, 2006-2016
- Exhibit 7.8: Percentage of Covered Workers Enrolled in a Plan with a High General Annual Deductible for Single Coverage, By Firm Size, 2016
- Exhibit 7.9: Prevalence and Value of Average General Annual Deductible for Single Coverage by Firm Size, 2006-2016
- Exhibit 7.10: Percentage of Covered Workers Enrolled in a Plan with a General Annual Deductible of $1,000 or More for Single Coverage, By Firm Size, 2009-2016
- Exhibit 7.11: Percentage of Covered Workers Enrolled in a Plan with a General Annual Deductible of $1,000 or More for Single Coverage After Any HRA/HSA Contributions, by Firm Size, 2009-2016
- Exhibit 7.12: Percentage of Covered Workers Enrolled in a Plan with a General Annual Deductible of $2,000 or More for Single Coverage, By Firm Size, 2009-2016
- Exhibit 7.13: Percentage of Covered Workers Enrolled in a Plan with a General Annual Deductible of $2,000 or More for Single Coverage After Any HRA/HSA Contributions, by Firm Size, 2009-2016
- Exhibit 7.14: Among Covered Workers Enrolled in an HDHP/SO, Average General Annual Deductibles for Single Coverage After Any HRA/HSA Contributions, by Firm Size, 2016
- Exhibit 7.15: Distribution of General Annual Deductibles for Single Coverage After any HRA/HSA Contributions, By Firm Size, 2007- 2016
- Exhibit 7.16: Among Covered Workers with a General Annual Health Plan Deductible for Single PPO Coverage, Distribution of Deductibles, 2006-2016
- Exhibit 7.17: Among Covered Workers with a General Annual Health Plan Deductible for Single POS Coverage, Distribution of Deductibles, 2006-2016
- Exhibit 7.18: Distribution of Type of General Annual Deductible for Covered Workers with Family Coverage, by Plan Type and Firm Size, 2016
- Exhibit 7.19: Among Covered Workers with a General Annual Health Plan Deductible, Average Deductibles for Family Coverage, by Deductible Type, Plan Type, and Firm Size, 2016
- Exhibit 7.20: Among Covered Workers with an Aggregate General Annual Health Plan Deductible for Family Coverage, Average Deductibles, by Plan Type, 2006-2016
- Exhibit 7.21: Among Covered Workers with a Separate Per Person General Annual Health Plan Deductible for Family Coverage, Distribution of Deductibles, by Plan Type, 2016
- Exhibit 7.22: Among Covered Workers with an Aggregate General Annual Health Plan Deductible for Family Coverage, Distribution of Deductibles, By Plan Type, 2016
- Exhibit 7.23: Among Covered Workers with a Separate Per Person General Annual Health Plan Deductible for Family Coverage, Structure of Deductible Limits, By Plan Type, 2016
- Exhibit 7.24: Among Covered Workers with a Separate Per Person General Annual Health Plan Deductible for Family Coverage and a Per Person Limit, Distribution of Maximum Number of Family Members Required to Meet the Deductible, by Plan Type, 2016
- Exhibit 7.25: Among Covered Workers with an Aggregate General Annual Health Plan Deductible for Family Coverage, Distribution of Aggregate Deductibles, by Plan Type, 2006-2016
- Exhibit 7.26: Among Covered Workers with a General Annual Health Plan Deductible, Percentage with Coverage for the Following Services Without Having to First Meet the Deductible, by Plan Type, 2016
- Exhibit 7.27: Distribution of Covered Workers with Separate Cost Sharing for a Hospital Admission in Addition to Any General Annual Deductible, by Plan Type, 2016
- Exhibit 7.28: Distribution of Covered Workers with Separate Cost Sharing for an Outpatient Surgery Episode in Addition to Any General Annual Deductible, by Plan Type, 2016
- Exhibit 7.29: Among Covered Workers with Separate Cost Sharing for a Hospital Admission or Outpatient Surgery Episode in Addition to Any General Annual Deductible, Average Cost Sharing, by Plan Type, 2016
- Exhibit 7.30: In Addition to Any General Annual Plan Deductible, Percentage of Covered Workers with the Following Types of Cost Sharing for Physician Office Visits, by Plan Type, 2016
- Exhibit 7.31: Among Covered Workers with Copayments and/or Coinsurance for In-Network Physician Office Visits, Average Copayments and Coinsurance, by Plan Type, 2016
- Exhibit 7.32: Among Covered Workers with Copayments for a Primary Care Physician Office Visit, Distribution of Copayments, by Plan Type, 2016
- Exhibit 7.33: Among Covered Workers with Copayments for a Specialist Physician Office Visit, Distribution of Copayments, by Plan Type, 2016
- Exhibit 7.34: Among Covered Workers with Copayments for a Primary Care Physician Office Visit, Distribution of Copayments, 2006-2016
- Exhibit 7.35: Among Covered Workers with Copayments for a Specialist Physician Office Visit, Distribution of Copayments, 2006-2016
- Exhibit 7.36: Among Covered Workers with an Out-of-Pocket Maximum for Single Coverage, Distribution of Out-of-Pocket Maximums, by Plan Type, 2016
- Exhibit 7.37: Among Covered Workers with an Out-of-Pocket Maximum for Single Coverage, Percentage of Workers Whose Plan Has Any Cost Sharing for In-Network Covered Benefits That Do Not Count Toward the Out-of-Pocket Maximum, by Firm Size and Plan Type, 2016
