Instruction 8941 — Instructions for Form 8941, Credit for Small Employer Health Insurance Premiums

Official source: IRS Forms, Instructions & Publications (https://www.irs.gov/pub/irs-pdf/i8941.pdf), retrieved 2026-10-03. U.S. Government work (17 U.S.C. § 105).

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Credit for Small Employer Health Insurance Premiums

Section references are to the Internal Revenue Code unless otherwise noted.

For the latest information about developments related to Form 8941 and its instructions, such as legislation enacted after they were published, go to IRS.gov/ Form8941 .

Waiver for Hawaii. Employers in Hawaii can’t claim this credit for insurance premiums paid for health plan years beginning after 2016. For more information, see Waiver for Hawaii in the instructions for line A.

Eligible small employers (defined later) use Form 8941 to figure the credit for small employer health insurance premiums for tax years beginning after 2009. For tax years beginning after 2013, the credit is only available for a 2-consecutive-tax-year credit period. The maximum credit is generally a percentage of premiums the employer paid during the tax year for certain health insurance coverage the employer provided to certain employees enrolled in a qualified health plan offered through a Small Business Health Options Program (SHOP) Marketplace. But the credit may be reduced by limitations based on the employer’s full-time equivalent employees, average annual wages, adjusted average premiums, and state premium subsidies and tax credits.

Note: For information about insurance plans offered through a SHOP Marketplace, go to Healthcare.gov .

For tax-exempt eligible small employers, the maximum credit is 35% of premiums paid, is limited to the amount of certain payroll taxes paid, and is claimed as a refundable credit on Form 990-T, Exempt Organization Business Income Tax Return. A tax-exempt eligible small employer is an eligible small employer described in section 501(c) that is exempt from taxation under section 501(a). A tax-exempt employer not described in section 501(c) is generally not eligible to claim this credit. However, a tax-exempt farmers’ cooperative subject to tax under section 1381 may be able to claim the credit as a general business credit, as discussed next.

For all other eligible small employers, the maximum credit is 50% of premiums paid and can be taken against both regular and alternative minimum tax. The credit is claimed as part of the general business credit on Form 3800, General Business Credit.

Note: Partnerships, S corporations, cooperatives, estates, trusts, and tax-exempt eligible small employers must file this form to claim the credit. All other taxpayers must not complete or file this form if their only source for this credit is a partnership, S corporation, cooperative, estate, or trust. Instead, they must report this credit directly on line 4h in Part III of Form 3800, General Business Credit.

You’re an eligible small employer for the tax year if you meet the following three requirements.

1. You paid premiums for employee health insurance coverage under a qualifying arrangement. A qualifying arrangement is generally an arrangement that requires you to pay a uniform percentage (not less than 50%) of the premium cost for each enrolled employee’s health insurance coverage (defined later). However, an arrangement that requires you to pay a uniform premium for each enrolled employee (composite billing) and offers different tiers of coverage (for example, employee-only, dependent, and family coverage) can be a qualifying arrangement even if it requires you to pay a uniform percentage that is less than 50% of the premium cost for employees not enrolled in employee-only coverage.

In addition, an arrangement that requires you to pay a separate premium for each employee based on age or other factors (list billing) can be a qualifying arrangement even if it requires you to pay a uniform percentage that is less than 50% of the premium cost for some employees.

For details, see Employer Premiums Paid , Health Insurance Coverage , and Qualifying Arrangement , later.

2. You had fewer than 25 full-time equivalent employ- ees (FTEs) for the tax year. You may be able to meet this requirement even if you had 25 or more employees. For example, an employer with 48 employees who are each half-time employees has 24 FTEs and can claim the credit. For details, see Worksheets 1 and 2.

Caution: Although the term “eligible small employer” is defined in the Internal Revenue Code to include employers with “no more than” 25 FTEs, the phaseout of the credit amount operates in such a way that an employer with exactly 25 FTEs is not, in fact, eligible for the credit.

3. You paid average annual wages for the tax year of less than $67,000 per FTE. For details, see Worksheets 1 and 3.

Caution: If you had more than 10 FTEs and average annual wages of more than $33,000, the FTE and average annual wage limitations (discussed later) will separately reduce your credit. This may reduce your credit to zero

Instructions for Form 8941 (2025) Catalog Number 55222U Dec 17, 2025 Department of the Treasury Internal Revenue Service www.irs.gov

even if you had fewer than 25 FTEs and average annual wages of less than $67,000.

Employers treated as a single employer. Treat the following employers as a single employer to figure the credit.

• Employers who are corporations in a controlled group of corporations.

• Employers who are members of an affiliated service group.

• Employers who are partnerships, proprietorships, etc., under common control. See Regulations sections 1.414(c)-2, 1.414(c)-3, and 1.414(c)-4.

• Tax-exempt employers under common control. See Regulations section 1.414(c)-5.

For details, see section 45R(e)(5)(A) and Regulations section 1.45R-2(b).

Note: No more than one Form 8941 can be filed with a tax return, unless the exception described in Example 2 below applies.

Example 1. You’re a sole proprietor with two separate businesses and you file a separate Schedule C (Form 1040), Profit or Loss From Business, for each business. You must treat both businesses as a single employer to figure the credit. You will file one Form 8941 for both businesses.

Example 2. You and your spouse are both sole proprietors and file a separate Schedule C (Form 1040) for each of your separate businesses. Neither spouse was an employee of the other spouse or participated in the management of the other spouse’s business at any time during the tax year. No more than 50% of the gross income of either business was derived from royalties, rents, dividends, interest, and annuities and you otherwise meet the requirements listed in Regulations section 1.414(c)-4(b)(5)(ii). Don’t treat both businesses as a single employer to figure the credit. If you and your spouse are both eligible small employers, you can file two Forms 8941 with a jointly filed Form 1040 or 1040-SR.

For tax years beginning after 2013, the credit period during which the credit can be claimed is a 2-consecutive-tax-year period beginning with the first tax year in which:

• An eligible small employer (or any predecessor) files an income tax return with an attached Form 8941 with line A checked “Yes” and a positive amount on line 12, or

• A tax-exempt eligible small employer (or any predecessor) files Form 990-T with an attached Form 8941 with line A checked “Yes” and a positive amount on line 12.

Only premiums you paid for health insurance coverage under a qualifying arrangement (discussed later) for individuals considered employees are counted when figuring your credit.

State premium subsidy or tax credit. If you’re entitled to a state tax credit or a state premium subsidy paid directly to you for premiums you paid, don’t reduce the amount you paid by the credit or subsidy amount. Also, if a

statep ays a premium subsidy directly to your insurance provider, treat the subsidy amount as an amount you paid for employee health insurance coverage.

Wellness programs. A wellness program is generally an insurance program of health promotion or disease prevention. If you pay part or all of the cost of an employee’s participation in a wellness program, treat the amount you paid toward the employee’s participation as an amount you paid for employee health insurance coverage.

Tobacco surcharges. A tobacco surcharge is generally an additional amount charged for insurance for a tobacco user. If you pay part or all of an employee’s tobacco surcharge, you can’t use the amount you paid to figure your employer premiums paid.

Dependent coverage. Dependent coverage is generally coverage offered separately to an individual who is or may become eligible for coverage under the terms of a group health plan because of a relationship to a participant-employee, whether or not a dependent of the participant-employee. Dependent coverage doesn’t include coverage, such as family coverage, which includes coverage of the participant-employee. If you pay part or all of the cost of an employee’s dependent coverage, use the amount you paid to figure your employer premiums paid.

Portion of premiums paid. If you pay only a portion of the premiums and your employees pay the rest, only the portion you pay is taken into account. For this purpose, any premium paid through a salary reduction arrangement under a section 125 cafeteria plan isn’t treated as an employer paid premium. For more information on cafeteria plans, see section 1 of Pub. 15-B, Employer’s Tax Guide to Fringe Benefits.

Example 3. You offer health insurance coverage to employees under a qualifying arrangement that requires you to pay 60% of the premium cost for employee-only coverage for each employee enrolled in any health insurance coverage you provide to employees. The total premium for each employee enrolled in employee-only coverage is $5,200 per year or $100 ($5,200 ÷ 52) for each weekly payday. The total premium for each employee enrolled in family coverage is $13,000 per year or $250 ($13,000 ÷ 52) for each weekly payday.

Each payday, you contribute $60 (60% of $100) toward the premium cost of each employee enrolled in employee-only coverage and withhold the remaining $40 from the employee’s paycheck to obtain the $100 total weekly premium. Each payday, you contribute $60 (the same amount you pay toward the premiums of employees enrolled in employee-only coverage) toward the premium cost of each employee enrolled in family coverage and withhold the remaining $190 from the employee’s paycheck to obtain the $250 total weekly premium.

To determine the premiums you paid during the tax year, multiply the number of pay periods during which the employee was enrolled in the health insurance coverage by $60. For example, you would’ve paid $3,120 ($60 × 52) for an employee who was enrolled for the entire tax year. You would’ve paid $600 ($60 × 10) for an employee who was only enrolled for 10 pay periods. You will need an

2 Instructions for Form 8941 (2025)

additional set of calculations if the premium amounts changed during the tax year.

For tax years beginning after 2013, health insurance coverage generally means coverage provided to employees enrolled in a qualified health plan offered through a Small Business Health Options Program (SHOP) Marketplace. For an exception that applies to certain employers in certain counties, see the instructions for line A, later. If this exception applies, health insurance coverage means coverage, as defined under Health Insurance Coverage in the 2013 Instructions for Form 8941.

Note: A stand-alone dental plan offered through a SHOP exchange will be considered a qualified health plan for purposes of the credit.

Caution: Employer premiums paid for health insurance coverage can be counted in figuring the credit only if the premiums are paid under a qualifying arrangement.

A qualifying arrangement is generally an arrangement that requires you to pay a uniform percentage (not less than 50%) of the premium cost for each enrolled employee’s health insurance coverage (defined earlier). An arrangement that offers different tiers of coverage (for example, employee-only and family coverage) is generally a qualifying arrangement if it requires you to pay a uniform percentage (not less than 50%) separately for each tier of coverage you offer. However, an arrangement can be a qualifying arrangement even if it requires you to pay a uniform percentage that is less than 50% of the premium cost for some employees.

For more information about the following exceptions, see Regulations section 1.45R-4.

State or local law. You will be treated as satisfying the uniform percentage requirement if your failure to otherwise satisfy the requirement was solely attributable to additional contributions you made to certain employees to comply with state or local law.

Wellness program. If a plan of an employer provides a wellness program, for purposes of meeting the uniform percentage requirement, the following applies. Any additional amount of the employer contribution attributable to an employee’s participation in the wellness program over the employer contribution with respect to an employee that doesn’t participate in the wellness program isn’t considered in calculating the uniform percentage requirement. This is true whether the difference is due to a discount for participation or a surcharge for nonparticipation. The employer contribution for employees who don’t participate in the wellness program must be at least 50% of the premium (including any premium surcharge for nonparticipation). However, for purposes of figuring the credit, the employer contributions are taken into account, including those contributions attributable to an employee’s participation in a wellness program.

Tobacco surcharge. Any additional amount you or your employee pays to cover a tobacco surcharge isn’t taken

into account in figuring the uniform percentage requirement. Amounts you or your employee pay to cover a tobacco surcharge aren’t considered premiums paid for health insurance coverage when figuring this credit.

Dependent coverage. Premiums you pay for dependent coverage aren’t subject to the uniform percentage requirement. You aren’t required to pay a uniform percentage (not less than 50%) for dependent coverage.

Arrangements with composite billing. An arrangement that requires you to pay a uniform premium for each enrolled employee (composite billing) and offers different tiers of coverage can be a qualifying arrangement even if it requires you to pay a uniform percentage that is less than 50% of the premium cost for employees not enrolled in employee-only coverage. It is a qualifying arrangement (assuming employee-only coverage is the least expensive tier of coverage) if it requires you to pay each of the following amounts if you make the relevant tier of coverage available.

• A uniform amount that is either equal to the amount you would’ve paid toward employee-only coverage (as

• A uniform percentage (not less than 50%) of the premium cost for each employee (if any) enrolled in employee-only coverage.

• A uniform amount that is no less than the amount you would’ve paid toward employee-only coverage for each employee (if any) enrolled in family coverage.

• A uniform amount that is no less than the amount you would’ve paid toward employee-only coverage for each employee (if any) enrolled in any other tier of coverage (figured separately for each tier).

Arrangements with list billing and only employee-on- ly coverage. An arrangement that requires you to pay a separate premium for each employee based on age or other factors (list billing) that only provides employee-only coverage can be a qualifying arrangement even if it requires you to pay a uniform percentage that is less than 50% of the premium cost for some employees. It is a qualifying arrangement if it requires you to pay either of the following amounts.

• A uniform percentage (not less than 50%) of the premium charged for each employee enrolled in the employee-only coverage.

• A uniform percentage (not less than 50%) of your employer-computed composite rate (defined later) for your employee-only coverage for each employee enrolled in the employee-only coverage.

Arrangements with list billing and other tiers of cov- erage. An arrangement that requires you to pay a separate premium for each employee based on age or other factors (list billing) that provides other tiers of coverage can be a qualifying arrangement even if it requires you to pay a uniform percentage that is less than 50% of the premium cost for some employees. It is a qualifying arrangement (assuming employee-only coverage is the least expensive tier of coverage) if it requires you to pay each of the following amounts if you make the relevant tier of coverage available.

• A uniform percentage (not less than 50%) for each employee enrolled in employee-only coverage, as discussed under Arrangements with list billing and only employee-only coverage , earlier.

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discussed above), a uniform percentage (not less than 50%) of the premium charged, or a uniform percentage (not less than 50%) of your employer-computed composite rate (defined below) for your family coverage, for each employee (if any) enrolled in family coverage.

• A uniform amount that is either equal to the amount you would’ve paid toward employee-only coverage (as discussed above), a uniform percentage (not less than 50%) of the premium charged, or a uniform percentage (not less than 50%) of your employer-computed composite rate (defined below) for any other tier of coverage, for each employee (if any) enrolled in any other tier of coverage (figured separately for each tier).

Employer-computed composite rate. The employer-computed composite rate for a tier of coverage is the average rate determined by adding the premiums for that tier of coverage for all employees eligible to participate in the health insurance plan (whether or not they actually receive coverage under the plan or under that tier of coverage) and dividing by the total number of such eligible employees.

More than one plan. Different types of health insurance plans are generally not aggregated for purposes of meeting the qualifying arrangement requirement. For example, if you offer a major medical insurance plan and a stand-alone vision plan, you generally must separately satisfy the requirements for a qualifying arrangement with respect to each type of coverage. For exceptions, see Regulations section 1.45R-4(c).

State subsidies and credits. For this purpose, if you’re entitled to a state tax credit or a state premium subsidy paid directly to you for premiums you paid, don’t reduce the amount you paid by the credit or subsidy amount. Also, if a state pays a premium subsidy directly to your insurance provider, treat the subsidy amount as an amount you paid for employee health insurance coverage.

Your credit may be reduced if you’re entitled to a state tax credit or a state premium subsidy for the cost of health insurance coverage you provide under a qualifying arrangement to individuals considered employees. The state tax credit may be refundable or nonrefundable and the state premium subsidy may be paid to you or directly to your insurance provider.

Although a state tax credit or premium subsidy paid directly to you doesn’t reduce the amount of your employer premiums paid, and although a state premium subsidy paid directly to an insurance provider is treated as an employer premium you paid, the amount of your credit can’t be more than your net premium payments.

Net premium payments are employer premiums paid (discussed earlier) minus the amount of any state tax credits you received or will receive and any state premium subsidies paid either to you or directly to your insurance provider for premiums for health insurance coverage you provide under a qualifying arrangement to individuals considered employees.

The credit for tax-exempt eligible small employers can’t exceed the amount of certain payroll taxes. For tax years beginning in 2025, payroll taxes, for this purpose, mean only the following taxes.

If you answer “Yes” because you paid premiums for employee health insurance coverage you provided through a SHOP Marketplace, enter the Marketplace identifier, if any.

If you answer “No,” don’t file Form 8941 unless you’re filing it for a partnership, S corporation, cooperative, estate, trust, or tax-exempt eligible small employer that

• Federal income taxes the tax-exempt employer was required to withhold from employees’ wages in calendar year 2025.

• Medicare taxes the tax-exempt employer was required to withhold from employees’ wages in calendar year 2025.

