For Consumers

Ten insurers approved to sell health insurance to small businesses in 2025

Contact Public Affairs: 360-725-7055

October 17, 2024

OLYMPIA, Wash. — Ten health insurers have been approved to sell group health plans to small employers in 2025. 

Insurers requested an average premium increase of 11.9%, which was approved. The new rates take effect after Jan. 1, 2025, when the employer's plan renews. 

About half of small employers nationwide offer their employees health insurance. Nationally, 53% of small employers offer health insurance to their employees.

The average annual premium for an individual employee is $1,368, up 6% from 2023; the average annual premium for an employee with family coverage is $6,296, which is up 24% over the last five years. Employers pay an average of $7,584 on top of their employees’ share for health coverage. 

“It’s a tough decision for small businesses to make about whether or not to offer their employees health coverage. It’s a promising sign that our state has this many insurers offering small employers plans,” said Washington state Insurance Commissioner Mike Kreidler. “My office sent a report to the Legislature in August with five potential policy options that could make health care more affordable in Washington. We’re hopeful we can improve the underlying factors that have pushed costs up.”

See which insurers are selling small group health plans by county

2025 approved small group health insurance rate changes
Insurer Requested Approved People impacted
Asuris Northwest Health 17.7 15.5 5,675
Kaiser Foundation Health Plan of the Northwest 6.4 6.3 8,536
Kaiser Foundation Health Plan of WA 7.5 8.7 18,148
Kaiser Foundation Health Plan of WA Options 7.8 6.6 19,449
Premera Blue Cross 8.9 9.0 51,803
Premera Blue Cross HMO 7.9 7.9 40
Regence BlueShield 15.3 15.4 96,416
Regence Blue Cross Blue Shield of Oregon 21.7 21.9 6,212
UnitedHealthcare Insurance Company 5.9 6.6 12,062
UnitedHealthcare of WA 10.1 13.3 11