Section Eight: High-Deductible Health Plans with Savings Option
- View Exhibits
- Exhibit 8.1: Among Firms Offering Health Benefits, Percentage that Offer an HDHP/HRA and/or an HSA-Qualified HDHP, 2005-2016
- Exhibit 8.2: Among Firms Offering Health Benefits, Percentage of Firms that Offer an HDHP/SO, by Firm Size, 2016
- Exhibit 8.3: Among Firms Offering Health Benefits, Percentage of Firms that Offer an HDHP/SO, by Firm Size, 2005-2016
- Exhibit 8.4: Percentage of Covered Workers Enrolled in an HDHP/SO, by Firm Size, 2006-2016
- Exhibit 8.5: Percentage of Covered Workers Enrolled in an HDHP/HRA or HSA-Qualified HDHP, 2006-2016
- Exhibit 8.6: Percentage of Covered Workers Enrolled in an HDHP/HRA or HSA-Qualified HDHP, by Firm Size, 2016
- Exhibit 8.7: HDHP/HRA and HSA-Qualified HDHP Features for Covered Workers, 2016
- Exhibit 8.8: Average Annual Premiums and Contributions to Savings Accounts for Covered Workers in HDHP/HRAs or HSA-Qualified HDHPs, Compared to All Non-HDHP/SO Plans, 2016
- Exhibit 8.9: Distribution of Covered Workers with the Following General Annual Deductible Amounts for Single Coverage, HSA-Qualified HDHPs and HDHP/HRAs, 2016
- Exhibit 8.10: Among Covered Workers, Distribution of Type of General Annual Deductible for Family Coverage, HDHP/HRAs and HSA-Qualified HDHPs, 2016
- Exhibit 8.11: Distribution of Covered Workers with the Following Aggregate Family Deductible Amounts, HDHP/HRAs and HSA-Qualified HDHPs, 2016
- Exhibit 8.12: General Annual Deductible for Workers with Single Coverage in an HDHP/SO Plan After Any Employer Account Contributions, by Firm Size, 2007-2016
- Exhibit 8.13: Percentage of Covered Workers with Coverage for the Following Services Without Having to First Meet the Deductible, HDHP/HRAs, by Firm Size, 2016
- Exhibit 8.14: Distribution of Covered Workers with the Following Annual Employer Contributions to Their HRA or HSA, for Single Coverage, 2016
- Exhibit 8.15: Distribution of Covered Workers with the Following Annual Employer Contributions to Their HRA or HSA, for Family Coverage, 2016
- Exhibit 8.16: Distribution of Firm Contributions to the HRA for Single and Family Coverage Relative to the Average Annual Firm Contribution to the HRA, 2016
- Exhibit 8.17: Distribution of Firm Contributions to the HSA for Single and Family Coverage Relative to the Average Annual Firm Contribution to the HSA, 2016
- Exhibit 8.18: Among Firms Offering Family Coverage and an HSA-Qualified HDHP, Percentage of Firms that Vary Their HSA Contribution on Anything Other Than Number of Dependents, by Firm Size, 2016
- Exhibit 8.19: Distribution of Covered Workers in HDHP/HRAs and HSA-Qualified HDHPs with the Following Types of Cost Sharing in Addition to the General Annual Deductible, 2016
- Exhibit 8.20: Average Annual Premiums for Covered Workers with Single Coverage, by Plan Type, 2007-2016
- Exhibit 8.21: Average Annual Premiums for Covered Workers with Family Coverage, by Plan Type, 2007-2016
Section Nine: Prescription Drug Benefits
- View Exhibits
- Exhibit 9.1: Distribution of Covered Workers Facing Different Cost-Sharing Formulas for Prescription Drug Benefits, 2000-2016
- Exhibit 9.2: Distribution of Covered Workers at Large Firms Facing Different Cost-Sharing Formulas for Prescription Drug Benefits, by Plan Type, 2016
- Exhibit 9.3: Among Workers with Three, Four, or More Tiers of Cost Sharing, Distribution of Covered Workers with the Following Types of Cost Sharing for Prescription Drugs, by Drug Tier and Plan Type, 2016
- Exhibit 9.4: Among Covered Workers with Three, Four, or More Tiers of Prescription Cost Sharing, Average Copayments and Average Coinsurance, 2000-2016
- Exhibit 9.5: Among Covered Workers with Three, Four, or More Tiers of Prescription Cost Sharing, Distribution of Covered Workers with the Following Types of Cost Sharing for Prescription Drugs, by Largest Plan Type, 2016
- Exhibit 9.6: Among Covered Workers with Two Tiers of Cost Sharing for Prescription Drugs, Distribution of Covered Workers with the Following Types of Cost Sharing for Prescription Drugs, by Drug Tier and Firm Size, 2016
- Exhibit 9.7: Among Covered Workers with Two Tiers of Prescription Drug Cost Sharing, Average Copayments and Average Coinsurance, by Drug Type, 2000-2016
- Exhibit 9.8: Among Covered Workers with the Same Cost Sharing Regardless of Drug Type, Distribution of Covered Workers with the Following Types of Cost Sharing for Prescription Drugs, by Firm Size, 2016
- Exhibit 9.9: Among Covered Workers with the Same Cost Sharing Regardless of Type of Drug, Average Copayments and Average Coinsurance, 2000-2016
- Exhibit 9.10: Among Covered Workers with Cost-Sharing for Prescription Drug Coverage, Percentage of Covered Workers Enrolled in a Plan Where the Firm's Prescription Drug Benefits Cover Only Generic Drugs, by Drug Tier, 2016
