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Average health plan premiums rose more modestly in 2020. At 5.4%, up slightly from the 4.6% increase in 2019, but still considerably less than the nearly 10% increase seen in 2018 (which marked a ten-year high).

As the Coronovirus pandemic sweeps the nation in 2020, a crucial pillar supporting the U.S. workforce is employer-sponsored healthcare. While we wait to see how postponed preventive care and delayed elective surgeries will affect the health of the nation's workforce, and how the total costs of COVID-19 testing, treatment, and vaccinations will be financed, we are already leveraging our local knowledge, as well as the data from this survey to recommend renewal strategies for 2021.

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While These National Trends Tell One Story, There Are Significant Differences In Some Areas Of The Country, As Well As Within Different Industries Or Group Sizes.

The balance of this report expands on these national trends but also uncovers more localized findings that are critical when benchmarking more strategically.

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Many employee benefits are subject to annual dollar limits that are periodically updated for inflation by the IRS. The following commonly offered employee benefits are subject to these limits:

• High deductible health plans (HDHPs) and health savings accounts (HSAs); • Health flexible spending accounts (FSAs); • 401(k) plans; and • Transportation fringe benefit plans. The IRS typically announces the dollar limits that will apply for the next calendar year well in advance of the beginning of that year. This gives employers time to update their plan designs and make sure their plan administration will be consistent with the new limits.

Legal Update HeaderThe IRS has released Revenue Procedure 2020-45, which includes cost-of-living adjustments for employee qualified transportation fringe benefits for the 2021 taxable year, along with annually adjusted numbers for 2021 for a number of other tax provisions.

The combined monthly limit for transportation in a commuter highway vehicle and a transit pass remains unchanged from 2020 at $270. The monthly limit in 2021 for qualified parking is also unchanged from 2020, also at $270.