• Medicare taxes the tax-exempt employer was required to pay for calendar year 2025.

You must reduce your deduction for the cost of providing health insurance coverage to your employees by the amount of any credit for small employer health insurance premiums allowed with respect to the coverage.

For more information about this credit, see the following.

• Section 45R.

• Regulations sections 1.45R-0 through 1.45R-5.

• IRS.gov/Affordable-Care-Act/Employers/Small- Business-Health-Care-Tax-Credit-and-the-SHOP- Marketplace .

Note: Partnerships, S corporations, cooperatives, estates, trusts, and tax-exempt eligible small employers must file this form to claim the credit. All other taxpayers must not complete or file this form if their only source for this credit is a partnership, S corporation, cooperative, estate, or trust. Instead, they must report this credit directly on line 4h in Part III of Form 3800.

Use Worksheets 1 through 7 to figure the amounts to report on various lines of Form 8941.

• Use Worksheets 1, 2, and 3 to figure the amounts to report on lines 1, 2, and 3 of Form 8941.

• Use Worksheet 4 to figure the amounts to report on lines 4, 5, and 13 of Form 8941.

• Use Worksheets 5, 6, and 7 to figure the amounts to report on lines 8, 9, and 14 of Form 8941.

Answer “Yes” if one of the following applies.

• You paid premiums for employee health insurance coverage you provided through a SHOP Marketplace or through a direct enrollment process, if available in your state.

• You qualify for an exception to this requirement, as discussed below.

4 Instructions for Form 8941 (2025)

received from another entity a credit that must be reported on line 15. For more information, see the instructions for line 15.

Waiver for Hawaii. Hawaii has received a 5-year State Innovation Waiver under section 1332 of the Affordable Care Act that has been extended for 5 more years. Employers in Hawaii can’t participate in the SHOP Marketplace or claim the credit for insurance premiums paid for health plan years beginning after 2016. For more information on the waiver, go to CMS.gov .

Exception for eligible small employers in certain counties. For calendar year 2025, SHOP Marketplaces in certain counties across the United States didn’t have qualified health plans available for employers to offer to employees. However, relief is available, which allows eligible small employers with a principal business address in those counties to claim the credit for 2025 if they properly claimed the credit under section 45R for all or part of 2024. For details, see Notice 2018-27, 2018-20, I.R.B. 580, available at IRS.gov/irb/ 2018-20_IRB#NOT-2018-27 .

Note: To see whether a particular county has coverage available through a SHOP Exchange for 2025 and beyond, go to Healthcare.gov/small-business and enter “plans and prices” in the search box.

Answer “Yes” if a tax return you (or any predecessor) filed for a tax year beginning after 2013 and before 2024 included a Form 8941 with line A checked “Yes” and line 12 showing a positive amount. For more information, see Credit Period, earlier.

If you answer “Yes,” don’t file Form 8941 unless you’re filing it for a partnership, S corporation, cooperative, estate, trust, or tax-exempt eligible small employer that received from another entity a credit that must be reported on line 15. An entity that qualifies for this exception shouldn’t report any amount on line 12. For more information, see the instructions for line 15.

If you need more rows, use a separate sheet and include the additional amounts in the totals below.

Enter the name or other identifying information for all individuals considered employees for purposes of this credit.

In general, all employees who perform services for you during the tax year are taken into account in determining your FTEs, average annual wages, and premiums paid. Rules that apply to certain types of employees are discussed below.

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Excluded employees. The following individuals aren’t considered employees when you figure this credit. Hours and wages of these employees and premiums paid for them aren’t counted when you figure your credit.

• The owner of a sole proprietorship.

• A partner in a partnership.

• A shareholder who owns (after applying the section 318 constructive ownership rules) more than 2% of an S corporation.

• A shareholder who owns (after applying the section 318 constructive ownership rules) more than 5% of the outstanding stock or stock possessing more than 5% of the total combined voting power of all stock of a corporation that isn’t an S corporation.

discussed above. A sole proprietor must include both business and nonbusiness employees to determine FTEs, average annual wages, and premiums paid.

Ministers. A minister performing services in the exercise of the minister’s ministry is treated as self-employed for social security and Medicare purposes. However, for credit purposes, whether a minister is an employee or self-employed is determined under the common law test for determining worker status. Self-employed ministers aren’t considered employees.

Enter the total hours of service for the tax year for each employee listed in column (a). Don’t enter more than 2,080 hours for any employee. But enter -0- for seasonal employees who worked 120 or fewer days during the tax year.

• A person who owns more than 5% of the capital or profits interest in any other business that isn’t a corporation.

• Family members or a member of the household who isn’t a family member but qualifies as a dependent on the individual income tax return of a person listed above. Family members include a child (or descendant of a child), a sibling or step-sibling, a parent (or ancestor of a parent), a step-parent, a niece or nephew, an aunt or uncle, or a son-in-law, daughter-in-law, father-in-law, mother-in-law, brother-in-law, or sister-in-law. A spouse of any owner or family member listed above is also considered a family member for this purpose.

Former employees. Premiums paid on behalf of a former employee with no hours of service may be treated as paid on behalf of an employee for purposes of figuring the credit, provided that, if so treated, the former employee is also treated as an employee for purposes of the uniform percentage requirement.

• Each hour for which the employee is paid, or entitled to payment, for the performance of duties for the employer during the employer’s tax year.

• Each hour for which an employee is paid, or entitled to payment, by the employer on account of a period of time during the employer’s tax year during which no duties are performed due to vacation, holiday, illness, incapacity (including disability), layoff, jury duty, military duty, or leave of absence (except that no more than 160 hours of service are required to be counted for an employee on account of any single continuous period during which the employee performs no duties).

To figure the total number of hours of service you must take into account for an employee for the year, you can use any of the following methods.

Employee hours of service. An employee’s hours of service for a year include the following.

Leased employees. Don’t use premiums paid by the leasing organization to figure your credit. Also, a leased employee who isn’t a common law employee is considered an employee for credit purposes if the employee does all the following.

• Provides services to you under an agreement between you and a leasing organization.

• Has performed services for you (or for you and a related person) substantially full time for at least 1 year.

Actual-hours-worked method. Determine actual hours of service from records of hours worked and hours for which payment is made or due (payment is made or due for vacation, holiday, illness, incapacity, etc., as described above).

Days-worked equivalency method. Use a days-worked equivalency whereby the employee is credited with 8 hours of service for each day for which the employee would be required to be credited with at least 1 hour of service under the rules described above.

Weeks-worked equivalency method. Use a weeks-worked equivalency whereby the employee is credited with 40 hours of service for each week for which the employee would be required to be credited with at least 1 hour of service under the rules described above.

Caution: Complete Worksheet 2 before you complete column (c) of Worksheet 1. Do not complete column (c) if Worksheet 2, line 3, is 25 or more.

• Performs services under your primary direction or control.

But don’t use hours, wages, or premiums paid with respect to the initial year of service on which leased employee status is based.

Seasonal employees. Employees who perform labor or services on a seasonal basis and perform labor or services for you 120 or fewer days during the tax year aren’t considered employees in determining FTEs and average annual wages. But premiums paid on their behalf are counted in determining the amount of the credit. Seasonal workers include retail workers employed exclusively during holiday seasons. Seasonal workers also include workers employed exclusively during the summer.

Household and other nonbusiness employees. Household employees and other employees who aren’t performing services in your trade or business are considered employees if they otherwise qualify, as

Enter the total wages paid for the tax year for each employee listed in column (a). But enter -0- for seasonal employees who worked 120 or fewer days during the tax year.

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Wages, for this purpose, mean wages subject to social security and Medicare tax withholding determined without considering any wage base limit.

Your credit is reduced if you had more than 10 FTEs for the tax year. If you had 25 or more FTEs for the tax year, your credit is reduced to zero.

1. Enter the total employee hours of service from Worksheet 1, column (b) . . . . . . . . . . . . . . . . . . . . . . . . . 1.

2. ^{Hours of service per FTE} . . . . . . . . . 2. 2,080

3. Full-time equivalent employees. Divide line 1 by line 2. If the result isn’t a whole number (0, 1, 2, etc.), generally round the result down to the next lowest whole number. For example, round 2.99 down to 2. However, if the result is less than one, enter 1. Report this number on Form 8941, line 2 . . . 3.

Your credit is reduced if you paid average annual wages of more than $33,000 for the tax year. If you paid average annual wages of $67,000 or more for the tax year, your credit is reduced to zero.

1. Enter the total employee wages paid from Worksheet 1, column (c) . . . . . . 1.

2. Enter FTEs from Worksheet 2, line 3 . . . . . . . . . . . . . . . . . . . . . . . 2.

3. Average annual wages. Divide line 1 by line 2. If the result isn’t a multiple of $1,000 ($1,000, $2,000, $3,000, etc.), round the result down to the next lowest multiple of $1,000. For example, round $2,999 down to $2,000. Report this amount on Form 8941, line 3 . . . 3.

If you need more rows, use a separate sheet and include the additional amounts in the totals below.

Enter the name or other identifying information for each individual listed in column (a) of Worksheet 1 who was enrolled in health insurance coverage you provided to employees during the tax year under a qualifying arrangement. For details, see Health Insurance Coverage and Qualifying Arrangement, earlier.

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Enter the total employer premiums paid for the tax year for each employee listed in column (a). For details, see Employer Premiums Paid, earlier.

Your credit is reduced if the employer premiums paid are more than the employer premiums that would’ve been paid if individuals considered employees were enrolled in a plan with a premium equal to the average premium for the small group market in the rating area in which the employee enrolls for coverage.

The rating area in which an employee enrolls for coverage is generally the rating area where your business is located (based on your primary business address). You will generally have selected a plan in your rating area that covers all employees located within or outside your rating area. However, if you have multiple businesses or operations in multiple states, and have set up plans in more than one SHOP Marketplace, the average premiums may be different for employees enrolled in each SHOP Marketplace.

Enter, for each employee listed in column (a), the premiums you would’ve paid if the employee had enrolled in a plan or plans with a total premium equal to the average premium for the small group market in the rating area in which the employee enrolls for coverage.

To find the average premium for the small group market in a rating area for tax years beginning in 2025, see the average premium tables at the end of these instructions. Family coverage includes any coverage other than employee-only coverage.

Example 4. Assume the same facts that were used in Example 3 . The $60 you contribute each payday toward employee health insurance coverage is 60% ($60 ÷ $100) of the weekly premium for each employee enrolled in employee-only coverage and 24% ($60 ÷ $250) of the weekly premium for each employee enrolled in family coverage.

In this situation, the total average premium limitation amounts that apply are 60% of the applicable average premium amounts for each employee enrolled in employee-only coverage and 24% of the applicable average premium amounts for each employee enrolled in family coverage.

You have an employee enrolled in employee-only coverage who enrolled for coverage in your local rating area. The applicable employee-only average premium amount for the rating area is $4,940 or $95 ($4,940 ÷ 52) for each weekly payday. The amount you would’ve paid toward this employee’s health insurance coverage based on the average premiums is $57 (60% of $95) each payday.

To determine the premiums you would’ve paid for this employee during the tax year if the employee had enrolled in an average premium plan, multiply the number of pay periods during which your employee was enrolled in the health insurance coverage by $57. For example, you would’ve paid $2,964 ($57 × 52) if the employee was

enrolled for the entire tax year. You would’ve paid $570 ($57 × 10) if the employee was only enrolled for 10 pay periods. You’ll need an additional set of calculations if the premium amounts changed during the tax year.

Caution: Don’t complete column (d) of Worksheet 4 if Form 8941, line 12, is zero.

Enter the amount from column (b) of Worksheet 1 for each employee listed in column (a) of Worksheet 4.

1. Enter the amount from Form 8941, line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . 1.

2. Enter the number from Form 8941, line 2 . . . . . . . . . . . . 2.

3. Subtract 10 from line 2 . . . . . 3.

4. Divide line 3 by 15. Enter the result as a decimal (rounded to at least 3 places) . . . . . . . . 4.

5. Multiply line 1 by line 4 . . . . . . . . . . . . . . 5.

6. Subtract line 5 from line 1. Report this amount on Form 8941, line 8 . . . . . . . . . 6.

1. Enter the amount from Form 8941, line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . 1.

2. Enter the amount from Form 8941, line 7 . . . . . . . . . . . . . 2.

3. Enter the amount from Form 8941, line 3 . . . . . . . . . . . . . 3.

4. Subtract $33,300 from line 3 . 4.

5. Divide line 4 by $33,300. Enter the result as a decimal (rounded to at least 3 places) . . . . . . . . 5.

6. Multiply line 2 by line 5 . . . . . . . . . . . . . . 6.

7. Subtract line 6 from line 1. Report this amount on Form 8941, line 9 . . . . . . . . . 7.

Enter the total amount of any state premium subsidies paid and any state tax credits available to you for premiums included on line 4. For details, see State Premium Subsidy and Tax Credit Limitation, earlier.

8 Instructions for Form 8941 (2025)

1. Enter the total enrolled employee hours of service from Worksheet 4, column (d) . . . . . . . . . . . . . . . . . . . . . . . . . . 1.

2. Hours of service per FTE . . . . . . . . . . 2. 2,080

3. Divide line 1 by line 2. If the result isn’t a whole number (0, 1, 2, etc.), generally round the result down to the next lowest whole number. For example, round 2.99 down to 2. However, if the result is less than one, enter 1. Report this number on Form 8941, line 14 . . . . . . 3.

Estates and trusts. Allocate the credit on line 16 between the estate or trust and the beneficiaries in the same proportion as income was allocated and enter the beneficiaries’ share on line 17.

its tax liability. Therefore, to figure the unused amount of the credit allocated to patrons, the cooperative must first figure its tax liability. While any excess is allocated to patrons, any credit recapture applies as if the cooperative had claimed the entire credit.

If the cooperative is subject to the passive activity rules, include on line 15 any credit for small employer health insurance premiums from passive activities disallowed for prior years and carried forward to this year. Complete Form 8810, Corporate Passive Activity Loss and Credit Limitations, to determine the allowed credit that must be allocated to patrons. For details, see the Instructions for Form 8810.

Enter any credit for small employer health insurance premiums from:

• Schedule K-1 (Form 1065), Partner’s Share of Income, Deductions, Credits, etc., box 15 (code BA);

• Schedule K-1 (Form 1120-S), Shareholder’s Share of Income, Deductions, Credits, etc., box 13 (code BA);

• Schedule K-1 (Form 1041), Beneficiary’s Share of Income, Deductions, Credits, etc., box 13 (code G); and

• Form 1099-PATR, Taxable Distributions Received From Cooperatives, box 12, or other notice of credit allocation.

Note: Partnerships, S corporations, cooperatives, estates, trusts, and tax-exempt eligible small employers report the above credits on line 15. All other filers figuring a separate credit on earlier lines also report the above credits on line 15. All others not using earlier lines to figure a separate credit must report the above credits directly on Form 3800, Part lll, line 4h.

Cooperatives. A cooperative described in section 1381(a) must allocate to its patrons the credit in excess of

If the estate or trust is subject to the passive activity rules, include on line 15 any credit for small employer health insurance premiums from passive activities disallowed for prior years and carried forward to this year. Complete Form 8582-CR, Passive Activity Credit Limitations, to determine the allowed credit that must be allocated between the estate or trust and the beneficiaries. For details, see the Instructions for Form 8582-CR.

Enter the total amount of certain payroll taxes. Payroll taxes, for this purpose, mean only the following taxes.

• Federal income taxes the tax-exempt employer was required to withhold from employees’ wages in calendar year 2025.

• Medicare taxes the tax-exempt employer was required to withhold from employees’ wages in calendar year 2025.

• Medicare taxes the tax-exempt employer was required to pay for calendar year 2025.

Paperwork Reduction Act Notice. We ask for you to obtain the information on this form to carry out the Internal Revenue laws of the United States. You are required to obtain this information. You are not required to obtain the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or records relating to a form, or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by Internal Revenue Code section 6103. The time needed to complete and file this form will vary depending on individual circumstances. The estimated burden for individual filers is approved under OMB control number 1545-0074, tax exempt filers under OMB control number 1545-0047, business filers is approved under OMB control number 1545-0123, and trust filers is approved under OMB control number 1545-0092, for the estimated averages, see the instructions for your income tax return. If you have comments concerning the accuracy of these time estimates or suggestions for making this form simpler, we would be happy to hear from you. See the instructions for the tax return with which this form is filed.