- Exhibit 9.11: Among Covered Workers with a Separate Tier for Generic Drugs, Average Copay and Coinsurance, by Firm Size, 2016
- Exhibit 9.12: Distribution of Coinsurance Structures for Covered Workers Facing a Coinsurance for Prescription Drugs, by Drug Tier, 2016
- Exhibit 9.13: Percentage of Covered Workers at Large Firms Whose Plan with the Largest Enrollment Includes Coverage for Specialty Drugs, by Firm Size, Region, and Industry, 2016
- Exhibit 9.14: Among Large Firms Whose Prescription Drug Coverage Includes Specialty Drugs, Percentage of Covered Workers Enrolled in a Plan That Has a Separate Tier for Specialty Drugs, by Firm Size, 2016
- Exhibit 9.15: Among Covered Workers at Large Firms Enrolled in a Plan with a Separate Tier for Specialty Drugs, Distribution of Covered Workers with the Following Types of Cost Sharing, by Firm Size, 2016
- Exhibit 9.16: Among Covered Workers at Large Firms Enrolled in a Plan with a Specific Tier for Specialty Drugs, Average Copayments and Average Coinsurance, by Firm Size, 2016
- Exhibit 9.17: Among Large Firms Whose Plan with the Largest Enrollment Covers Specialty Drugs, Percentage of Firms That Use the Following Strategies to Contain Specialty Drug Costs, 2016
Section Ten: Plan Funding
- View Exhibits
- Exhibit 10.1: Percentage of Covered Workers in Partially or Completely Self-Funded Plans, by Firm Size, 1999-2016
- Exhibit 10.2: Percentage of Covered Workers in Partially or Completely Self-Funded Plans, by Firm Size, 1999-2016
- Exhibit 10.3: Percentage of Covered Workers in Partially or Completely Self-Funded Plans, by Plan Type, 1999-2016
- Exhibit 10.4: Percentage of Covered Workers in Partially or Completely Self-Funded Plans, by Firm Size, Region, and Industry, 2016
- Exhibit 10.5: Percentage of Covered Workers in Partially or Completely Self-Funded Plans, by Plan Type and Firm Size, 2016
- Exhibit 10.6: Percentage of Covered Workers in Partially or Completely Self-Funded HMO Plans, by Firm Size, 1999-2016
- Exhibit 10.7: Percentage of Covered Workers in Partially or Completely Self-Funded PPO Plans, by Firm Size, 1999-2016
- Exhibit 10.8: Percentage of Covered Workers in Partially or Completely Self-Funded POS Plans, by Firm Size, 1999-2016
- Exhibit 10.9: Percentage of Covered Workers in Partially or Completely Self-Funded HDHP/SOs, by Firm Size, 2006-2016
- Exhibit 10.10: Percentage of Covered Workers Enrolled in a Partially or Completely Self-Funded Plan Covered by Stoploss Insurance, by Firm Size, Region, and Industry, 2016
- Exhibit 10.11: Prevalence and Average Attachment Points of Stoploss Insurance, by Firm Size and Region, 2016
- Exhibit 10.12: Percentage of Covered Workers Enrolled in Partially or Completely Self-Insured Plans that Purchase Different Types of Stoploss Insurance, by Firm Size, 2016
- Exhibit 10.13: Percentage of Covered Workers Enrolled in a Partially or Completely Self-Funded Plan Covered by Stop Loss Insurance, by Firm Size, 2011-2016
- Exhibit 10.14: Among Firms that Purchase Insurance Underwritten by an Insurer, The Percentage of Firms which plan to Self-Insure because of Any Provision of the Affordable Care Act, by Firm Size and Region, 2016
Section Eleven: Retiree Health Benefits
- View Exhibits
- Exhibit 11.1: Among Large Firms Offering Health Benefits to Active Workers, Percentage of Firms Offering Retiree Health Benefits, 1991-2016
- Exhibit 11.2: Among Large Firms Offering Health Benefits to Active Workers, Percentage of Firms Offering Retiree Health Benefits, by Firm Size, Region, and Industry, 2016
- Exhibit 11.3: Among Large Firms Offering Health Benefits to Active Workers, Percentage of Firms Offering Retiree Health Benefits, by Firm Characteristics, 2016
- Exhibit 11.4: Among Large Firms Offering Health Benefits to Active Workers and Offering Retiree Coverage, Percentage of Firms Offering Health Benefits to Early and Medicare-Age Retirees, 2000–2016
- Exhibit 11.5: Among Large Firms Offering Health Benefits to Active Workers and Offering Retiree Coverage, Percentage of Firms Offering Retiree Health Benefits to Early and Medicare-Age Retirees, by Firm Size and Region, 2016
- Exhibit 11.6: Among Large Firms Offering Health Benefits to Active Workers and Retirees, Percentage of Firms Who Offer Retiree Coverage Through a Private Exchange, by Firm Size and Region, 2016
- Exhibit 11.7: Among Large Firms Offering Health Benefits to Active Workers and Retirees, Percentage of Firms that Offer Retiree Coverage through a Private Exchange, by Firm Size, 2014-2016
- Exhibit 11.8: Among Large Firms Offering Health Benefits to Active Workers and Retirees, Percentage of Firms Considering Changing the Way They Offer Retiree Coverage Because of Healthcare Exchanges Established Under the ACA, by Firm Size and Region, 2016
- Exhibit 11.9: Among Large Firms Offering Health Benefits to Active Workers and Retirees, Percentage of Firms Considering Changing the Way They Offer Retiree Coverage Because of Healthcare Exchanges Established under the ACA, by Firm Size, 2014-2016
