Group Health Insurance Market SWOT Analysis by 2031
The group health insurance market size is expected to grow at a CAGR of 9.6% from 2023 to 2031. The group health insurance market includes growth prospects owing to the current group health insurance market trends and their foreseeable impact during the forecast period. The group health insurance market is a large and expanding sector. The group health insurance market is growing due to increasing economic growth, a rise in employee retention, rising insurance premium costs, and increased insurance accessibility.
Group Health Insurance Market Analysis
Group health insurance provides insurance plans to a group of people, typically workers of the firm or members of the organization. Members of group health typically pay less for insurance since a larger number of policyholders share the insurer's risk. Companies and organizations purchase group health insurance policies, which are subsequently made available to their staff members or members. Individuals cannot obtain coverage through these programs; only groups are able to do so. For a plan to be valid, participation must typically reach at least 70%.
Group Health Insurance Market Industry Overview
- The group health insurance market provides coverage for healthcare expenses for a group of people, typically employees of a company or members of an organization. It's a crucial benefit offered by employers to attract and retain talent.
- Factors like healthcare costs, regulatory changes, and employer preferences influence the group health insurance market. With rising healthcare expenses, employers often seek cost-effective options without compromising coverage quality. Insurers compete by offering competitive premiums, comprehensive coverage, and value-added services like wellness programs.
- Additionally, technological advancements, such as telemedicine, are reshaping how healthcare services are delivered and accessed within group health insurance plans. Overall, the group health insurance market continues to evolve to meet the needs of both employers and employees in managing healthcare expenses.
Group Health Insurance Market Driver
Increasing Insurance Premium Costs To Drive The Group Health Insurance Market
- Rising insurance premium costs play a pivotal role in shaping the dynamics of the group health insurance market. As premiums rise, businesses are seeking more cost-effective ways to provide health coverage to their employees, leading to a surge in demand for group health insurance plans.
- Cost-sharing mechanisms enable employees to divide the risk among a larger group of individuals, group health insurance plans can often offer more competitive premiums compared to individual policies. This makes it an attractive option for businesses looking to provide affordable healthcare benefits to their employees. Additionally, group plans typically offer broader coverage and lower deductibles, further enhancing their appeal to both employers and employees
- Moreover, the Affordable Care Act (ACA) has incentivized businesses to offer health insurance coverage to their employees by imposing penalties on large employers that fail to provide affordable and adequate coverage. This regulatory framework has propelled many organizations to explore group health insurance options as a means of compliance while simultaneously addressing the rising costs of healthcare.
- Thus, with the rising cost of insurance premiums, businesses are increasingly turning to group plans as a cost-effective means of providing comprehensive healthcare benefits to their employees while navigating the complexities of regulatory compliance and competitive pressures within the insurance industry.
Group Health Insurance Market Report Segmentation Analysis
- Based on plan type, the group health insurance market is segmented into fully insured plans, mixed-insured plans, and self-insured plans. The fully insured plan segment is expected to hold a substantial group health insurance market share in 2023.
- The fully insured plan segment is also expected to hold the highest CAGR over the forecast period.
Group Health Insurance Market Share Analysis By Geography
The scope of the group health insurance market is primarily divided into five regions - North America, Europe, Asia Pacific, Middle East & Africa, and South America. North America is experiencing rapid growth and is anticipated to hold a significant group health insurance market share with various providers offering coverage to businesses and organizations. The market in North America is influenced by factors such as regulatory changes, healthcare costs, and employer demand for benefits.
Group Health Insurance Market Report Scope
The "Group Health Insurance Market Analysis" was carried out based on type, mode, distribution channel, and geography. On the basis of plan type, the market is segmented into fully insured plans, mixed-insured plans, and self-insured plans. On the basis of enterprise size, the market is segmented into large enterprises and SMEs. Based on distribution channels, the market is segmented into agents, direct sales, banks, and others. Based on geography, the market is segmented into North America, Europe, Asia Pacific, the Middle East & Africa, and South America.
Group Health Insurance Market News and Recent Developments
Companies adopt inorganic and organic strategies such as mergers and acquisitions in the group health insurance market. A few recent key market developments are listed below:
- In January 2024, Bharti Group announced plans to sell its wholly-owned life insurance venture, Bharti AXA Life Insurance, to SBI Life. With this, Bharti Group has been looking to exit the insurance business and focus on telecom.
[Source: Bharti Group, Press Release]
- In December 2023, Everest Insurance, the insurance division of Everest Group, announced the launch of a fixed indemnity insurance product. This fixed indemnity insurance was designed for companies and association groups that are looking for non-ACA health insurance.
[Source: Everest Group, Press Release]
Group Health Insurance Market Report Coverage & Deliverables
The group health insurance market forecast is estimated based on various secondary and primary research findings, such as key company publications, association data, and databases. The market report "Group Health Insurance Market Size and Forecast (2021–2031)" provides a detailed analysis of the market covering below areas-
- Market size & forecast at global, regional, and country levels for all the key market segments covered under the scope.
- Market dynamics such as drivers, restraints, and key opportunities.
- Key future trends.
- Detailed PEST & SWOT analysis
- Global and regional market analysis covering key market trends, key players, regulations, and recent market developments.
- Industry landscape and competition analysis covering market concentration, heat map analysis, key players, and recent developments.
- Detailed company profiles.
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Report Coverage
Revenue forecast, Company Analysis, Industry landscape, Growth factors, and Trends
Segment Covered
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to segments covered.