Instructions for Form 8941 (2025) 9

The following tables list the average premiums for the small group market in each rating area generally listed by county for each state for tax years beginning in 2025. (Tables not available until December 2025).

Alabama

Lee 8,049 22,422

Limestone 8,306 23,981

Lowndes 8,741 24,330

Macon 8,328 23,127

Madison 8,306 23,981

Marengo 8,328 23,127

Marion 8,328 23,127

Marshall 8,328 23,127

Mobile 8,215 22,163

Monroe 8,328 23,127

Montgomery 8,741 24,330

Morgan 8,446 23,085

Perry 8,328 23,127

Pickens 8,328 23,127

Pike 8,328 23,127

Randolph 8,328 23,127

Russell 8,401 22,513

Shelby 8,194 25,365

St. Clair 8,194 25,365

Sumter 8,328 23,127

Talladega 8,328 23,127

Tallapoosa 8,328 23,127

Tuscaloosa 8,617 23,306

Walker 8,194 25,365

Washington 8,328 23,127

Wilcox 8,328 23,127

Winston 8,328 23,127

Alaska

Northwest Arctic 12,563 33,209

Petersburg 12,288 35,134

Prince of Wales-Hyder 12,288 35,134

Shagway 12,288 35,134

Sitka 12,288 35,134

Southeast Fairbanks 12,563 33,209

Valdez Cordova 11,682 31,718

Wade Hampton 12,563 33,209

Dependent, Family, etc.

Wrangell City and Borough

County

Employee- Only

12,288 35,134

Autauga 8,741 24,330

Baldwin 8,328 23,127

Barbour 8,328 23,127

Bibb 8,194 25,365

Blount 8,194 25,365

Bullock 8,328 23,127

Butler 8,328 23,127

Calhoun 8,024 24,126

Chambers 8,328 23,127

Cherokee 8,328 23,127

Chilton 8,194 25,365

Choctaw 8,328 23,127

Clarke 8,328 23,127

Clay 8,328 23,127

Cleburne 8,328 23,127

Coffee 8,328 23,127

Colbert 8,710 25,637

Conecuh 8,328 23,127

Coosa 8,328 23,127

Covington 8,328 23,127

Crenshaw 8,328 23,127

Cullman 8,328 23,127

Dale 8,328 23,127

Dallas 8,328 23,127

DeKalb 8,328 23,127

Elmore 8,741 24,330

Escambia 8,328 23,127

Etowah 7,572 24,311

Fayette 8,328 23,127

Franklin 8,328 23,127

Geneva 9,357 25,270

Greene 8,617 23,306

Hale 8,617 23,306

Henry 9,357 25,270

Houston 9,357 25,270

Jackson 8,328 23,127

Jefferson 8,194 25,365

Lamar 8,328 23,127

Lauderdale 8,710 25,637

Lawrence 8,446 23,085

Aleutians East 12,563 33,209

Aleutians West 12,563 33,209

Anchorage 11,682 31,718

Bethel 11,682 31,718

Bristol Bay 12,563 33,209

Denali 12,563 33,209

Dillingham 11,682 31,718

Fairbanks North Star 12,563 33,209

Haines 12,288 35,134

Hoonah-Angoon 12,288 35,134

Juneau 12,288 35,134

Kenai Peninsula 12,563 33,209

Ketchikan Gateway 12,288 35,134

Kodiak Island 12,563 33,209

Lake and Peninsula 12,563 33,209

Matanuska Susitna 12,563 33,209

Nome 12,563 33,209

North Slope 12,563 33,209

Yakutat 12,563 33,209

Yukon Koyukuk 12,563 33,209

Arizona

Dependent, Family, etc.

County

Employee- Only

Dependent, Family, etc.

Apache 9,369 24,280

Cochise 8,159 22,038

Coconino 9,369 24,280

Gila 7,925 20,592

Graham 8,159 22,038

Greenlee 8,159 22,038

La Paz 10,198 27,070

Maricopa 7,732 22,558

Mohave 9,369 24,280

Navajo 9,369 24,280

Pima 7,688 23,116

Pinal 7,925 20,592

Santa Cruz 7,688 23,116

Yavapai 8,154 23,122

Yuma 10,198 27,070

Arkansas

County

Employee- Only

Dependent, Family, etc.

County

Employee- Only

Arkansas 8,076 19,388

Ashley 8,076 19,388

Baxter 8,041 21,429

Benton 8,041 21,429

Boone 8,041 21,429

Bradley 8,076 19,388

Calhoun 8,690 23,029

Carroll 8,041 21,429

Chicot 8,076 19,388

Clark 8,239 21,558

Clay 8,446 21,560

Cleburne 7,953 19,797

Cleveland 8,076 19,388

Columbia 8,690 23,029

10 2025 Average Premium Tables

Conway 7,953 19,797

Craighead 8,446 21,560

Crawford 7,899 22,511

Crittenden 8,446 21,560

Cross 8,446 21,560

Dallas 8,076 19,388

Desha 8,076 19,388

Drew 8,076 19,388

Faulkner 7,953 19,797

Franklin 7,899 22,511

Fulton 8,446 21,560

Garland 8,239 21,558

Grant 7,953 19,797

Greene 8,446 21,560

Hempstead 8,690 23,029

Hot Spring 8,239 21,558

Howard 8,690 23,029

Independence 8,446 21,560

Izard 8,446 21,560

Jackson 8,446 21,560

Jefferson 8,076 19,388

Johnson 7,899 22,511

Lafayette 8,690 23,029

Lawrence 8,446 21,560

Lee 8,076 19,388

Lincoln 8,076 19,388

Little River 8,690 23,029

Logan 7,899 22,511

Lonoke 7,953 19,797

Madison 8,041 21,429

Marion 8,041 21,429

Miller 8,690 23,029

Mississippi 8,446 21,560

Monroe 8,076 19,388

Montgomery 8,239 21,558

Nevada 8,690 23,029

Newton 8,041 21,429

Ouachita 8,690 23,029

Perry 7,953 19,797

Phillips 8,076 19,388

Pike 8,239 21,558

Poinsett 8,446 21,560

Polk 7,899 22,511

Pope 7,953 19,797

Prairie 7,953 19,797

Pulaski 7,953 19,797

Randolph 8,446 21,560

Saline 7,953 19,797

Scott 7,899 22,511

Searcy 8,041 21,429

Sebastian 7,899 22,511

Sevier 8,690 23,029

Sharp 8,446 21,560

St. Francis 8,446 21,560

Stone 8,446 21,560

Union 8,690 23,029

Van Buren 7,953 19,797

Washington 8,041 21,429

White 7,953 19,797

Woodruff 8,446 21,560

Yell 7,953 19,797

California

Dependent, Family, etc.

Santa Barbara 9,671 26,109

Santa Clara 9,709 29,012

Santa Cruz 9,613 26,386

Shasta 9,825 23,737

Sierra 9,825 23,737

Siskiyou 9,825 23,737

Solano 8,673 25,833

Sonoma 8,673 25,833

Stanislaus 9,008 24,737

Sutter 9,825 23,737

Tehama 9,825 23,737

Trinity 9,825 23,737

Tulare 9,008 24,737

Tuolumne 9,825 23,737

Ventura 9,671 26,109

Yolo 8,406 27,555

Yuba 9,825 23,737

Colorado

County

Employee- Only

Alameda 9,991 27,732

Alpine 9,825 23,737

Amador 9,825 23,737

Butte 9,825 23,737

Calaveras 9,825 23,737

Colusa 9,825 23,737

Contra Costa 10,036 26,914

Del Norte 9,825 23,737

El Dorado 8,406 27,555

Fresno 9,015 26,996

Glenn 9,825 23,737

Humboldt 9,825 23,737

Imperial 8,825 23,184

Inyo 8,825 23,184

Kern 9,445 21,946

Kings 9,015 26,996

Lake 9,825 23,737

Lassen 9,825 23,737

Los Angeles 9,131 25,340

Madera 9,015 26,996

Marin 8,673 25,833

Mariposa 9,008 24,737

Mendocino 9,825 23,737

Merced 9,008 24,737

Modoc 9,825 23,737

Mono 8,825 23,184

Monterey 9,613 26,386

Napa 8,673 25,833

Nevada 9,825 23,737

Orange 9,098 26,021

Placer 8,406 27,555

Plumas 9,825 23,737

Riverside 9,116 26,757

Sacramento 8,406 27,555

San Benito 9,613 26,386

San Bernardino 9,116 26,757

San Diego 8,815 22,905

San Francisco 9,194 32,092

San Joaquin 9,008 24,737

San Luis Obispo 9,671 26,109

San Mateo 10,893 35,040

Adams 8,602 24,024

Alamosa 8,633 23,653

Arapahoe 8,602 24,024

Archuleta 9,199 24,827

Baca 8,633 23,653

Bent 8,633 23,653

Boulder 8,926 22,089

Broomfield 8,602 24,024

Chaffee 8,633 23,653

Cheyenne 8,633 23,653

Clear Creek 8,602 24,024

Conejos 8,633 23,653

Costilla 8,633 23,653

Crowley 8,633 23,653

Custer 8,633 23,653

Delta 9,199 24,827

Denver 8,602 24,024

Dolores 9,199 24,827

Douglas 8,602 24,024

Eagle 8,017 24,678

El Paso 7,425 23,690

Elbert 8,602 24,024

Fremont 8,633 23,653

Garfield 8,017 24,678

Gilpin 8,602 24,024

Grand 9,199 24,827

Gunnison 9,199 24,827

Hinsdale 9,199 24,827

Huerfano 8,633 23,653

Jackson 9,199 24,827

Jefferson 8,602 24,024

Kiowa 8,633 23,653

Dependent, Family, etc.

County

Employee- Only

2025 Average Premium Tables 11

Kit Carson 8,633 23,653

La Plata 9,199 24,827

Lake 9,199 24,827

Larimer 8,694 23,453

Las Animas 8,633 23,653

Lincoln 8,633 23,653

Logan 9,596 25,901

Mesa 9,910 23,528

Mineral 8,633 23,653

Moffat 9,199 24,827

Montezuma 9,199 24,827

Montrose 9,199 24,827

Morgan 9,596 25,901

Otero 8,633 23,653

Ouray 9,199 24,827

Park 8,602 24,024

Phillips 9,596 25,901

Pitkin 8,017 24,678

Prowers 8,633 23,653

Pueblo 8,421 21,282

Rio Blanco 9,199 24,827

Rio Grande 8,633 23,653

Routt 9,199 24,827

Saguache 8,633 23,653

San Juan 9,199 24,827

San Miguel 9,199 24,827

Sedgwick 9,596 25,901

Summit 8,017 24,678

Teller 7,425 23,690

Washington 9,596 25,901

Weld 9,281 26,886

Yuma 9,596 25,901

Connecticut

All 9,368 29,790

Florida

Dependent, Family, etc.

Osceola 9,623 26,693

Palm Beach 9,897 28,912

Pasco 8,013 23,827

Pinellas 8,194 23,018

Polk 9,577 28,172

Putnam 8,577 24,383

Santa Rosa 8,380 23,766

Sarasota 7,958 24,513

Seminole 8,936 24,437

St. Johns 10,257 29,206

St. Lucie 7,591 22,170

Sumter 8,661 24,392

Suwannee 8,449 24,652

Taylor 8,601 24,732

Union 8,640 24,395

Volusia 8,915 22,545

Wakulla 8,364 24,704

Walton 8,255 23,311

Washington 8,544 24,996

Georgia

County

Employee- Only

Appling 10,583 27,444

Atkinson 8,296 26,061

Bacon 8,995 24,100

Baker 9,035 25,176

Baldwin 9,240 24,458

Banks 8,976 26,402

Barrow 9,031 23,258

Bartow 8,799 23,483

Ben Hill 8,599 24,826

Berrien 8,599 24,826

Bibb 9,105 23,244

Bleckley 9,105 23,244

Brantley 8,995 24,100

Brooks 8,599 24,826

Bryan 10,583 27,444

Bulloch 10,583 27,444

Burke 8,370 20,462

Butts 8,799 23,483

Calhoun 9,035 25,176

Camden 8,995 24,100

Candler 10,583 27,444

Carroll 9,728 28,180

Catoosa 9,171 24,214

Charlton 8,995 24,100

Chatham 10,583 27,444

Chattahoochee 8,306 21,721

Chattooga 8,654 22,479

Cherokee 8,799 23,483

Clarke 9,031 23,258

Clay 9,035 25,176

Dependent, Family, etc.

County

Employee- Only

Dependent, Family, etc.

County

Employee- Only

Fairfield 9,847 29,578

Hartford 9,002 26,680

Litchfield 9,056 28,343

Middlesex 9,123 27,136

New Haven 9,794 29,787

New London 10,375 28,975

Tolland 9,352 28,944

Windham 9,637 31,760

Delaware

Dependent, Family, etc.

County

Employee- Only

All 9,961 27,286

District of Columbia

Dependent, Family, etc.

Alachua 8,574 22,734

Baker 8,395 24,191

Bay 9,388 24,434

Bradford 8,397 24,389

Brevard 9,160 26,969

Broward 8,199 23,737

Calhoun 8,506 24,235

Charlotte 8,788 25,787

Citrus 8,221 24,117

Clay 8,287 23,813

Collier 8,052 29,682

Columbia 8,717 25,617

DeSoto 8,301 25,090

Dixie 8,107 23,261

Duval 8,681 27,500

Escambia 8,119 25,507

Flagler 8,941 24,301

Franklin 8,293 25,489

Gadsden 8,345 24,406

Gilchrist 8,601 24,798

Glades 8,459 25,093

Gulf 8,395 24,880

Hamilton 8,391 24,470

Hardee 8,298 23,424

Hendry 8,677 25,031

Hernando 8,893 23,963

Highlands 8,764 25,569

Hillsborough 7,958 25,175

Holmes 8,182 23,872

Indian River 8,373 24,108

Jackson 7,864 22,810

Jefferson 8,614 24,027

Lafayette 8,508 23,429

Lake 11,430 28,234

Lee 8,441 28,281

Leon 11,634 33,222

Levy 8,184 24,443

Liberty 8,050 23,915

Madison 8,632 24,855

Manatee 8,839 23,230

Marion 7,956 21,239

Martin 8,118 24,627

Miami-Dade 8,604 24,940

Monroe 8,782 25,476

Nassau 8,451 23,044

Okaloosa 8,335 28,477

Okeechobee 8,931 25,640

Orange 8,182 22,301

County

Employee- Only

12 2025 Average Premium Tables

Clayton 8,799 23,483

Clinch 8,599 24,826

Cobb 8,799 23,483

Coffee 8,296 26,061

Colquitt 8,599 24,826

Columbia 8,370 20,462

Cook 8,599 24,826

Coweta 8,799 23,483

Crawford 9,105 23,244

Crisp 9,035 25,176

Dade 9,171 24,214

Dawson 8,976 26,402

Decatur 8,599 24,826

DeKalb 8,799 23,483

Dodge 9,105 23,244

Dooly 9,105 23,244

Dougherty 9,035 25,176

Douglas 8,799 23,483

Early 8,599 24,826

Echols 8,599 24,826

Effingham 10,583 27,444

Elbert 9,031 23,258

Emanuel 8,370 20,462

Evans 10,583 27,444

Fannin 8,899 23,245

Fayette 8,799 23,483

Floyd 8,654 22,479

Forsyth 8,799 23,483

Franklin 8,976 26,402

Fulton 8,799 23,483

Gilmer 8,654 22,479

Glascock 8,370 20,462

Glynn 8,995 24,100

Gordon 8,654 22,479

Grady 8,599 24,826

Greene 9,031 23,258

Gwinnett 8,799 23,483

Habersham 8,976 26,402

Hall 8,976 26,402

Hancock 9,240 24,458

Haralson 9,728 28,180

Harris 8,306 21,721

Hart 8,976 26,402

Heard 9,728 28,180

Henry 8,799 23,483

Houston 9,105 23,244

Irwin 8,599 24,826

Jackson 9,031 23,258

Jasper 8,799 23,483

Jeff Davis 8,296 26,061

Jefferson 8,370 20,462

Jenkins 8,370 20,462

Johnson 8,296 26,061

Jones 9,105 23,244

Lamar 8,799 23,483

Lanier 8,599 24,826

Laurens 8,296 26,061

Lee 9,035 25,176

Liberty 10,583 27,444

Lincoln 8,370 20,462

Long 10,583 27,444

Lowndes 8,599 24,826

Lumpkin 8,976 26,402

Macon 8,306 21,721

Madison 9,031 23,258

Marion 8,306 21,721

McDuffie 8,370 20,462

McIntosh 8,995 24,100

Meriwether 8,306 21,721

Miller 8,599 24,826

Mitchell 9,035 25,176

Monroe 9,105 23,244

Montgomery 8,296 26,061

Morgan 9,031 23,258

Murray 8,899 23,245

Muscogee 8,306 21,721

Newton 8,799 23,483

Oconee 9,031 23,258

Oglethorpe 9,031 23,258

Paulding 8,799 23,483

Peach 9,105 23,244

Pickens 8,654 22,479

Pierce 8,995 24,100

Pike 8,799 23,483

Polk 8,654 22,479

Pulaski 9,105 23,244

Putnam 9,105 23,244

Quitman 8,306 21,721

Rabun 8,976 26,402

Randolph 9,035 25,176

Richmond 8,370 20,462

Rockdale 8,799 23,483

Schley 9,035 25,176

Screven 10,583 27,444

Seminole 8,599 24,826

Spalding 8,799 23,483

Stephens 8,976 26,402

Stewart 8,306 21,721

Sumter 9,035 25,176

Talbot 8,306 21,721

Taliaferro 8,370 20,462

Tattnall 10,583 27,444

Taylor 8,306 21,721

Telfair 8,296 26,061

Terrell 9,035 25,176

Thomas 8,599 24,826

Tift 8,599 24,826

Toombs 8,296 26,061

Towns 8,976 26,402

Treutlen 8,296 26,061

Troup 8,306 21,721

Turner 8,599 24,826

Twiggs 9,105 23,244

Union 8,976 26,402

Upson 8,306 21,721

Walker 9,171 24,214

Walton 8,799 23,483

Ware 8,995 24,100

Warren 8,370 20,462

Washington 9,240 24,458

Wayne 8,995 24,100

Webster 8,306 21,721

Wheeler 8,296 26,061

White 8,976 26,402

Whitfield 8,899 23,245

Wilcox 9,105 23,244

Wilkes 8,370 20,462

Wilkinson 9,240 24,458

Worth 9,035 25,176

Hawaii

Dependent, Family, etc.