Section Twelve: Health Risk Assessment, Biometrics Screening and Wellness Programs
- View Exhibits
- Exhibit 12.1: Among Firms Offering Health Benefits, Percentage of Firms that Offer Employees an Opportunity to Complete a Health Risk Assessment, by Firm Size, 2016
- Exhibit 12.2: Among Firms Offering Health Benefits, Percentage of Firms that Offer Employees an Opportunity to Complete a Health Risk Assessment, by Firm Size, 2009-2016Among Firms Offering Health Benefits, Percentage of Firms that Offer Employees an Opportunity to Complete a Health Risk Assessment, by Firm Size, 2009-2016
- Exhibit 12.3: In Large Firms Offering Health Benefits and Either Offering Employees an Opportunity to Complete a Health Risk Assessment, Percentage of Employees Who Complete the Assessment, by Firm Size, 2016
- Exhibit 12.4: Among Large Firms Offering Health Benefits and Offering Employees an Opportunity to Complete a Health Risk Assessment, Percentage of Firms that Offer Employees Incentives to Complete the Assessment, by Firm Size, 2016
- Exhibit 12.5: Among Large Firms Offering Employees an Incentive to Complete a Health Risk Assessment, Percentage of Firms Using Different Types of Incentives, by Firm Size, 2016
- Exhibit 12.6: Among Large Firms Offering Family Coverage and Offering Employees an Incentive to Complete a Health Risk Assessment, Percentage of Firms Where Dependents and/or Spouses are Eligible for the Incentives, 2016
- Exhibit 12.7: Among Firms Offering Health Benefits, Percentage of Firms that Offer Employees an Opportunity to Complete a Biometric Screening, by Firm Size, 2016
- Exhibit 12.8: Among Firms Offering Health Benefits, Percentage of Firms that Offer Employees an Opportunity to Complete a Biometric Screening, by Firm Size, 2012-2016
- Exhibit 12.9: Among Large Firms Offering Health Benefits, Percentage of Firms That Offer Employees the Opportunity to Complete Either a Health Risk Assessment or a Biometric Screening, by Region and Industry, 2016
- Exhibit 12.10: Among Large Firms Offering Health Benefits and Offering Employees an Opportunity to Complete a Biometric Screening, Percentage of Firms that Offer Employees Incentives Related to Biometric Screening, by Firm Size, 2016
- Exhibit 12.11: Among Large Firms Offering Employees an Incentive to Complete a Biometric Screening, Percentage of Firms Using Different Types of Incentives, by Firm Size, 2016
- Exhibit 12.12: Among Large Firms Offering Family Coverage and Offering Employees an Incentive to Complete a Biometric Screening, Percentage of Firms in which Dependents and/or Spouses are Eligible for the Incentives, 2016
- Exhibit 12.13: Among Large Firms that Offer Employees an Incentive Based on Whether They Achieve Biometric Outcomes, Maximum Financial Reward an Employee Can Receive for Achieving Outcomes, 2016
- Exhibit 12.14: Among Firms Offering Health Benefits, Percentage of Firms Offering a Specific Wellness Program to Their Employees, by Firm Size, Region, and Industry, 2016
- Exhibit 12.15: Among Firms Offering Health Benefits, Percentage of Firms Offering a Specific Wellness Program to Their Employees, by Firm Size, 2016
- Exhibit 12.16: Among Firms Offering Specific Wellness Programs, Percentage of Firms that Offer Employees Incentives to Participate in or Complete Wellness Programs, by Firm Size, 2016
- Exhibit 12.17: Among Large Firms Offering Employees an Incentive to Participate in or Complete Wellness Programs, Percentage of Firms Using Different Types of Incentives, by Firm Size, 2016
- Exhibit 12.18: Among Large Firms that Offer Employees an Incentive to Participate in or Complete Any Health Promotion Programs, Maximum Annual Value of the Incentive for All Programs Combined, 2016
- Exhibit 12.19: Among Large Firms that Offer Employees an Incentive to Participate in or Complete Any Health Promotion Programs, Firms’ Opinions on How Effective Incentives are for Employee Participation, by Firm Size, 2016
- Exhibit 12.20: Among Large Firms Offering Health Benefits, Percentage of Firms Offering Incentives for Various Health and Wellness Promotion Activities, by Firm Size, 2016
- Exhibit 12.21: Among Firms Offering Health Benefits, Percentage of Firms Whose Wellness Program Collects Information from Employees' Mobile Apps or Wearable Technologies‡, by Firm Size, 2016
Section Thirteen: Grandfathered Health Plans
- View Exhibits
- Exhibit 13.1: Percentage of Firms with at Least One Plan Grandfathered Under the Affordable Care Act (ACA), by Size and Region, 2016
- Exhibit 13.2: Percentage of Covered Workers Enrolled in Plans Grandfathered Under the Affordable Care Act (ACA), by Size, Region, and Industry, 2016
- Exhibit 13.3: Percentage of Covered Workers Enrolled in Plans Grandfathered Under the Affordable Care Act (ACA), by Firm Size, 2011- 2016