Regional Scope
North America, Europe, Asia Pacific, Middle East & Africa, South & Central America
Country Scope
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to country scope.
The Insight Partners performs research in 4 major stages: Data Collection & Secondary Research, Primary Research, Data Analysis and Data Triangulation & Final Review.
- Data Collection and Secondary Research:
As a market research and consulting firm operating from a decade, we have published many reports and advised several clients across the globe. First step for any study will start with an assessment of currently available data and insights from existing reports. Further, historical and current market information is collected from Investor Presentations, Annual Reports, SEC Filings, etc., and other information related to company’s performance and market positioning are gathered from Paid Databases (Factiva, Hoovers, and Reuters) and various other publications available in public domain.
Several associations trade associates, technical forums, institutes, societies and organizations are accessed to gain technical as well as market related insights through their publications such as research papers, blogs and press releases related to the studies are referred to get cues about the market. Further, white papers, journals, magazines, and other news articles published in the last 3 years are scrutinized and analyzed to understand the current market trends.
- Primary Research:
The primarily interview analysis comprise of data obtained from industry participants interview and answers to survey questions gathered by in-house primary team.
For primary research, interviews are conducted with industry experts/CEOs/Marketing Managers/Sales Managers/VPs/Subject Matter Experts from both demand and supply side to get a 360-degree view of the market. The primary team conducts several interviews based on the complexity of the markets to understand the various market trends and dynamics which makes research more credible and precise.
A typical research interview fulfils the following functions:
- Provides first-hand information on the market size, market trends, growth trends, competitive landscape, and outlook
- Validates and strengthens in-house secondary research findings
- Develops the analysis team’s expertise and market understanding
Primary research involves email interactions and telephone interviews for each market, category, segment, and sub-segment across geographies. The participants who typically take part in such a process include, but are not limited to:
- Industry participants: VPs, business development managers, market intelligence managers and national sales managers
- Outside experts: Valuation experts, research analysts and key opinion leaders specializing in the electronics and semiconductor industry.
Below is the breakup of our primary respondents by company, designation, and region:
Once we receive the confirmation from primary research sources or primary respondents, we finalize the base year market estimation and forecast the data as per the macroeconomic and microeconomic factors assessed during data collection.
- Data Analysis:
Once data is validated through both secondary as well as primary respondents, we finalize the market estimations by hypothesis formulation and factor analysis at regional and country level.
- 3.1 Macro-Economic Factor Analysis:
We analyse macroeconomic indicators such the gross domestic product (GDP), increase in the demand for goods and services across industries, technological advancement, regional economic growth, governmental policies, the influence of COVID-19, PEST analysis, and other aspects. This analysis aids in setting benchmarks for various nations/regions and approximating market splits. Additionally, the general trend of the aforementioned components aid in determining the market's development possibilities.
- 3.2 Country Level Data:
Various factors that are especially aligned to the country are taken into account to determine the market size for a certain area and country, including the presence of vendors, such as headquarters and offices, the country's GDP, demand patterns, and industry growth. To comprehend the market dynamics for the nation, a number of growth variables, inhibitors, application areas, and current market trends are researched. The aforementioned elements aid in determining the country's overall market's growth potential.
- 3.3 Company Profile:
The “Table of Contents” is formulated by listing and analyzing more than 25 - 30 companies operating in the market ecosystem across geographies. However, we profile only 10 companies as a standard practice in our syndicate reports. These 10 companies comprise leading, emerging, and regional players. Nonetheless, our analysis is not restricted to the 10 listed companies, we also analyze other companies present in the market to develop a holistic view and understand the prevailing trends. The “Company Profiles” section in the report covers key facts, business description, products & services, financial information, SWOT analysis, and key developments. The financial information presented is extracted from the annual reports and official documents of the publicly listed companies. Upon collecting the information for the sections of respective companies, we verify them via various primary sources and then compile the data in respective company profiles. The company level information helps us in deriving the base number as well as in forecasting the market size.
- 3.4 Developing Base Number:
Aggregation of sales statistics (2020-2022) and macro-economic factor, and other secondary and primary research insights are utilized to arrive at base number and related market shares for 2022. The data gaps are identified in this step and relevant market data is analyzed, collected from paid primary interviews or databases. On finalizing the base year market size, forecasts are developed on the basis of macro-economic, industry and market growth factors and company level analysis.
- Data Triangulation and Final Review:
The market findings and base year market size calculations are validated from supply as well as demand side. Demand side validations are based on macro-economic factor analysis and benchmarks for respective regions and countries. In case of supply side validations, revenues of major companies are estimated (in case not available) based on industry benchmark, approximate number of employees, product portfolio, and primary interviews revenues are gathered. Further revenue from target product/service segment is assessed to avoid overshooting of market statistics. In case of heavy deviations between supply and demand side values, all thes steps are repeated to achieve synchronization.
We follow an iterative model, wherein we share our research findings with Subject Matter Experts (SME’s) and Key Opinion Leaders (KOLs) until consensus view of the market is not formulated – this model negates any drastic deviation in the opinions of experts. Only validated and universally acceptable research findings are quoted in our reports.
We have important check points that we use to validate our research findings – which we call – data triangulation, where we validate the information, we generate from secondary sources with primary interviews and then we re-validate with our internal data bases and Subject matter experts. This comprehensive model enables us to deliver high quality, reliable data in shortest possible time.