County

Employee- Only

All 8,510 22,871

Idaho

Dependent, Family, etc.

County

Employee- Only

Ada 7,370 19,803

Adams 7,815 19,790

Bannock 8,612 21,376

Bear Lake 8,612 21,376

Benewah 7,073 18,432

Bingham 8,612 21,376

Blaine 6,966 21,500

Boise 7,815 19,790

Bonner 7,073 18,432

Bonneville 7,965 23,927

Boundary 7,073 18,432

Butte 8,612 21,376

Camas 6,966 21,500

Canyon 7,815 19,790

Caribou 8,612 21,376

Cassia 6,966 21,500

Clark 7,965 23,927

Clearwater 8,609 21,626

Custer 8,612 21,376

Elmore 7,815 19,790

Franklin 8,612 21,376

2025 Average Premium Tables 13

Fremont 7,965 23,927

Gem 7,815 19,790

Gooding 6,966 21,500

Idaho 8,609 21,626

Jefferson 7,965 23,927

Jerome 6,966 21,500

Kootenai 7,073 18,432

Latah 7,073 18,432

Lemhi 7,965 23,927

Lewis 8,609 21,626

Lincoln 6,966 21,500

Madison 7,965 23,927

Minidoka 6,966 21,500

Nez Perce 8,609 21,626

Oneida 8,612 21,376

Owyhee 7,815 19,790

Payette 7,815 19,790

Power 8,612 21,376

Shoshone 7,073 18,432

Teton 7,965 23,927

Twin Falls 6,966 21,500

Valley 7,815 19,790

Washington 7,815 19,790

Illinois

Richland 9,928 27,034

Rock Island 9,147 31,143

Saline 9,928 27,034

Sangamon 9,604 23,011

Schuyler 9,604 23,011

Scott 9,604 23,011

Shelby 9,604 23,011

St. Clair 9,370 26,654

Stark 9,027 25,140

Stephenson 10,338 23,546

Tazewell 9,027 25,140

Union 9,928 27,034

Vermilion 9,902 25,830

Wabash 9,928 27,034

Warren 9,147 31,143

Washington 8,687 29,557

Wayne 9,928 27,034

White 9,928 27,034

Whiteside 9,147 31,143

Will 9,274 22,354

Williamson 9,928 27,034

Winnebago 10,338 23,546

Woodford 9,027 25,140

Indiana

Dependent, Family, etc.

Dependent, Family, etc.

Ford 9,902 25,830

Franklin 9,928 27,034

Fulton 9,027 25,140

Gallatin 9,928 27,034

Greene 8,687 29,557

Grundy 9,274 22,354

Hamilton 9,928 27,034

Hancock 9,147 31,143

Hardin 9,928 27,034

Henderson 9,147 31,143

Henry 9,147 31,143

Iroquois 9,902 25,830

Jackson 9,928 27,034

Jasper 9,928 27,034

Jefferson 9,928 27,034

Jersey 8,687 29,557

Jo Daviess 10,338 23,546

Johnson 9,928 27,034

Kane 9,328 26,713

Kankakee 9,274 22,354

Kendall 9,274 22,354

Knox 9,027 25,140

Lake 9,788 25,877

LaSalle 9,027 25,140

Lawrence 9,928 27,034

Lee 10,338 23,546

Livingston 9,902 24,851

Logan 9,604 23,011

Macon 9,604 23,011

Macoupin 8,687 29,557

Madison 9,370 26,654

Marion 9,928 27,034

Marshall 9,027 25,140

Mason 9,604 23,011

Massac 9,928 27,034

McDonough 9,027 25,140

McHenry 9,788 25,877

McLean 9,902 24,851

Menard 9,604 23,011

Mercer 9,147 31,143

Monroe 9,370 26,654

Montgomery 8,687 29,557

Morgan 9,604 23,011

Moultrie 9,604 23,011

Ogle 10,338 23,546

Peoria 9,027 25,140

Perry 9,928 27,034

Piatt 9,902 25,830

Pike 9,604 23,011

Pope 9,928 27,034

Pulaski 9,928 27,034

Putnam 9,027 25,140

Randolph 8,687 29,557

Employee- Only

County

Employee- Only

County

Adams 9,604 23,011

Alexander 9,928 27,034

Bond 8,687 29,557

Boone 10,338 23,546

Brown 9,604 23,011

Bureau 9,147 31,143

Calhoun 8,687 29,557

Carroll 10,338 23,546

Cass 9,604 23,011

Champaign 9,902 25,830

Christian 9,604 23,011

Clark 9,902 25,830

Clay 9,928 27,034

Clinton 8,687 29,557

Coles 9,902 25,830

Cook 9,718 27,217

Crawford 9,928 27,034

Cumberland 9,902 25,830

De Witt 9,902 24,851

DeKalb 10,338 23,546

Douglas 9,902 25,830

DuPage 9,328 26,713

Edgar 9,902 25,830

Edwards 9,928 27,034

Effingham 9,928 27,034

Fayette 9,928 27,034

Adams 9,754 23,214

Allen 8,709 25,445

Bartholomew 9,084 26,175

Benton 9,403 25,391

Blackford 9,701 25,410

Boone 8,855 25,255

Brown 9,532 32,004

Carroll 9,998 26,016

Cass 9,764 22,329

Clark 7,691 22,444

Clay 9,153 24,472

Clinton 9,998 26,016

Crawford 7,691 22,444

Daviess 9,918 27,857

Dearborn 9,748 24,245

Decatur 9,084 26,175

DeKalb 9,754 23,214

Delaware 9,701 25,410

Dubois 9,918 27,857

Elkhart 9,272 23,554

Fayette 8,795 26,531

Floyd 7,691 22,444

Fountain 9,998 26,016

Franklin 9,748 24,245

Fulton 9,764 22,329

Gibson 10,911 24,919

14 2025 Average Premium Tables

Grant 9,701 25,410

Greene 9,918 27,857

Hamilton 8,855 25,255

Hancock 8,795 26,531

Harrison 7,691 22,444

Hendricks 8,855 25,255

Henry 8,795 26,531

Howard 9,764 22,329

Huntington 9,754 23,214

Jackson 9,084 26,175

Jasper 9,403 25,391

Jay 9,701 25,410

Jefferson 7,691 22,444

Jennings 9,084 26,175

Johnson 9,532 32,004

Knox 9,918 27,857

Kosciusko 9,272 23,554

La Grange 9,754 23,214

La Porte 8,721 23,469

Lake 8,721 23,469

Lawrence 9,532 32,004

Madison 8,795 26,531

Marion 8,855 25,255

Marshall 9,272 23,554

Martin 9,918 27,857

Miami 9,764 22,329

Monroe 9,532 32,004

Montgomery 9,998 26,016

Morgan 8,855 25,255

Newton 9,403 25,391

Noble 9,754 23,214

Ohio 9,748 24,245

Orange 9,918 27,857

Owen 9,532 32,004

Parke 9,153 24,472

Perry 9,918 27,857

Pike 9,918 27,857

Porter 8,721 23,469

Posey 10,911 24,919

Pulaski 9,764 22,329

Putnam 9,998 26,016

Randolph 9,701 25,410

Ripley 9,748 24,245

Rush 9,084 26,175

Scott 7,691 22,444

Shelby 8,855 25,255

Spencer 9,918 27,857

St. Joseph 9,272 23,554

Starke 9,272 23,554

Steuben 9,754 23,214

Sullivan 9,153 24,472

Switzerland 9,748 24,245

Tippecanoe 9,998 26,016

Tipton 9,998 26,016

Union 8,795 26,531

Vanderburgh 10,911 24,919

Vermillion 9,153 24,472

Vigo 9,153 24,472

Wabash 9,754 23,214

Warren 9,403 25,391

Warrick 10,911 24,919

Washington 7,691 22,444

Wayne 8,795 26,531

Wells 9,754 23,214

White 9,403 25,391

Whitley 9,754 23,214

Iowa

Dependent, Family, etc.

Greene 7,966 23,547

Grundy 7,966 23,547

Guthrie 8,697 23,560

Hamilton 7,966 23,547

Hancock 8,404 23,443

Hardin 7,966 23,547

Harrison 8,697 23,560

Henry 8,218 20,576

Howard 8,404 23,443

Humboldt 8,404 23,443

Ida 8,772 24,054

Iowa 8,640 23,258

Jackson 8,640 23,258

Jasper 8,281 23,344

Jefferson 8,218 20,576

Johnson 8,640 23,258

Jones 8,640 23,258

Keokuk 8,218 20,576

Kossuth 8,404 23,443

Lee 8,218 20,576

Linn 8,640 23,258

Louisa 8,218 20,576

Lucas 8,218 20,576

Lyon 8,772 24,054

Madison 8,281 23,344

Mahaska 8,218 20,576

Marion 8,281 23,344

Marshall 7,966 23,547

Mills 8,697 23,560

Mitchell 8,404 23,443

Monona 8,772 24,054

Monroe 8,218 20,576

Montgomery 8,697 23,560

Muscatine 8,218 20,576

O’Brien 8,772 24,054

Osceola 8,772 24,054

Page 8,697 23,560

Palo Alto 8,772 24,054

Plymouth 8,772 24,054

Pocahontas 8,772 24,054

Polk 8,281 23,344

Pottawattamie 8,697 23,560

Poweshiek 7,966 23,547

Ringgold 8,697 23,560

Sac 8,772 24,054

Scott 8,640 23,258

Shelby 8,697 23,560

Sioux 8,772 24,054

Story 7,966 23,547

Tama 7,966 23,547

Taylor 8,697 23,560

Union 8,697 23,560

Van Buren 8,218 20,576

County

Employee- Only

Adair 8,697 23,560

Adams 8,697 23,560

Allamakee 8,404 23,443

Appanoose 8,218 20,576

Audubon 8,697 23,560

Benton 8,640 23,258

Black Hawk 8,640 23,258

Boone 7,966 23,547

Bremer 8,404 23,443

Buchanan 8,640 23,258

Buena Vista 8,772 24,054

Butler 8,404 23,443

Calhoun 7,966 23,547

Carroll 7,966 23,547

Cass 8,697 23,560

Cedar 8,640 23,258

Cerro Gordo 8,404 23,443

Cherokee 8,772 24,054

Chickasaw 8,404 23,443

Clarke 8,697 23,560

Clay 8,772 24,054

Clayton 8,640 23,258

Clinton 8,640 23,258

Crawford 8,772 24,054

Dallas 8,281 23,344

Davis 8,218 20,576

Decatur 8,697 23,560

Delaware 8,640 23,258

Des Moines 8,218 20,576

Dickinson 8,772 24,054

Dubuque 8,640 23,258

Emmet 8,404 23,443

Fayette 8,404 23,443

Floyd 8,404 23,443

Franklin 8,404 23,443

Fremont 8,697 23,560

2025 Average Premium Tables 15

Wapello 8,218 20,576

Warren 8,281 23,344

Washington 8,218 20,576

Wayne 8,218 20,576

Webster 7,966 23,547

Winnebago 8,404 23,443

Winneshiek 8,404 23,443

Woodbury 8,772 24,054

Worth 8,404 23,443

Wright 8,404 23,443

Kansas

Stafford 6,640 20,210

Stanton 6,640 20,210

Stevens 6,640 20,210

Sumner 7,303 22,343

Thomas 8,258 22,158

Trego 8,258 22,158

Wabaunsee 7,618 22,465

Wallace 8,258 22,158

Washington 6,958 19,361

Wichita 8,258 22,158

Wilson 7,303 22,343

Woodson 7,646 20,460

Wyandotte 8,105 22,751

Kentucky

Dependent, Family, etc.

Harvey 7,303 22,343

Haskell 6,640 20,210

Hodgeman 6,640 20,210

Jackson 7,618 22,465

Jefferson 7,618 22,465

Jewell 6,958 19,361

Johnson 8,105 22,751

Kearny 6,640 20,210

Kingman 7,303 22,343

Kiowa 6,640 20,210

Labette 7,646 20,460

Lane 8,258 22,158

Leavenworth 8,105 22,751

Lincoln 6,958 19,361

Linn 7,618 22,465

Logan 8,258 22,158

Lyon 7,618 22,465

Marion 7,303 22,343

Marshall 7,618 22,465

McPherson 7,303 22,343

Meade 6,640 20,210

Miami 8,105 22,751

Mitchell 6,958 19,361

Montgomery 7,303 22,343

Morris 6,958 19,361

Morton 6,640 20,210

Nemaha 7,618 22,465

Neosho 7,646 20,460

Ness 8,258 22,158

Norton 8,258 22,158

Osage 7,618 22,465

Osborne 8,258 22,158

Ottawa 6,958 19,361

Pawnee 6,640 20,210

Phillips 8,258 22,158

Pottawatomie 7,618 22,465

Pratt 6,640 20,210

Rawlins 8,258 22,158

Reno 7,303 22,343

Republic 6,958 19,361

Rice 7,303 22,343

Riley 6,958 19,361

Rooks 8,258 22,158

Rush 8,258 22,158

Russell 8,258 22,158

Saline 6,958 19,361

Scott 8,258 22,158

Sedgwick 7,303 22,343

Seward 6,640 20,210

Shawnee 7,618 22,465

Sheridan 8,258 22,158

Sherman 8,258 22,158

Smith 8,258 22,158

County

Employee- Only

Allen 7,646 20,460

Anderson 7,618 22,465

Atchison 7,618 22,465

Barber 6,640 20,210

Barton 8,258 22,158

Bourbon 7,646 20,460

Brown 7,618 22,465

Butler 7,303 22,343

Chase 7,303 22,343

Chautauqua 7,303 22,343

Cherokee 7,646 20,460

Cheyenne 8,258 22,158

Clark 6,640 20,210

Clay 6,958 19,361

Cloud 6,958 19,361

Coffey 7,618 22,465

Comanche 6,640 20,210

Cowley 7,303 22,343

Crawford 7,646 20,460

Decatur 8,258 22,158

Dickinson 6,958 19,361

Doniphan 7,618 22,465

Douglas 7,618 22,465

Edwards 6,640 20,210

Elk 7,303 22,343

Ellis 8,258 22,158

Ellsworth 6,958 19,361

Finney 6,640 20,210

Ford 6,640 20,210

Franklin 7,618 22,465

Geary 6,958 19,361

Gove 8,258 22,158

Graham 8,258 22,158

Grant 6,640 20,210

Gray 6,640 20,210

Greeley 8,258 22,158

Greenwood 7,303 22,343

Hamilton 6,640 20,210

Harper 7,303 22,343

Dependent, Family, etc.