- Exhibit 13.4: Percentage of Covered Workers Enrolled in Plans Grandfathered Under the Affordable Care Act (ACA), by Firm Size, 2011-2016
Section Fourteen: Employer Opinions and Health Plan Practices
- View Exhibits
- Exhibit 14.1: Percentage of Firms Offering Health Benefits that Shopped for a New Plan or Health Insurance Carrier in the Past Year, by Firm Size, 2016
- Exhibit 14.2: Among Firms Offering Health Benefits That Shopped for a New Plan or Insurance Carrier, Percentage of Firms that Changed Insurance Carriers in the Past Year, by Firm Size, 2016
- Exhibit 14.3: Among Firms Offering Health Benefits, Percentage of Firms Who Offer a Narrow Network Plan or Have Eliminated a Hospital or Health System, by Firm Size, 2016
- Exhibit 14.4: Among Firms with 50 or More Employees Offering Health Benefits, Percentage of Firms Who Offer a Narrow Network Plan or Have Eliminated a Hospital or Health System, by Firm Size, 2014-2016
- Exhibit 14.5: Among Firms Offering Health Benefits, Percentage of Firms Whose Largest Plan Includes a High-Performance or Tiered Provider Network by Firm Size, 2016
- Exhibit 14.6: Among Firms Offering Health Benefits, Percentage of Firms Whose Largest Plan Includes a High-Performance or Tiered Provider Network, by Firm Size, 2007-2016
- Exhibit 14.7: Among Large Firms Offering Health Benefits, Percentage of Firms Whose Plan with the Largest Enrollment Covers Telemedicine, by Firm Size, 2016
- Exhibit 14.8: Among Large Firms Whose Plan with the Largest Enrollment Includes Coverage for Telemedicine, Percentage Whose Telemedicine Coverage Includes Various Features, 2016
- Exhibit 14.9: Among Firms Offering Health Benefits, Percentage of Firms Whose Plan with the Largest Enrollment Covers Care at Retail Clinics, by Firm Size, 2016
- Exhibit 14.10: Among Firms Offering Health Benefits, Percentage of Firms Whose Plan with the Largest Enrollment Covers Care at Retail Clinics, by Firm Size, 2010-2016
- Exhibit 14.11: Among Firms with 50 or More Employees Offering Health Benefits, Percentage of Firms that Have an On-Site Health Clinic at any of their Major Locations, by Firm Size, 2016
- Exhibit 14.12: Among Firms Offering Health Benefits with Over 1,000 Employees, Percentage of Firms that Have an On-Site Health Clinic at Any of Their Major Locations, 2009-2016
- Exhibit 14.13: Among Firms Offering Health Benefits, Percentage of Firms Whose Plans Include Various Features, by Firm Size, 2016
- Exhibit 14.14: Among Offering Firms with 50 or More Employees, Percentage of Firms Considering Offering Benefits Through a Private Exchange, by Firm Size, Region, and Industry, 2016
- Exhibit 14.15: Among Firms Offering Health Benefits with More Than 50 Employees, Percentage of Covered Workers Enrolled at a Firms that Offers Benefits Through a Private or Corporate Exchange, by Firm Size, 2016
- Exhibit 14.16: Among Firms Offering and Not Offering Health Benefits, Percentage of Firms Offering Flexible Spending Accounts, by Firm Size, 2016
- Exhibit 14.17: Among Firms Offering and Not Offering Health Benefits, Percentage of Firms Offering Flexible Spending Accounts, by Firm Size, 2007-2016
- Exhibit 14.18: Among Firms Offering a Flexible Spending Account, Average Maximum Contribution That an Employee Can Make to the FSA Each Year, by Firm Size, 2016
- Exhibit 14.19: Among Firms Offering Health Benefits, Percentage of Firms that Have Taken Various Actions in Anticipation of the Excise Tax on High Cost Plans, by Firm Size, 2016
- Exhibit 14.20: Among Firms Who Have Conducted an Analysis to Determine Their Liability Under the High Cost Excise Tax, Percentage of Firms that Believe that Their Plan with the Largest Enrollment Will Exceed the Thresholds in 2018 and 2020, by Firm Size, 2016
- Exhibit 14.21: Among Firms that Have Conducted an Analysis to Determine Their Liability Under the High Cost Excise, Percentage that Reconsidered or is Postponing Changes Because of the Delay from 2018 to 2020, 2016
- Exhibit 14.22: Among Firms with 50 or More Full-Time-Equivalents, Percentage of Firms that Offer Health Benefits to At Least 95% of Their Full-Time Employees and that Would Meet Affordability and Minimum Value Requirements, by Firm Size, 2016
- Exhibit 14.23: Among Offering Firms with 50 or More Full-Time Equivalentsǂ, Percentage that Took Various Actions in Response to the Employer Shared Responsibility Provision of the ACA, by Firm Size, 2016
- Exhibit 14.24: Among Firms Offering Health Benefits, Percentage of Firms that Adjust the COBRA Premium for Qualified Former Employees Based on the Age of Enrollees, by Firm Size, 2016
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Exhibit 1.1
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Exhibit 1.2
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Exhibit 1.3
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Exhibit 1.4
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Exhibit 1.5
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Exhibit 1.6
