โšก Pharmacy trend: +11.2% YoY|๐Ÿ“Š Median employer contribution (PPO): $7,034/yr|๐Ÿ”ด Stop-loss attachment point: avg $85K/claimant|๐Ÿ“ˆ Specialty drug spend: 43% of Rx budget|โš ๏ธ 74% of mid-market employers never re-market stop-loss|๐Ÿ’ฐ Captive arrangements: 18% cost reduction avg|๐Ÿ“‰ Mental health utilization up 34% since 2021|๐Ÿฅ Reference-based pricing: saves avg 22% on facility claims|โšก Pharmacy trend: +11.2% YoY|๐Ÿ“Š Median employer contribution (PPO): $7,034/yr|๐Ÿ”ด Stop-loss attachment point: avg $85K/claimant|๐Ÿ“ˆ Specialty drug spend: 43% of Rx budget|โš ๏ธ 74% of mid-market employers never re-market stop-loss|๐Ÿ’ฐ Captive arrangements: 18% cost reduction avg|๐Ÿ“‰ Mental health utilization up 34% since 2021|๐Ÿฅ Reference-based pricing: saves avg 22% on facility claims|
Live Projection

The average employer overspends on benefits annually

$600K
per year
$2,400
avg overspend per employee
68%
of that is recoverable
3 in 4
companies overpay stop-loss
2.7 yrs
broker hasn't re-marketed

Benchmark analysis based on 847 mid-market audits (2022โ€“2025). Individual results vary.

Step 1 of 3

Tell us about your company

We'll benchmark your spend against 847 similar companies in real time.

250 employees
255,000+
02 โ€” Market Intelligence

What your competitors
already know.

Real benchmarks from 847 audits. The numbers that make CFOs sit up and reach for their phone.

$7,034

Median employer contribution, PPO plan

Companies paying above this threshold in their industry are subsidizing carrier margin, not employee care.

Case Study
The Client

480-employee manufacturing firm, Ohio

What We Found

Contributing $8,900/yr โ€” 27% above industry median

The Outcome

Restructured plan design. Saved $662K in Year 1.

2025 Industry Benchmarks

IndustryEmployer ContributionMedical TrendStop-Loss Avg
Technology$8,120+9.4%$72K
Healthcare$6,840+13.1%$90K
Manufacturing$6,920+10.8%$80K
Financial Services$8,650+8.9%$78K
Retail$5,980+12.3%$95K
Professional Svcs$7,440+10.1%$82K
Free Resource

2025 Mid-Market Benefits Benchmarking Report

68 pages. 847 companies. The data your broker doesn't want you to see.

03 โ€” What We Find

Four places money
disappears every year.

Every audit finds at least two of these. Most find all four. The question is how much is yours.

Carrier Pricing
Typical Recovery Range
$80K โ€“ $420K

You're paying 2021 rates in 2025

Most carriers reprice at renewal only if asked. Without a formal RFP, your rates compound on a base that was never competitive.

No carrier RFP in 3+ years
Renewal increase >8% without claims justification
Single carrier for medical + stop-loss
See if this applies to you
Pharmacy & PBM
Typical Recovery Range
$120K โ€“ $680K

Your PBM contract has 14 hidden spread lines

Pharmacy Benefit Managers earn margin on the spread between what they pay pharmacies and what they charge you. Carve-out analysis routinely uncovers 15โ€“25% savings.

Bundled PBM with medical carrier
No specialty drug utilization management
GLP-1 claims with no clinical criteria
See if this applies to you
Stop-Loss Structure
Typical Recovery Range
$60K โ€“ $310K

Attachment set for the carrier, not your risk profile

Stop-loss is the most under-scrutinized line in a self-funded program. Attachment points, aggregates, and lasering decisions compound into six-figure swings annually.

Attachment >$100K for sub-500 employee groups
Aggregate attachment >125% of expected claims
No annual re-marketing of stop-loss policy
See if this applies to you
Plan Design
Typical Recovery Range
$40K โ€“ $180K

Rich benefits, poor utilization โ€” the worst combination

Overly generous plan design drives adverse selection and moral hazard. The right design rewards healthy behavior without reducing access.

Deductibles below industry median
No HDHP/HSA offering
First-dollar coverage driving overutilization
See if this applies to you

Combined Opportunity

$300K โ€“ $1.6M

Total annual recovery range for 200โ€“500 employee companies in our 2024 audit cohort

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04 โ€” Proof of Work

Numbers that changed
the conversation.

94%
of audits find actionable savings in Year 1
6.2ร—
average ROI on audit engagement fee
91 days
average time from audit to first savings realized
$1.2M
largest single-year recovery to date
Manufacturing
Recovered
$847K
Benchmark found $847K we were leaving on the table. Not hypothetical โ€” actual recoverable dollars across carrier pricing, pharmacy, and stop-loss. The audit paid for itself in the first month.
SO
Sandra Okonkwo
CFO ยท Meridian Industrial Group ยท 640 employees
Financial Services
Recovered
$412K
Our broker had been renewing the same package for four years. Benchmark came in, ran the numbers, and showed us exactly why our renewal kept climbing. We changed brokers and restructured within 90 days.
DC
David Castellanos
VP Human Resources ยท Vantage Point Capital ยท 310 employees
Technology
Recovered
$290K
Three candidates turned down offers citing benefits. That's what finally got our CEO's attention. Benchmark showed us we were spending more than competitors and offering less. That math doesn't work.
PN
Priya Nambiar
Chief People Officer ยท Lumen Software ยท 480 employees

Your renewal is a deadline,
not a formality.

Companies that engage Benchmark 90+ days before renewal recover 2.3ร— more than those who start at 60 days. The clock is running.

Currently accepting Q2 2026 audit clients
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