County

Employee- Only

Adair 7,995 26,651

Allen 7,995 26,651

Anderson 8,345 24,990

Ballard 9,237 26,051

Barren 7,995 26,651

Bath 8,247 27,325

Bell 9,504 30,789

Boone 7,662 26,293

Bourbon 8,345 24,990

Boyd 8,247 27,325

Boyle 8,345 24,990

Bracken 8,247 27,325

Breathitt 9,504 30,789

Breckinridge 7,985 26,260

Bullitt 7,985 26,260

Butler 7,995 26,651

Caldwell 9,237 26,051

Calloway 9,237 26,051

Campbell 7,662 26,293

Carlisle 9,237 26,051

Carroll 7,985 26,260

Carter 8,247 27,325

Casey 7,995 26,651

Christian 8,681 28,482

Clark 8,345 24,990

Clay 9,504 30,789

Clinton 7,995 26,651

Crittenden 9,237 26,051

Cumberland 7,995 26,651

Daviess 8,681 28,482

Edmonson 7,995 26,651

Elliott 8,247 27,325

Estill 8,345 24,990

Fayette 8,345 24,990

Fleming 8,247 27,325

Floyd 9,504 30,789

16 2025 Average Premium Tables

Franklin 8,345 24,990

Fulton 9,237 26,051

Gallatin 7,662 26,293

Garrard 8,345 24,990

Grant 7,662 26,293

Graves 9,237 26,051

Grayson 7,985 26,260

Green 7,995 26,651

Greenup 8,247 27,325

Hancock 8,681 28,482

Hardin 7,985 26,260

Harlan 9,504 30,789

Harrison 8,345 24,990

Hart 7,995 26,651

Henderson 8,681 28,482

Henry 7,985 26,260

Hickman 9,237 26,051

Hopkins 8,681 28,482

Jackson 8,345 24,990

Jefferson 7,985 26,260

Jessamine 8,345 24,990

Johnson 9,504 30,789

Kenton 7,662 26,293

Knott 9,504 30,789

Knox 9,504 30,789

LaRue 7,985 26,260

Laurel 9,504 30,789

Lawrence 8,247 27,325

Lee 9,504 30,789

Leslie 9,504 30,789

Letcher 9,504 30,789

Lewis 8,247 27,325

Lincoln 8,345 24,990

Livingston 9,237 26,051

Logan 7,995 26,651

Lyon 9,237 26,051

Madison 8,345 24,990

Magoffin 9,504 30,789

Marion 7,985 26,260

Marshall 9,237 26,051

Martin 9,504 30,789

Mason 8,247 27,325

McCracken 9,237 26,051

McCreary 7,995 26,651

McLean 8,681 28,482

Meade 7,985 26,260

Menifee 8,247 27,325

Mercer 8,345 24,990

Metcalfe 7,995 26,651

Monroe 7,995 26,651

Montgomery 8,345 24,990

Morgan 8,247 27,325

Muhlenberg 8,681 28,482

Nelson 7,985 26,260

Nicholas 8,345 24,990

Ohio 8,681 28,482

Oldham 7,985 26,260

Owen 8,345 24,990

Owsley 9,504 30,789

Pendleton 7,662 26,293

Perry 9,504 30,789

Pike 9,504 30,789

Powell 8,345 24,990

Pulaski 7,995 26,651

Robertson 8,247 27,325

Rockcastle 8,345 24,990

Rowan 8,247 27,325

Russell 7,995 26,651

Scott 8,345 24,990

Shelby 7,985 26,260

Simpson 7,995 26,651

Spencer 7,985 26,260

Taylor 7,995 26,651

Todd 8,681 28,482

Trigg 8,681 28,482

Trimble 7,985 26,260

Union 8,681 28,482

Warren 7,995 26,651

Washington 7,985 26,260

Wayne 7,995 26,651

Webster 8,681 28,482

Whitley 9,504 30,789

Wolfe 9,504 30,789

Woodford 8,345 24,990

Louisiana

Dependent, Family, etc.

East Feliciana 9,726 22,141

Evangeline 8,122 20,866

Franklin 10,470 21,786

Grant 9,663 25,493

Iberia 8,122 20,866

Iberville 9,726 22,141

Jackson 10,470 21,786

Jefferson 9,282 22,841

Jefferson Davis 9,557 21,861

Lafayette 8,122 20,866

Lafourche 8,784 21,305

LaSalle 9,663 25,493

Lincoln 10,470 21,786

Livingston 9,726 22,141

Madison 10,470 21,786

Morehouse 10,470 21,786

Natchitoches 8,188 21,752

Orleans 9,282 22,841

Ouachita 10,470 21,786

Plaquemines 9,282 22,841

Pointe Coupee 9,726 22,141

Rapides 9,663 25,493

Red River 8,188 21,752

Richland 10,470 21,786

Sabine 8,188 21,752

St. Bernard 9,282 22,841

St. Charles 9,282 22,841

St. Helena 9,726 22,141

St. James 9,282 22,841

St. John Baptist 9,282 22,841

St. Landry 8,122 20,866

St. Martin 8,122 20,866

St. Mary 8,122 20,866

St. Tammany 9,282 22,841

Tangipahoa 9,726 22,141

Tensas 10,470 21,786

Terrebonne 8,784 21,305

Union 10,470 21,786

Vermilion 8,122 20,866

Vernon 9,663 25,493

Washington 9,726 22,141

Webster 8,188 21,752

West Baton Rouge 9,726 22,141

West Carroll 10,470 21,786

West Feliciana 9,726 22,141

Winn 9,663 25,493

Maine

Parish

Employee- Only

Acadia 8,122 20,866

Allen 9,557 21,861

Ascension 9,726 22,141

Assumption 8,784 21,305

Avoyelles 9,663 25,493

Beauregard 9,557 21,861

Bienville 8,188 21,752

Bossier 8,188 21,752

Caddo 8,188 21,752

Calcasieu 9,557 21,861

Caldwell 10,470 21,786

Cameron 9,557 21,861

Catahoula 9,663 25,493

Claiborne 8,188 21,752

Concordia 9,663 25,493

DeSoto 8,188 21,752

East Baton Rouge 9,726 22,141

East Carroll 10,470 21,786

Androscoggin 8,563 23,225

Aroostook 10,343 26,921

Cumberland 8,290 25,413

Dependent, Family, etc.

County

Employee- Only

2025 Average Premium Tables 17

Franklin 8,563 23,225

Hancock 10,343 26,921

Kennebec 8,238 25,377

Knox 8,238 25,377

Lincoln 8,238 25,377

Oxford 8,238 25,377

Penobscot 8,563 23,225

Piscataquis 8,563 23,225

Sagadahoc 8,290 25,413

Somerset 8,563 23,225

Waldo 8,563 23,225

Washington 10,343 26,921

York 8,290 25,413

Maryland

Middlesex 11,316 30,805

Nantucket 12,476 30,964

Norfolk 11,316 30,805

Plymouth 11,194 30,212

Suffolk 11,316 30,805

Worcester 10,505 30,813

Michigan

Dependent, Family, etc.

Lapeer 8,060 24,088

Leelanau 8,195 24,739

Lenawee 8,673 25,644

Livingston 8,673 25,644

Luce 11,167 23,163

Mackinac 8,510 22,856

Macomb 8,234 23,578

Manistee 8,195 24,739

Marquette 11,167 23,163

Mason 7,401 24,234

Mecosta 7,401 24,234

Menominee 11,167 23,163

Midland 8,542 23,607

Missaukee 8,195 24,739

Monroe 9,002 26,312

Montcalm 7,401 24,234

Montmorency 8,510 22,856

Muskegon 7,401 24,234

Newaygo 7,401 24,234

Oakland 8,234 23,578

Oceana 7,401 24,234

Ogemaw 8,510 22,856

Ontonagon 11,167 23,163

Osceola 7,401 24,234

Oscoda 8,510 22,856

Otsego 8,510 22,856

Ottawa 7,401 24,234

Presque Isle 8,510 22,856

Roscommon 8,510 22,856

Saginaw 9,631 24,111

Sanilac 8,709 21,559

Schoolcraft 11,167 23,163

Shiawassee 8,060 24,088

St. Clair 8,144 24,799

St. Joseph 8,627 26,094

Tuscola 8,709 21,559

Van Buren 8,627 26,094

Washtenaw 8,673 25,644

Wayne 9,002 26,312

Wexford 8,195 24,739

Minnesota

County

Employee- Only

Aitkin 8,927 22,963

Anoka 8,387 23,928

Becker 8,643 23,575

Beltrami 8,927 22,963

Benton 8,387 23,928

Big Stone 9,311 24,352

Blue Earth 10,352 22,188

Brown 9,554 23,134

Carlton 10,107 22,968

Dependent, Family, etc.

County

Employee- Only

Allegany 8,282 25,727

Anne Arundel 8,273 24,972

Baltimore 8,273 24,972

Baltimore City 8,273 24,972

Calvert 8,337 21,363

Caroline 8,337 21,363

Carroll 8,282 25,727

Cecil 8,337 21,363

Charles 8,337 21,363

Dorchester 8,337 21,363

Frederick 8,282 25,727

Garrett 8,282 25,727

Harford 8,273 24,972

Howard 8,273 24,972

Kent 8,337 21,363

Montgomery 8,718 25,697

Prince George’s 8,718 25,697

Queen Anne’s 8,337 21,363

Somerset 8,337 21,363

St. Mary’s 8,337 21,363

Talbot 8,337 21,363

Washington 8,282 25,727

Wicomico 8,337 21,363

Worcester 8,337 21,363

Massachusetts

Dependent, Family, etc.

Employee- Only

Dependent, Family, etc.

Alcona 8,510 22,856

Alger 11,167 23,163

Allegan 8,008 25,470

Alpena 8,510 22,856

Antrim 8,195 24,739

Arenac 9,631 24,111

Baraga 11,167 23,163

Barry 8,008 25,470

Bay 9,631 24,111

Benzie 8,195 24,739

Berrien 8,627 26,094

Branch 9,298 25,097

Calhoun 9,298 25,097

Cass 8,627 26,094

Charlevoix 8,195 24,739

Cheboygan 8,510 22,856

Chippewa 8,510 22,856

Clare 8,542 23,607

Clinton 8,521 24,171

Crawford 8,510 22,856

Delta 11,167 23,163

Dickinson 11,167 23,163

Eaton 8,521 24,171

Emmet 8,195 24,739

Genesee 8,060 24,088

Gladwin 8,542 23,607

Gogebic 11,167 23,163

Grand Traverse 8,195 24,739

Gratiot 9,631 24,111

Hillsdale 8,521 24,171

Houghton 11,167 23,163

Huron 8,709 21,559

Ingham 8,521 24,171

Ionia 7,401 24,234

Iosco 8,510 22,856

Iron 11,167 23,163

Isabella 8,542 23,607

Jackson 8,521 24,171

Kalamazoo 9,298 25,097

Kalkaska 8,195 24,739

Kent 7,401 24,234

Keweenaw 11,167 23,163

Lake 7,401 24,234

County

County

Employee- Only

Barnstable 12,476 30,964

Berkshire 9,411 27,598

Bristol 11,194 30,212

Dukes 12,476 30,964

Essex 11,289 29,332

Franklin 9,411 27,598

Hampden 9,411 27,598

Hampshire 9,411 27,598

18 2025 Average Premium Tables

Carver 8,387 23,928

Cass 8,927 22,963

Chippewa 9,311 24,352

Chisago 8,927 22,963

Clay 8,643 23,575

Clearwater 8,842 24,327

Cook 10,107 22,968

Cottonwood 9,554 23,134

Crow Wing 8,927 22,963

Dakota 8,387 23,928

Dodge 9,598 25,086

Douglas 8,643 23,575

Faribault 10,352 22,188

Fillmore 9,598 25,086

Freeborn 9,598 25,086

Goodhue 9,598 25,086

Grant 8,643 23,575

Hennepin 8,387 23,928

Houston 9,598 25,086

Hubbard 8,927 22,963

Isanti 8,927 22,963

Itasca 10,107 22,968

Jackson 9,554 23,134

Kanabec 8,927 22,963

Kandiyohi 9,311 24,352

Kittson 8,842 24,327

Koochiching 10,107 22,968

Lac qui Parle 9,311 24,352

Lake 10,107 22,968

Lake of the Woods 10,107 22,968

Le Sueur 10,352 22,188

Lincoln 9,554 23,134

Lyon 9,311 24,352

Mahnomen 8,842 24,327

Marshall 8,842 24,327

Martin 10,352 22,188

McLeod 9,311 24,352

Meeker 9,311 24,352

Mille Lacs 8,927 22,963

Morrison 8,927 22,963

Mower 9,598 25,086

Murray 9,554 23,134

Nicollet 10,352 22,188

Nobles 9,554 23,134

Norman 8,842 24,327

Olmsted 9,598 25,086

Otter Tail 8,643 23,575

Pennington 8,842 24,327

Pine 8,927 22,963

Pipestone 9,554 23,134

Polk 8,842 24,327

Pope 8,643 23,575

Ramsey 8,387 23,928

Red Lake 8,842 24,327

Redwood 9,554 23,134

Renville 9,311 24,352

Rice 10,352 22,188

Rock 9,554 23,134

Roseau 8,927 22,963

Scott 8,387 23,928

Sherburne 8,387 23,928

Sibley 9,311 24,352

St. Louis 10,107 22,968

Stearns 8,387 23,928

Steele 9,598 25,086

Stevens 8,643 23,575

Swift 9,311 24,352

Todd 8,927 22,963

Traverse 8,643 23,575

Wabasha 9,598 25,086

Wadena 8,927 22,963

Waseca 10,352 22,188

Washington 8,387 23,928

Watonwan 10,352 22,188

Wilkin 8,643 23,575

Winona 9,598 25,086

Wright 8,387 23,928

Yellow Medicine 9,311 24,352

Mississippi

Dependent, Family, etc.

Hinds 7,604 19,180

Holmes 7,206 18,688

Humphreys 7,206 18,688

Issaquena 7,206 18,688

Itawamba 7,416 18,912

Jackson 7,844 23,137

Jasper 7,206 18,688

Jefferson 7,206 18,688

Jefferson Davis 7,206 18,688

Jones 7,593 18,156

Kemper 7,206 18,688

Lafayette 7,206 18,688

Lamar 7,593 18,156

Lauderdale 7,206 18,688

Lawrence 7,206 18,688

Leake 7,206 18,688

Lee 7,416 18,912

Leflore 7,206 18,688

Lincoln 7,206 18,688

Lowndes 7,206 18,688

Madison 7,604 19,180

Marion 7,206 18,688

Marshall 7,921 23,091

Monroe 7,206 18,688

Montgomery 7,206 18,688

Neshoba 7,206 18,688

Newton 7,206 18,688

Noxubee 7,206 18,688

Oktibbeha 7,206 18,688

Panola 7,206 18,688

Pearl River 7,593 18,156

Perry 7,593 18,156

Pike 7,206 18,688

Pontotoc 7,416 18,912

Prentiss 7,206 18,688

Quitman 7,206 18,688

Rankin 7,604 19,180

Scott 7,206 18,688

Sharkey 7,206 18,688

Simpson 7,604 19,180

Smith 7,206 18,688

Stone 7,844 23,137

Sunflower 7,206 18,688

Tallahatchie 7,206 18,688

Tate 7,921 23,091

Tippah 7,416 18,912

Tishomingo 7,206 18,688

Tunica 7,921 23,091

Union 7,416 18,912

Walthall 7,206 18,688

Warren 7,604 19,180

Washington 7,206 18,688

Wayne 7,206 18,688

County

Employee- Only

Adams 7,206 18,688

Alcorn 7,206 18,688

Amite 7,206 18,688

Attala 7,206 18,688

Benton 7,416 18,912

Bolivar 7,206 18,688

Calhoun 7,206 18,688

Carroll 7,206 18,688

Chickasaw 7,206 18,688

Choctaw 7,206 18,688

Claiborne 7,206 18,688

Clarke 7,206 18,688

Clay 7,206 18,688

Coahoma 7,206 18,688

Copiah 7,604 19,180

Covington 7,206 18,688

DeSoto 7,921 23,091

Forrest 7,593 18,156

Franklin 7,206 18,688

George 7,844 23,137

Greene 7,593 18,156

Grenada 7,206 18,688

Hancock 7,844 23,137

Harrison 7,844 23,137

2025 Average Premium Tables 19

Webster 7,206 18,688

Wilkinson 7,206 18,688

Winston 7,206 18,688

Yalobusha 7,206 18,688

Yazoo 7,206 18,688

Missouri

St. Charles 8,291 23,092

St. Clair 7,494 20,476

St. Francois 8,291 23,092

St. Louis 8,291 23,092

St. Louis City 8,291 23,092

Ste. Genevieve 8,291 23,092

Stoddard 8,722 25,505

Stone 7,880 24,547

Sullivan 8,548 21,760

Taney 7,880 24,547

Texas 7,659 21,187

Vernon 7,494 20,476

Warren 8,291 23,092

Washington 8,291 23,092

Wayne 8,722 25,505

Webster 7,880 24,547

Worth 10,197 23,058

Wright 7,880 24,547

Montana

Dependent, Family, etc.