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Exhibit 1.7
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Exhibit 1.8
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Exhibit 1.9
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Exhibit 1.10
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Exhibit 1.11
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Exhibit 1.12
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Exhibit 1.13
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Exhibit 1.14
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Exhibit 1.15
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Exhibit 1.16
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Exhibit 1.17
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Exhibit 2.1
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Exhibit 2.2
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Exhibit 2.3
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Exhibit 2.4
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Exhibit 2.5
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Exhibit 2.6
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Exhibit 2.7
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Exhibit 2.8
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Exhibit 2.9
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Exhibit 2.10
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Exhibit 2.11
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Exhibit 2.12
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Exhibit 2.13
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Exhibit 2.14
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Exhibit 2.15
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Exhibit 2.16
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Exhibit 2.17
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Exhibit 2.18
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Exhibit 2.19
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Exhibit 2.20
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Exhibit 2.21
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Exhibit 2.22
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Exhibit 3.1
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Exhibit 3.2
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Exhibit 3.3
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Exhibit 3.4
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Exhibit 3.5
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Exhibit 3.6
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Exhibit 3.7
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Exhibit 3.8
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Exhibit 3.9
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Exhibit 4.1
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Exhibit 4.2
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Exhibit 4.3
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Exhibit 4.4
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Exhibit 4.5
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Exhibit 5.1
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Exhibit 5.2
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Exhibit 5.3
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Exhibit 6.1
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Exhibit 6.2
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Exhibit 6.3
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Exhibit 6.4
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Exhibit 6.5
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Exhibit 6.6
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Exhibit 6.7
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Exhibit 6.8
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Exhibit 6.9
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Exhibit 6.10
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Exhibit 6.11
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Exhibit 6.12
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Exhibit 6.13
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Exhibit 6.14
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Exhibit 6.15
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Exhibit 6.16
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Exhibit 6.17
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Exhibit 6.18
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Exhibit 6.19
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Exhibit 6.20
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Exhibit 6.21
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Exhibit 6.22
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Exhibit 6.23
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Exhibit 6.24
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Exhibit 6.25
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Exhibit 6.26
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Exhibit 6.27
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Exhibit 6.28
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Exhibit 7.1
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Exhibit 7.2
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Exhibit 7.3
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Exhibit 7.4
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Exhibit 7.5
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Exhibit 7.6
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Exhibit 7.7
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Exhibit 7.8
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Exhibit 7.9
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Exhibit 7.10
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Exhibit 7.11
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Exhibit 7.12
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Exhibit 7.13
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Exhibit 7.14
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Exhibit 7.15
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Exhibit 7.16
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Exhibit 7.17
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Exhibit 7.18
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Exhibit 7.19
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Exhibit 7.20
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Exhibit 7.21
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Exhibit 7.22
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Exhibit 7.23
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Exhibit 7.24
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Exhibit 7.25
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Exhibit 7.26
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Exhibit 7.27
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Exhibit 7.28
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Exhibit 7.29
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Exhibit 7.30
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Exhibit 7.31
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Exhibit 7.32
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Exhibit 7.33
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Exhibit 7.34
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Exhibit 7.35
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Exhibit 7.36
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Exhibit 7.37
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Exhibit 8.1
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Exhibit 8.2
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Exhibit 8.3
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Exhibit 8.4
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Exhibit 8.5
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Exhibit 8.6
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Exhibit 8.7
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Exhibit 8.8
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Exhibit 8.9
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Exhibit 8.10
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Exhibit 8.11
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Exhibit 8.12
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Exhibit 8.13
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Exhibit 8.14
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Exhibit 8.15
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Exhibit 8.16
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Exhibit 8.17
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Exhibit 8.18
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Exhibit 8.19
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Exhibit 8.20
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Exhibit 8.21
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Exhibit 9.1
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Exhibit 9.2
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Exhibit 9.3
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Exhibit 9.4
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Exhibit 9.5
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Exhibit 9.6
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Exhibit 9.7
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Exhibit 9.8
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Exhibit 9.9
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Exhibit 9.10
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Exhibit 9.11
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Exhibit 9.12
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Exhibit 9.13
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Exhibit 9.14