Howard 8,982 22,299

Howell 7,659 21,187

Iron 7,659 21,187

Jackson 8,884 23,815

Jasper 10,543 21,351

Jefferson 8,291 23,092

Johnson 7,494 20,476

Knox 8,548 21,760

Laclede 7,880 24,547

Lafayette 7,494 20,476

Lawrence 7,880 24,547

Lewis 8,548 21,760

Lincoln 8,291 23,092

Linn 8,548 21,760

Livingston 10,197 23,058

Macon 8,548 21,760

Madison 8,722 25,505

Maries 8,982 22,299

Marion 8,548 21,760

McDonald 10,543 21,351

Mercer 10,197 23,058

Miller 8,982 22,299

Mississippi 8,722 25,505

Moniteau 8,982 22,299

Monroe 8,982 22,299

Montgomery 8,982 22,299

Morgan 8,982 22,299

New Madrid 8,722 25,505

Newton 10,543 21,351

Nodaway 10,197 23,058

Oregon 7,659 21,187

Osage 8,982 22,299

Ozark 7,880 24,547

Pemiscot 8,722 25,505

Perry 8,722 25,505

Pettis 7,494 20,476

Phelps 7,659 21,187

Pike 8,548 21,760

Platte 8,884 23,815

Polk 7,880 24,547

Pulaski 7,659 21,187

Putnam 8,548 21,760

Ralls 8,548 21,760

Randolph 8,982 22,299

Ray 10,197 23,058

Reynolds 7,659 21,187

Ripley 7,659 21,187

Saline 7,494 20,476

Schuyler 8,548 21,760

Scotland 8,548 21,760

Scott 8,722 25,505

Shannon 7,659 21,187

Shelby 8,548 21,760

County

Employee- Only

Adair 8,548 21,760

Andrew 10,197 23,058

Atchison 10,197 23,058

Audrain 8,982 22,299

Barry 7,880 24,547

Barton 10,543 21,351

Bates 7,494 20,476

Benton 7,494 20,476

Bollinger 8,722 25,505

Boone 8,982 22,299

Buchanan 10,197 23,058

Butler 8,722 25,505

Caldwell 10,197 23,058

Callaway 8,982 22,299

Camden 8,982 22,299

Cape Girardeau 8,722 25,505

Carroll 10,197 23,058

Carter 7,659 21,187

Cass 8,884 23,815

Cedar 7,880 24,547

Chariton 8,982 22,299

Christian 7,880 24,547

Clark 8,548 21,760

Clay 8,884 23,815

Clinton 10,197 23,058

Cole 8,982 22,299

Cooper 8,982 22,299

Crawford 7,659 21,187

Dade 7,880 24,547

Dallas 7,880 24,547

Daviess 10,197 23,058

DeKalb 10,197 23,058

Dent 7,659 21,187

Douglas 7,880 24,547

Dunklin 8,722 25,505

Franklin 8,291 23,092

Gasconade 8,982 22,299

Gentry 10,197 23,058

Greene 7,880 24,547

Grundy 10,197 23,058

Harrison 10,197 23,058

Henry 7,494 20,476

Hickory 7,880 24,547

Holt 10,197 23,058

Dependent, Family, etc.

County

Employee- Only

Beaverhead 9,301 23,078

Big Horn 9,301 23,078

Blaine 9,301 23,078

Broadwater 7,853 22,167

Carbon 8,131 22,023

Carter 9,301 23,078

Cascade 7,853 22,167

Chouteau 7,853 22,167

Custer 9,301 23,078

Daniels 9,301 23,078

Dawson 9,301 23,078

Deer Lodge 7,853 22,167

Fallon 9,301 23,078

Fergus 9,301 23,078

Flathead 8,051 21,832

Gallatin 7,853 22,167

Garfield 9,301 23,078

Glacier 9,301 23,078

Golden Valley 9,301 23,078

Granite 9,301 23,078

Hill 9,301 23,078

Jefferson 7,853 22,167

Judith Basin 7,853 22,167

Lake 8,051 21,832

Lewis and Clark 7,853 22,167

Liberty 9,301 23,078

Lincoln 9,301 23,078

Madison 9,301 23,078

McCone 9,301 23,078

Meagher 9,301 23,078

Mineral 9,301 23,078

20 2025 Average Premium Tables

Missoula 8,051 21,832

Musselshell 8,131 22,023

Park 9,301 23,078

Petroleum 9,301 23,078

Phillips 9,301 23,078

Pondera 9,301 23,078

Powder River 9,301 23,078

Powell 9,301 23,078

Prairie 9,301 23,078

Ravalli 9,301 23,078

Richland 9,301 23,078

Roosevelt 9,301 23,078

Rosebud 9,301 23,078

Sanders 9,301 23,078

Sheridan 9,301 23,078

Silver Bow 7,853 22,167

Stillwater 8,131 22,023

Sweet Grass 8,131 22,023

Teton 7,853 22,167

Toole 9,301 23,078

Treasure 9,301 23,078

Valley 9,301 23,078

Wheatland 9,301 23,078

Wibaux 9,301 23,078

Yellowstone 8,131 22,023

Nebraska

Saunders 8,710 25,234

Scotts Bluff 9,959 25,388

Seward 9,385 26,201

Sheridan 9,959 25,388

Sherman 9,372 29,424

Sioux 9,959 25,388

Stanton 9,372 29,424

Thayer 9,385 26,201

Thomas 9,959 25,388

Thurston 8,710 25,234

Valley 9,372 29,424

Washington 8,710 25,234

Wayne 9,372 29,424

Webster 9,372 29,424

Wheeler 9,372 29,424

York 9,385 26,201

Nevada

Dependent, Family, etc.

County

Employee- Only

Dependent, Family, etc.

Deuel 9,959 25,388

Dixon 9,372 29,424

Dodge 8,710 25,234

Douglas 8,710 25,234

Dundy 9,959 25,388

Fillmore 9,385 26,201

Franklin 9,372 29,424

Frontier 9,959 25,388

Furnas 9,372 29,424

Gage 9,385 26,201

Garden 9,959 25,388

Garfield 9,372 29,424

Gosper 9,372 29,424

Grant 9,959 25,388

Greeley 9,372 29,424

Hall 9,372 29,424

Hamilton 9,372 29,424

Harlan 9,372 29,424

Hayes 9,959 25,388

Hitchcock 9,959 25,388

Holt 9,372 29,424

Hooker 9,959 25,388

Howard 9,372 29,424

Jefferson 9,385 26,201

Johnson 9,385 26,201

Kearney 9,372 29,424

Keith 9,959 25,388

Keya Paha 9,372 29,424

Kimball 9,959 25,388

Knox 9,372 29,424

Lancaster 9,385 26,201

Lincoln 9,959 25,388

Logan 9,959 25,388

Loup 9,372 29,424

Madison 9,372 29,424

McPherson 9,959 25,388

Merrick 9,372 29,424

Morrill 9,959 25,388

Nance 9,372 29,424

Nemaha 9,385 26,201

Nuckolls 9,372 29,424

Otoe 9,385 26,201

Pawnee 9,385 26,201

Perkins 9,959 25,388

Phelps 9,372 29,424

Pierce 9,372 29,424

Platte 9,372 29,424

Polk 9,372 29,424

Red Willow 9,959 25,388

Richardson 9,385 26,201

Rock 9,372 29,424

Saline 9,385 26,201

Sarpy 8,710 25,234

Carson City 8,478 22,631

Churchill 9,240 25,254

Clark 8,353 20,646

Douglas 8,478 22,631

Elko 9,240 25,254

Esmeralda 9,240 25,254

Eureka 9,240 25,254

Humboldt 9,240 25,254

Lander 9,240 25,254

Lincoln 9,240 25,254

Lyon 8,478 22,631

Mineral 9,240 25,254

Nye 8,353 20,646

Pershing 9,240 25,254

Storey 8,478 22,631

Washoe 8,941 21,351

White Pine 9,240 25,254

New Hampshire

County

Employee- Only

Adams 9,372 29,424

Antelope 9,372 29,424

Arthur 9,959 25,388

Banner 9,959 25,388

Blaine 9,372 29,424

Boone 9,372 29,424

Box Butte 9,959 25,388

Boyd 9,372 29,424

Brown 9,959 25,388

Buffalo 9,372 29,424

Burt 8,710 25,234

Butler 9,372 29,424

Cass 8,710 25,234

Cedar 9,372 29,424

Chase 9,959 25,388

Cherry 9,959 25,388

Cheyenne 9,959 25,388

Clay 9,372 29,424

Colfax 9,372 29,424

Cuming 9,372 29,424

Custer 9,372 29,424

Dakota 9,372 29,424

Dawes 9,959 25,388

Dawson 9,372 29,424

Dependent, Family, etc.

County

Employee- Only

All 8,591 26,225

New Jersey

Dependent, Family, etc.

County

Employee- Only

All 9,236 27,428

New Mexico

Dependent, Family, etc.

County

Employee- Only

Bernalillo 8,533 23,762

Catron 9,803 29,015

2025 Average Premium Tables 21

Chaves 9,803 29,015

Cibola 9,803 29,015

Colfax 9,803 29,015

Curry 9,803 29,015

De Baca 9,803 29,015

Doña Ana 9,161 22,155

Eddy 9,803 29,015

Grant 9,803 29,015

Guadalupe 9,803 29,015

Harding 9,803 29,015

Hidalgo 9,803 29,015

Lea 9,803 29,015

Lincoln 9,803 29,015

Los Alamos 9,803 29,015

Luna 9,803 29,015

McKinley 9,803 29,015

Mora 9,803 29,015

Otero 9,803 29,015

Quay 9,803 29,015

Rio Arriba 9,803 29,015

Roosevelt 9,803 29,015

San Juan 9,045 25,668

San Miguel 9,803 29,015

Sandoval 8,533 23,762

Santa Fe 9,460 24,010

Sierra 9,803 29,015

Socorro 9,803 29,015

Taos 9,803 29,015

Torrance 8,533 23,762

Union 9,803 29,015

Valencia 8,533 23,762

New York

Dependent, Family, etc.

Genesee 9,036 22,871

Greene 9,358 24,527

Hamilton 9,421 25,195

Herkimer 9,421 25,195

Jefferson 9,421 25,195

Kings 11,671 32,726

Lewis 9,421 25,195

Livingston 8,726 24,370

Madison 9,421 25,195

Monroe 8,726 24,370

Montgomery 9,358 24,527

Nassau 11,665 34,485

New York 11,671 32,726

Niagara 9,036 22,871

Oneida 9,421 25,195

Onondaga 9,493 26,598

Ontario 8,726 24,370

Orange 11,169 29,547

Orleans 9,036 22,871

Oswego 9,421 25,195

Otsego 9,421 25,195

Putnam 11,169 29,547

Queens 11,671 32,726

Rensselaer 9,358 24,527

Richmond 11,671 32,726

Rockland 11,671 32,726

Saratoga 9,358 24,527

Schenectady 9,358 24,527

Schoharie 9,358 24,527

Schuyler 9,493 26,598

Seneca 8,726 24,370

St. Lawrence 9,421 25,195

Steuben 9,493 26,598

Suffolk 11,665 34,485

Sullivan 11,169 29,547

Tioga 9,493 26,598

Tompkins 9,493 26,598

Ulster 11,169 29,547

Warren 9,358 24,527

Washington 9,358 24,527

Wayne 8,726 24,370

Westchester 11,671 32,726

Wyoming 9,036 22,871

Yates 8,726 24,370

North Carolina

County

Employee- Only

Albany 9,358 24,527

Allegany 9,036 22,871

Bronx 11,671 32,726

Broome 9,493 26,598

Cattaraugus 9,036 22,871

Cayuga 9,493 26,598

Chautauqua 9,036 22,871

Chemung 9,493 26,598

Chenango 9,421 25,195

Clinton 9,421 25,195

Columbia 9,358 24,527

Cortland 9,493 26,598

Delaware 11,169 29,547

Dutchess 11,169 29,547

Erie 9,036 22,871

Essex 9,421 25,195

Franklin 9,421 25,195

Fulton 9,358 24,527

Dependent, Family, etc.

Avery 8,305 23,233

Beaufort 11,319 26,012

Bertie 8,902 26,794

Bladen 8,028 27,130

Brunswick 8,080 21,413

Buncombe 8,305 23,233

Burke 9,118 27,278

Cabarrus 8,840 25,247

Caldwell 9,118 27,278

Camden 8,902 26,794

Carteret 11,319 26,012

Caswell 8,791 26,069

Catawba 9,118 27,278

Chatham 8,791 26,069

Cherokee 8,305 23,233

Chowan 8,902 26,794

Clay 8,305 23,233

Cleveland 8,254 23,099

Columbus 8,080 21,413

Craven 11,319 26,012

Cumberland 8,028 27,130

Currituck 8,902 26,794

Dare 11,319 26,012

Davidson 8,425 25,261

Davie 8,425 25,261

Duplin 8,080 21,413

Durham 8,791 26,069

Edgecombe 9,728 32,086

Forsyth 8,425 25,261

Franklin 8,030 24,017

Gaston 8,254 23,099

Gates 8,902 26,794

Graham 8,305 23,233

Granville 8,546 24,195

Greene 9,728 32,086

Guilford 8,791 24,881

Halifax 8,902 26,794

Harnett 8,028 27,130

Haywood 8,305 23,233

Henderson 8,305 23,233

Hertford 8,902 26,794

Hoke 8,028 27,130

Hyde 11,319 26,012

Iredell 9,118 27,278

Jackson 8,305 23,233

Johnston 8,030 24,017

Jones 11,319 26,012

Lee 8,791 26,069

Lenoir 11,319 26,012

Lincoln 8,254 23,099

Macon 8,305 23,233

Madison 8,305 23,233

Martin 8,902 26,794

County

Employee- Only

Alamance 8,791 26,069

Alexander 9,118 27,278

Alleghany 9,186 25,450

Anson 8,840 25,247

Ashe 9,186 25,450

22 2025 Average Premium Tables

McDowell 8,305 23,233

Mecklenburg 8,840 25,247

Mitchell 8,305 23,233

Montgomery 9,817 24,473

Moore 9,817 24,473

Nash 9,728 32,086

New Hanover 8,080 21,413

Northampton 8,902 26,794

Onslow 8,080 21,413

Orange 8,791 26,069

Pamlico 11,319 26,012

Pasquotank 8,902 26,794

Pender 8,080 21,413

Perquimans 8,902 26,794

Person 8,791 26,069

Pitt 9,728 32,086

Polk 8,305 23,233

Randolph 8,791 24,881

Richmond 8,028 27,130

Robeson 8,028 27,130

Rockingham 8,791 24,881

Rowan 8,840 25,247

Rutherford 8,305 23,233

Sampson 8,028 27,130

Scotland 8,028 27,130

Stanly 8,840 25,247

Stokes 8,425 25,261

Surry 8,425 25,261

Swain 8,305 23,233

Transylvania 8,305 23,233

Tyrrell 11,319 26,012

Union 8,840 25,247

Vance 8,546 24,195

Wake 8,030 24,017

Warren 8,546 24,195

Washington 11,319 26,012

Watauga 9,186 25,450

Wayne 9,728 32,086

Wilkes 9,186 25,450

Wilson 9,728 32,086

Yadkin 8,425 25,261

Yancey 8,305 23,233

North Dakota

Dependent, Family, etc.

Burleigh 9,229 25,095

Cass 8,493 24,039

Cavalier 9,654 24,739

Dickey 9,654 24,739

Divide 9,654 24,739

Dunn 9,654 24,739

Eddy 9,654 24,739

Emmons 9,654 24,739

Foster 9,654 24,739

Golden Valley 9,654 24,739

Grand Forks 8,680 24,032

Grant 9,654 24,739

Griggs 9,654 24,739

Hettinger 9,654 24,739

Kidder 9,654 24,739

La Moure 9,654 24,739

Logan 9,654 24,739

McHenry 9,654 24,739

McIntosh 9,654 24,739

McKenzie 9,654 24,739

McLean 9,654 24,739

Mercer 9,654 24,739

Morton 9,229 25,095

Mountrail 9,654 24,739

Nelson 9,654 24,739

Oliver 9,654 24,739

Pembina 9,654 24,739

Pierce 9,654 24,739

Ramsey 9,654 24,739

Ransom 9,654 24,739

Renville 9,654 24,739

Richland 9,654 24,739

Rolette 9,654 24,739

Sargent 9,654 24,739

Sheridan 9,654 24,739

Sioux 9,654 24,739

Slope 9,654 24,739

Stark 9,654 24,739

Steele 9,654 24,739

Stutsman 9,654 24,739

Towner 9,654 24,739

Traill 9,654 24,739

Walsh 9,654 24,739

Ward 9,654 24,739

Wells 9,654 24,739

Williams 9,654 24,739

Ohio

County

Employee- Only

Adams 9,654 24,739

Barnes 9,654 24,739

Benson 9,654 24,739

Billings 9,654 24,739

Bottineau 9,654 24,739

Bowman 9,654 24,739

Burke 9,654 24,739

Dependent, Family, etc.

Ashtabula 9,578 24,385

Athens 10,662 22,532

Auglaize 9,312 21,287

Belmont 9,010 19,458

Brown 9,048 19,544

Butler 8,907 23,720

Carroll 7,908 22,733

Champaign 9,685 22,090

Clark 9,685 22,090

Clermont 9,048 19,544

Clinton 9,048 19,544

Columbiana 8,630 23,707

Coshocton 9,010 19,458

Crawford 8,666 20,711

Cuyahoga 9,578 24,385

Darke 9,685 22,090

Defiance 8,269 21,370

Delaware 8,474 22,087

Erie 9,560 26,714

Fairfield 8,474 22,087

Fayette 8,474 22,087

Franklin 8,474 22,087

Fulton 8,269 21,370

Gallia 10,729 27,998

Geauga 9,578 24,385

Greene 9,685 22,090

Guernsey 9,010 19,458

Hamilton 8,907 23,720

Hancock 9,312 21,287

Hardin 9,312 21,287

Harrison 9,010 19,458

Henry 8,269 21,370

Highland 9,048 19,544

Hocking 10,662 22,532

Holmes 7,106 20,621

Huron 9,560 26,714

Jackson 10,729 27,998

Jefferson 9,010 19,458

Knox 8,474 22,087

Lake 9,578 24,385

Lawrence 10,729 27,998

Licking 8,474 22,087

Logan 8,474 22,087

Lorain 9,578 24,385

Lucas 8,269 21,370

Madison 8,474 22,087

Mahoning 8,630 23,707

Marion 8,817 21,747

Medina 8,799 22,928

Meigs 10,662 22,532

Mercer 9,312 21,287

Miami 9,685 22,090

Monroe 9,010 19,458

County

Employee- Only

Adams 9,048 19,544

Allen 9,312 21,287

Ashland 8,799 22,928

2025 Average Premium Tables 23

Montgomery 9,685 22,090

Morgan 9,010 19,458

Morrow 8,817 21,747

Muskingum 9,010 19,458

Noble 9,010 19,458

Ottawa 9,560 26,714

Paulding 9,312 21,287

Perry 9,010 19,458

Pickaway 8,474 22,087

Pike 10,729 27,998

Portage 8,799 22,928

Preble 9,685 22,090

Putnam 9,312 21,287

Richland 8,666 20,711

Ross 10,729 27,998

Sandusky 9,560 26,714

Scioto 10,729 27,998

Seneca 9,560 26,714

Shelby 9,685 22,090

Stark 7,908 22,733

Summit 8,799 22,928

Trumbull 8,630 23,707

Tuscarawas 9,010 19,458

Union 8,474 22,087

Van Wert 9,312 21,287

Vinton 10,729 27,998

Warren 8,907 23,720

Washington 10,662 22,532

Wayne 7,106 20,621

Williams 8,269 21,370

Wood 8,269 21,370

Wyandot 9,560 26,714

Oklahoma

Tillman 8,126 22,340

Tulsa 8,397 22,281

Wagoner 8,397 22,281

Washington 8,126 22,340

Washita 8,126 22,340

Woods 8,126 22,340

Woodward 8,126 22,340

Oregon

Dependent, Family, etc.

County

Employee- Only

Dependent, Family, etc.

Craig 8,126 22,340

Creek 8,397 22,281

Custer 8,126 22,340

Delaware 8,126 22,340

Dewey 8,126 22,340

Ellis 8,126 22,340

Garfield 8,126 22,340

Garvin 8,126 22,340

Grady 8,463 21,499

Grant 8,126 22,340

Greer 8,126 22,340

Harmon 8,126 22,340

Harper 8,126 22,340

Haskell 8,126 22,340

Hughes 8,126 22,340

Jackson 8,126 22,340

Jefferson 8,126 22,340

Johnston 8,126 22,340

Kay 8,126 22,340

Kingfisher 8,126 22,340

Kiowa 8,126 22,340

Latimer 8,126 22,340

Le Flore 7,774 22,477

Lincoln 8,463 21,499

Logan 8,463 21,499

Love 8,126 22,340

Major 8,126 22,340

Marshall 8,126 22,340

Mayes 8,126 22,340

McClain 8,463 21,499

McCurtain 8,126 22,340

McIntosh 8,126 22,340

Murray 8,126 22,340

Muskogee 8,126 22,340

Noble 8,126 22,340

Nowata 8,126 22,340

Okfuskee 8,126 22,340

Oklahoma 8,463 21,499

Okmulgee 8,397 22,281

Osage 8,397 22,281

Ottawa 8,126 22,340

Pawnee 8,397 22,281

Payne 8,126 22,340

Pittsburg 8,126 22,340

Pontotoc 8,126 22,340

Pottawatomie 8,126 22,340

Pushmataha 8,126 22,340

Roger Mills 8,126 22,340

Rogers 8,397 22,281

Seminole 8,126 22,340

Sequoyah 7,774 22,477

Stephens 8,126 22,340

Texas 8,126 22,340

Baker 9,689 24,753

Benton 8,627 22,863

Clackamas 8,276 25,870

Clatsop 9,654 26,856

Columbia 9,654 26,856

Coos 9,654 26,856

Crook 9,689 24,753

Curry 9,654 26,856

Deschutes 9,018 24,529

Douglas 8,891 25,646

Gilliam 9,689 24,753

Grant 9,689 24,753

Harney 9,689 24,753

Hood River 9,689 24,753

Jackson 8,891 25,646

Jefferson 9,689 24,753

Josephine 8,891 25,646

Klamath 9,018 24,529

Lake 9,018 24,529

Lane 8,627 22,863

Lincoln 9,654 26,856

Linn 8,627 22,863

Malheur 9,689 24,753

Marion 7,954 23,556

Morrow 9,689 24,753

Multnomah 8,276 25,870

Polk 7,954 23,556

Sherman 9,689 24,753

Tillamook 9,654 26,856

Umatilla 9,689 24,753

Union 9,689 24,753

Wallowa 9,689 24,753

Wasco 9,689 24,753

Washington 8,276 25,870

Wheeler 9,689 24,753

Yamhill 8,276 25,870

Pennsylvania

County

Employee- Only

Adair 8,126 22,340

Alfalfa 8,126 22,340

Atoka 8,126 22,340

Beaver 8,126 22,340

Beckham 8,126 22,340

Blaine 8,126 22,340

Bryan 8,126 22,340

Caddo 8,126 22,340

Canadian 8,463 21,499

Carter 8,126 22,340

Cherokee 8,126 22,340

Choctaw 8,126 22,340

Cimarron 8,126 22,340

Cleveland 8,463 21,499

Coal 8,126 22,340

Comanche 7,985 22,334

Cotton 8,126 22,340

Dependent, Family, etc.

County

Employee- Only

Adams 9,198 25,437

Allegheny 8,444 23,654

24 2025 Average Premium Tables

Armstrong 8,444 23,654

Beaver 8,444 23,654

Bedford 8,683 25,396

Berks 9,198 25,437

Blair 8,683 25,396

Bradford 8,959 24,628

Bucks 8,951 26,308

Butler 8,444 23,654

Cambria 8,683 25,396

Cameron 7,824 25,938

Carbon 8,959 24,628

Centre 9,135 27,221

Chester 8,951 26,308

Clarion 8,759 23,609

Clearfield 8,683 25,396

Clinton 8,959 24,628

Columbia 9,135 27,221

Crawford 8,759 23,609

Cumberland 9,207 26,359

Dauphin 9,207 26,359

Delaware 8,951 26,308

Elk 7,824 25,938

Erie 8,759 23,609

Fayette 8,444 23,654

Forest 8,759 23,609

Franklin 9,207 26,359

Fulton 9,207 26,359

Greene 8,444 23,654

Huntingdon 8,683 25,396

Indiana 8,444 23,654

Jefferson 8,683 25,396

Juniata 9,207 26,359

Lackawanna 8,959 24,628

Lancaster 9,198 25,437

Lawrence 8,444 23,654

Lebanon 9,207 26,359

Lehigh 9,135 27,221

Luzerne 8,959 24,628

Lycoming 8,959 24,628

McKean 8,759 23,609

Mercer 8,759 23,609

Mifflin 9,135 27,221

Monroe 8,959 24,628

Montgomery 8,951 26,308

Montour 9,135 27,221

Northampton 9,135 27,221

Northumberland 9,135 27,221

Perry 9,207 26,359

Philadelphia 8,951 26,308

Pike 8,959 24,628

Potter 7,824 25,938

Schuylkill 9,135 27,221

Snyder 9,135 27,221

Somerset 8,683 25,396

Sullivan 8,959 24,628

Susquehanna 8,959 24,628

Tioga 8,959 24,628

Union 9,135 27,221

Venango 8,759 23,609

Warren 8,759 23,609

Washington 8,444 23,654

Wayne 8,959 24,628

Westmoreland 8,444 23,654

Wyoming 8,959 24,628

York 9,198 25,437

Rhode Island

Dependent, Family, etc.

Marion 9,290 25,433

Marlboro 9,162 24,970

McCormick 9,617 25,926

Newberry 9,668 25,763

Oconee 9,811 25,843

Orangeburg 9,155 27,773

Pickens 9,077 24,372

Richland 9,234 27,486

Saluda 9,406 25,030

Spartanburg 8,716 22,457

Sumter 9,088 22,540

Union 8,666 24,821

Williamsburg 8,722 24,683

York 8,318 24,473

South Dakota

County

Employee- Only

All 9,871 28,398

South Carolina

Dependent, Family, etc.

County

Employee- Only

Dependent, Family, etc.

Aurora 9,122 27,669

Beadle 8,840 26,857

Bennett 9,114 24,561

Bon Homme 9,122 27,669

Brookings 8,840 26,857

Brown 8,840 26,857

Brule 9,122 27,669

Buffalo 9,122 27,669

Butte 9,114 24,561

Campbell 8,840 26,857

Charles Mix 9,122 27,669

Clark 8,840 26,857

Clay 8,877 24,996

Codington 8,840 26,857

Corson 9,114 24,561

Custer 9,114 24,561

Davison 9,122 27,669

Day 8,840 26,857

Deuel 8,840 26,857

Dewey 9,114 24,561

Douglas 9,122 27,669

Edmunds 8,840 26,857

Fall River 9,114 24,561

Faulk 8,840 26,857

Grant 8,840 26,857

Gregory 9,114 24,561

Haakon 9,114 24,561

Hamlin 8,840 26,857

Hand 9,122 27,669

Hanson 9,122 27,669

Harding 9,114 24,561

Hughes 9,122 27,669

Hutchinson 9,122 27,669

Hyde 9,122 27,669

Jackson 9,114 24,561

County

Employee- Only

Abbeville 9,017 25,245

Aiken 8,845 21,893

Allendale 8,885 25,181

Anderson 9,271 24,608

Bamberg 8,768 25,305

Barnwell 8,379 24,273

Beaufort 9,315 22,179

Berkeley 10,045 26,982

Calhoun 8,675 24,882

Charleston 8,805 26,941

Cherokee 8,699 25,466

Chester 9,094 25,855

Chesterfield 9,007 27,470

Clarendon 8,585 24,799

Colleton 8,957 24,118

Darlington 9,010 25,996

Dillon 8,941 24,580

Dorchester 9,700 25,047

Edgefield 8,678 25,099

Fairfield 8,978 25,211

Florence 9,334 26,247

Georgetown 8,496 24,982

Greenville 9,147 24,279

Greenwood 9,552 25,072

Hampton 8,958 24,909

Horry 8,928 25,456

Jasper 9,300 26,043

Kershaw 9,115 25,688

Lancaster 8,916 21,741

Laurens 8,999 23,471

Lee 8,816 24,762

Lexington 9,015 25,460

2025 Average Premium Tables 25

Jerauld 9,122 27,669

Jones 9,114 24,561

Kingsbury 8,840 26,857

Lake 8,877 24,996

Lawrence 9,114 24,561

Lincoln 8,877 24,996

Lyman 9,114 24,561

Marshall 8,840 26,857

McCook 8,877 24,996

McPherson 8,840 26,857

Meade 9,114 24,561

Mellette 9,114 24,561

Miner 9,122 27,669

Minnehaha 8,877 24,996

Moody 8,877 24,996

Pennington 9,114 24,561

Perkins 9,114 24,561

Potter 8,840 26,857

Roberts 8,840 26,857

Sanborn 9,122 27,669

Shannon 9,114 24,561

Spink 8,840 26,857

Stanley 9,114 24,561

Sully 9,122 27,669

Todd 9,114 24,561

Tripp 9,114 24,561

Turner 8,877 24,996

Union 8,877 24,996

Walworth 8,840 26,857

Yankton 9,122 27,669

Ziebach 9,114 24,561

Tennessee

Rhea 7,515 22,141

Roane 7,734 19,822

Robertson 7,943 22,885

Rutherford 7,943 22,885

Scott 7,734 19,822

Sequatchie 7,515 22,141

Sevier 7,734 19,822

Shelby 8,097 20,620

Smith 7,648 19,177

Stewart 8,003 20,689

Sullivan 7,921 21,498

Sumner 7,943 22,885

Tipton 8,097 20,620

Trousdale 7,943 22,885

Unicoi 7,921 21,498

Union 7,734 19,822

Van Buren 7,648 19,177

Warren 7,648 19,177

Washington 7,921 21,498

Wayne 8,003 20,689

Weakley 7,972 21,536

White 7,648 19,177

Williamson 7,943 22,885

Wilson 7,943 22,885

Texas

Dependent, Family, etc.

County

Employee- Only

Dependent, Family, etc.