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Exhibit 9.15
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Exhibit 9.16
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Exhibit 9.17
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Exhibit 10.1
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Exhibit 10.2
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Exhibit 10.3
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Exhibit 10.4
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Exhibit 10.5
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Exhibit 10.6
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Exhibit 10.7
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Exhibit 10.8
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Exhibit 10.9
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Exhibit 10.10
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Exhibit 10.11
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Exhibit 10.12
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Exhibit 10.13
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Exhibit 10.14
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Exhibit 11.1
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Exhibit 11.2
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Exhibit 11.3
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Exhibit 11.4
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Exhibit 11.5
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Exhibit 11.6
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Exhibit 11.7
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Exhibit 11.8
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Exhibit 11.9
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Exhibit 12.1
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Exhibit 12.2
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Exhibit 12.3
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Exhibit 12.4
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Exhibit 12.5
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Exhibit 12.6
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Exhibit 12.7
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Exhibit 12.8
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Exhibit 12.9
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Exhibit 12.10
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Exhibit 12.11
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Exhibit 12.12
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Exhibit 12.13
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Exhibit 12.14
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Exhibit 12.15
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Exhibit 12.16
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Exhibit 12.17
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Exhibit 12.18
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Exhibit 12.19
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Exhibit 12.20
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Exhibit 12.21
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Exhibit 13.1
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Exhibit 13.2
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Exhibit 13.3
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Exhibit 13.4
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Exhibit 14.1
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Exhibit 14.2
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Exhibit 14.3
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Exhibit 14.4
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Exhibit 14.5
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Exhibit 14.6
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Exhibit 14.7
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Exhibit 14.8
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Exhibit 14.9
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Exhibit 14.10
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Exhibit 14.11
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Exhibit 14.12
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Exhibit 14.13
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Exhibit 14.14
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Exhibit 14.15
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Exhibit 14.16
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Exhibit 14.17
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Exhibit 14.18
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Exhibit 14.19
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Exhibit 14.20
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Exhibit 14.21
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Exhibit 14.22
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Exhibit 14.23
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