Davidson 7,943 22,885

Decatur 7,972 21,536

DeKalb 7,648 19,177

Dickson 8,003 20,689

Dyer 7,972 21,536

Fayette 8,097 20,620

Fentress 7,648 19,177

Franklin 7,515 22,141

Gibson 7,972 21,536

Giles 8,003 20,689

Grainger 7,734 19,822

Greene 7,921 21,498

Grundy 7,515 22,141

Hamblen 7,734 19,822

Hamilton 7,515 22,141

Hancock 7,921 21,498

Hardeman 7,972 21,536

Hardin 7,972 21,536

Hawkins 7,921 21,498

Haywood 8,097 20,620

Henderson 7,972 21,536

Henry 7,972 21,536

Hickman 8,003 20,689

Houston 8,003 20,689

Humphreys 8,003 20,689

Jackson 7,648 19,177

Jefferson 7,734 19,822

Johnson 7,921 21,498

Knox 7,734 19,822

Lake 7,972 21,536

Lauderdale 8,097 20,620

Lawrence 8,003 20,689

Lewis 8,003 20,689

Lincoln 8,003 20,689

Loudon 7,734 19,822

Macon 7,648 19,177

Madison 7,972 21,536

Marion 7,515 22,141

Marshall 8,003 20,689

Maury 8,003 20,689

McMinn 7,515 22,141

McNairy 7,972 21,536

Meigs 7,515 22,141

Monroe 7,734 19,822

Montgomery 7,943 22,885

Moore 8,003 20,689

Morgan 7,734 19,822

Obion 7,972 21,536

Overton 7,648 19,177

Perry 8,003 20,689

Pickett 7,648 19,177

Polk 7,515 22,141

Putnam 7,648 19,177

Anderson 9,372 23,509

Andrews 9,372 23,509

Angelina 9,372 23,509

Aransas 9,425 26,628

Archer 8,947 23,111

Armstrong 10,030 25,166

Atascosa 8,380 22,626

Austin 8,309 26,389

Bailey 9,372 23,509

Bandera 8,380 22,626

Bastrop 8,000 21,482

Baylor 9,372 23,509

Bee 9,372 23,509

Bell 9,416 20,865

Bexar 8,380 22,626

Blanco 9,372 23,509

Borden 9,372 23,509

Bosque 9,372 23,509

Bowie 8,455 23,391

Brazoria 8,309 26,389

Brazos 8,248 23,567

Brewster 9,372 23,509

Briscoe 9,372 23,509

Brooks 9,372 23,509

Brown 9,372 23,509

County

Employee- Only

Anderson 7,734 19,822

Bedford 8,003 20,689

Benton 7,972 21,536

Bledsoe 7,515 22,141

Blount 7,734 19,822

Bradley 7,515 22,141

Campbell 7,734 19,822

Cannon 7,648 19,177

Carroll 7,972 21,536

Carter 7,921 21,498

Cheatham 7,943 22,885

Chester 7,972 21,536

Claiborne 7,734 19,822

Clay 7,648 19,177

Cocke 7,734 19,822

Coffee 8,003 20,689

Crockett 7,972 21,536

Cumberland 7,648 19,177

26 2025 Average Premium Tables

Burleson 8,248 23,567

Burnet 9,372 23,509

Caldwell 8,000 21,482

Calhoun 8,661 25,205

Callahan 8,149 22,497

Cameron 8,199 25,284

Camp 9,372 23,509

Carson 10,030 25,166

Cass 9,372 23,509

Castro 9,372 23,509

Chambers 8,309 26,389

Cherokee 9,372 23,509

Childress 9,372 23,509

Clay 8,947 23,111

Cochran 9,372 23,509

Coke 9,372 23,509

Coleman 9,372 23,509

Collin 8,920 25,185

Collingsworth 9,372 23,509

Colorado 9,372 23,509

Comal 8,380 22,626

Comanche 9,372 23,509

Concho 9,372 23,509

Cooke 9,372 23,509

Coryell 9,416 20,865

Cottle 9,372 23,509

Crane 9,372 23,509

Crockett 9,372 23,509

Crosby 8,242 23,416

Culberson 9,372 23,509

Dallam 9,372 23,509

Dallas 8,920 25,185

Dawson 9,372 23,509

De Witt 9,372 23,509

Deaf Smith 9,372 23,509

Delta 8,920 25,185

Denton 8,920 25,185

Dickens 9,372 23,509

Dimmit 9,372 23,509

Donley 9,372 23,509

Duval 9,372 23,509

Eastland 9,372 23,509

Ector 9,303 20,934

Edwards 9,372 23,509

El Paso 7,581 17,606

Ellis 8,920 25,185

Erath 9,372 23,509

Falls 9,372 23,509

Fannin 9,372 23,509

Fayette 9,372 23,509

Fisher 9,372 23,509

Floyd 9,372 23,509

Foard 9,372 23,509

Fort Bend 8,309 26,389

Franklin 9,372 23,509

Freestone 9,372 23,509

Frio 9,372 23,509

Gaines 9,372 23,509

Galveston 8,309 26,389

Garza 9,372 23,509

Gillespie 9,372 23,509

Glasscock 9,372 23,509

Goliad 8,661 25,205

Gonzales 9,372 23,509

Gray 9,372 23,509

Grayson 8,602 23,138

Gregg 7,675 24,816

Grimes 9,372 23,509

Guadalupe 8,380 22,626

Hale 9,372 23,509

Hall 9,372 23,509

Hamilton 9,372 23,509

Hansford 9,372 23,509

Hardeman 9,372 23,509

Hardin 9,444 22,839

Harris 8,309 26,389

Harrison 9,372 23,509

Hartley 9,372 23,509

Haskell 9,372 23,509

Hays 8,000 21,482

Hemphill 9,372 23,509

Henderson 9,372 23,509

Hidalgo 9,094 24,740

Hill 9,372 23,509

Hockley 9,372 23,509

Hood 9,372 23,509

Hopkins 9,372 23,509

Houston 9,372 23,509

Howard 9,372 23,509

Hudspeth 9,372 23,509

Hunt 8,920 25,185

Hutchinson 9,372 23,509

Irion 10,683 26,166

Jack 9,372 23,509

Jackson 9,372 23,509

Jasper 9,372 23,509

Jeff Davis 9,372 23,509

Jefferson 9,444 22,839

Jim Hogg 9,372 23,509

Jim Wells 9,372 23,509

Johnson 8,920 25,185

Jones 8,149 22,497

Karnes 9,372 23,509

Kaufman 8,920 25,185

Kendall 8,380 22,626

Kenedy 9,372 23,509

Kent 9,372 23,509

Kerr 9,372 23,509

Kimble 9,372 23,509

King 9,372 23,509

Kinney 9,372 23,509

Kleberg 9,372 23,509

Knox 9,372 23,509

Lamar 9,372 23,509

Lamb 9,372 23,509

Lampasas 9,416 20,865

LaSalle 9,372 23,509

Lavaca 9,372 23,509

Lee 9,372 23,509

Leon 9,372 23,509

Liberty 8,309 26,389

Limestone 9,372 23,509

Lipscomb 9,372 23,509

Live Oak 9,372 23,509

Llano 9,372 23,509

Loving 9,372 23,509

Lubbock 8,242 23,416

Lynn 9,372 23,509

Madison 9,372 23,509

Marion 9,372 23,509

Martin 9,372 23,509

Mason 9,372 23,509

Matagorda 9,372 23,509

Maverick 9,372 23,509

McCulloch 9,372 23,509

McLennan 6,596 21,594

McMullen 9,372 23,509

Medina 8,380 22,626

Menard 9,372 23,509

Midland 8,633 30,732

Milam 9,372 23,509

Mills 9,372 23,509

Mitchell 9,372 23,509

Montague 9,372 23,509

Montgomery 8,309 26,389

Moore 9,372 23,509

Morris 9,372 23,509

Motley 9,372 23,509

Nacogdoches 9,372 23,509

Navarro 9,372 23,509

Newton 9,372 23,509

Nolan 9,372 23,509

Nueces 9,425 26,628

Ochiltree 9,372 23,509

Oldham 9,372 23,509

Orange 9,444 22,839

Palo Pinto 9,372 23,509

Panola 9,372 23,509

Parker 8,920 25,185

2025 Average Premium Tables 27

Vermont

Utah

Virginia

28 2025 Average Premium Tables

Grays Harbor 8,650 23,468

Island 8,650 23,468

Jefferson 8,650 23,468

King 8,605 23,233

Kitsap 8,650 23,468

Kittitas 8,275 24,737

Klickitat 8,375 22,147

Lewis 8,650 23,468

Lincoln 8,547 21,592

Mason 8,650 23,468

Okanogan 8,275 24,737

Pacific 8,650 23,468

Pend Oreille 8,547 21,592

Pierce 8,650 23,468

San Juan 8,650 23,468

Skagit 8,650 23,468

Skamania 8,375 22,147

Snohomish 8,650 23,468

Spokane 8,547 21,592

Stevens 8,547 21,592

Thurston 8,650 23,468

Wahkiakum 8,650 23,468

Walla Walla 8,275 24,737

Whatcom 8,650 23,468

Whitman 8,275 24,737

Yakima 8,275 24,737

West Virginia

Franklin City 8,416 23,314

Frederick 8,473 23,485

Fredericksburg City 8,866 25,595

Galax City 8,416 23,314

Giles 7,296 22,599

Gloucester 8,433 21,119

Goochland 8,589 22,408

Grayson 8,416 23,314

Greene 8,974 21,460

Greensville 8,416 23,314

Halifax 8,416 23,314

Hampton City 8,433 21,119

Hanover 8,589 22,408

Harrisonburg City 7,769 21,742

Henrico 8,589 22,408

Henry 8,416 23,314

Highland 8,416 23,314

Hopewell City 8,589 22,408

Isle of Wight 8,433 21,119

James City 8,433 21,119

King and Queen 8,589 22,408

King George 8,416 23,314

King William 8,589 22,408

Lancaster 8,416 23,314

Lee 8,416 23,314

Lexington City 8,416 23,314

Loudoun 8,866 25,595

Louisa 8,589 22,408

Lunenburg 8,416 23,314

Lynchburg City 7,345 21,481

Madison 8,416 23,314

Manassas City 8,866 25,595

Manassas Park City 8,866 25,595

Martinsville City 8,416 23,314

Mathews 8,433 21,119

Mecklenburg 8,416 23,314

Middlesex 8,416 23,314

Montgomery 7,296 22,599

Nelson 8,974 21,460

New Kent 8,589 22,408

Newport News City 8,433 21,119

Norfolk City 8,433 21,119

Northampton 8,416 23,314

Northumberland 8,416 23,314

Norton City 8,416 23,314

Nottoway 8,416 23,314

Orange 8,416 23,314

Page 8,416 23,314

Patrick 8,416 23,314

Petersburg City 8,589 22,408

Pittsylvania 8,956 21,585

Poquoson 8,433 21,119

Portsmouth City 8,433 21,119

Powhatan 8,589 22,408

Prince Edward 8,416 23,314

Prince George 8,589 22,408

Prince William 8,866 25,595

Pulaski 7,296 22,599

Radford City 7,296 22,599

Rappahannock 8,416 23,314

Richmond 8,416 23,314

Richmond City 8,589 22,408

Roanoke 9,924 25,593

Roanoke City 9,924 25,593

Rockbridge 8,416 23,314

Rockingham 7,769 21,742

Russell 8,416 23,314

Salem City 9,924 25,593

Scott 8,911 22,272

Shenandoah 8,416 23,314

Smyth 8,416 23,314

Southampton 8,416 23,314

Spotsylvania 8,866 25,595

Stafford 8,866 25,595

Staunton City 8,416 23,314

Suffolk City 8,433 21,119

Surry 8,433 21,119

Sussex 8,589 22,408

Tazewell 8,416 23,314

Virginia Beach City 8,433 21,119

Warren 8,866 25,595

Washington 8,911 22,272

Waynesboro City 8,416 23,314

Westmoreland 8,416 23,314

Williamsburg City 8,433 21,119

Winchester City 8,473 23,485

Wise 8,416 23,314

Wythe 8,416 23,314

York 8,433 21,119

Washington

Dependent, Family, etc.

County

Employee- Only

Dependent, Family, etc.

Barbour 9,864 27,010

Berkeley 9,757 24,140

Boone 9,302 26,140

Braxton 9,567 25,392

Brooke 9,722 27,737

Cabell 9,980 25,542

Calhoun 9,567 25,392

Clay 9,567 25,392

Doddridge 10,055 25,637

Fayette 9,567 25,392

Gilmer 10,055 25,637

Grant 10,140 24,907

Greenbrier 9,567 25,392

Hampshire 10,140 24,907

Hancock 9,722 27,737

Hardy 10,140 24,907

Harrison 9,864 27,010

Jackson 10,257 28,051

Jefferson 9,757 24,140

Kanawha 11,133 29,168

Lewis 10,055 25,637

Lincoln 9,302 26,140

Logan 9,302 26,140

County

Employee- Only

Adams 8,275 24,737

Asotin 8,275 24,737

Benton 8,275 24,737

Chelan 8,275 24,737

Clallam 8,650 23,468

Clark 8,375 22,147

Columbia 8,275 24,737

Cowlitz 8,650 23,468

Douglas 8,275 24,737

Ferry 8,547 21,592

Franklin 8,275 24,737

Garfield 8,275 24,737

Grant 8,275 24,737

2025 Average Premium Tables 29

Marion 10,055 25,637

Marshall 9,722 27,737

Mason 9,980 25,542

McDowell 9,302 26,140

Mercer 10,309 25,218

Mineral 10,140 24,907

Mingo 9,302 26,140

Monongalia 10,055 25,637

Monroe 10,309 25,218

Morgan 10,140 24,907

Nicholas 9,567 25,392

Ohio 9,722 27,737

Pendleton 10,140 24,907

Pleasants 10,257 28,051

Pocahontas 9,864 27,010

Preston 9,864 27,010

Putnam 9,980 25,542

Raleigh 10,309 25,218

Randolph 9,864 27,010

Ritchie 10,257 28,051

Roane 9,567 25,392

Summers 10,309 25,218

Taylor 9,864 27,010

Tucker 9,864 27,010

Tyler 10,257 28,051

Upshur 9,864 27,010

Wayne 9,980 25,542

Webster 9,864 27,010

Wetzel 10,055 25,637

Wirt 10,257 28,051

Wood 10,257 28,051

Wyoming 9,302 26,140

Wisconsin

Sauk 9,836 29,125

Sawyer 9,003 29,555

Shawano 8,159 26,108

Sheboygan 8,265 26,745

St. Croix 9,799 29,340

Taylor 8,574 26,837

Trempealeau 8,221 25,726

Vernon 8,133 28,073

Vilas 7,143 21,458

Walworth 8,347 27,996

Washburn 9,003 29,555

Washington 8,177 29,334

Waukesha 8,177 29,334

Waupaca 8,265 26,745

Waushara 8,265 26,745

Winnebago 8,265 26,745

Wood 9,019 29,670

Wyoming

Dependent, Family, etc.

County

Employee- Only

Dependent, Family, etc.

Columbia 8,347 27,996

Crawford 8,133 28,073

Dane 7,594 28,526

Dodge 8,265 26,745

Door 8,159 26,108

Douglas 9,003 29,555

Dunn 8,268 28,379

Eau Claire 8,268 28,379

Florence 7,143 21,458

Fond du Lac 8,265 26,745

Forest 7,143 21,458

Grant 8,133 28,073

Green 8,347 27,996

Green Lake 9,836 29,125

Iowa 8,133 28,073

Iron 7,143 21,458

Jackson 8,221 25,726

Jefferson 8,347 27,996

Juneau 9,836 29,125

Kenosha 10,554 30,735

Kewaunee 8,159 26,108

La Crosse 8,221 25,726

Lafayette 8,133 28,073

Langlade 7,143 21,458

Lincoln 9,019 29,670

Manitowoc 8,159 26,108

Marathon 9,019 29,670

Marinette 8,159 26,108

Marquette 9,836 29,125

Menomonee 8,159 26,108

Milwaukee 8,330 27,606

Monroe 8,221 25,726

Oconto 8,159 26,108

Oneida 7,143 21,458

Outagamie 8,265 26,745

Ozaukee 8,177 29,334

Pepin 8,268 28,379

Pierce 9,799 29,340

Polk 9,799 29,340

Portage 9,019 29,670

Price 8,574 26,837

Racine 10,554 30,735

Richland 9,836 29,125

Rock 8,347 27,996

Rusk 8,574 26,837

Albany 9,933 26,086

Big Horn 9,933 26,086

Campbell 9,933 26,086

Carbon 9,933 26,086

Converse 9,933 26,086

Crook 9,933 26,086

Fremont 9,933 26,086

Goshen 9,933 26,086

Hot Springs 9,933 26,086

Johnson 9,933 26,086

Laramie 11,054 25,076

Lincoln 9,933 26,086

Natrona 10,486 27,595

Niobrara 9,933 26,086

Park 9,933 26,086

Platte 9,933 26,086

Sheridan 9,933 26,086

Sublette 9,933 26,086

Sweetwater 9,933 26,086

Teton 9,933 26,086

Uinta 9,933 26,086

Washakie 9,933 26,086

Weston 9,933 26,086

County

Employee- Only

Adams 9,836 29,125

Ashland 9,003 29,555

Barron 8,574 26,837

Bayfield 9,003 29,555

Brown 8,159 26,108

Buffalo 8,221 25,726

Burnett 9,003 29,555

Calumet 8,265 26,745

Chippewa 8,268 28,379

Clark 8,574 26,837

30 2025 Average Premium Tables