Only 23.9% of Montana Small Businesses Offer Health Coverage, Down From 28.0% in 2009
- Small businesses across the United States significantly reduced health coverage offerings between 2000 and 2023.
- Rising healthcare costs and increasing insurance premiums forced many firms to reevaluate benefits.
- This trend affected every major U.S. Economic sector and varied widely by state.
- The share of small businesses offering coverage dropped from 47.2% in 2000 to 30.1% in 2023.
- Consequently, many small employers adopted alternative models like Health Reimbursement Arrangements for employee benefits.
27 Articles
27 Articles

Only 22.8% of Georgia Small Businesses Offer Health Coverage, Down From 36.3% in 2009
Fewer than 1 in 3 small businesses now offer health insurance—down from nearly half just two decades ago. Amid skyrocketing premiums, many small employers have been priced out of offering coverage altogether, while others have elected to drop benefits in…
Only 31.3% of Wisconsin Small Businesses Offer Health Coverage, Down From 36.8% in 2009
Fewer than 1 in 3 small businesses now offer health insurance—down from nearly half just two decades ago. Amid skyrocketing premiums, many small employers have been priced out of offering coverage altogether, while others have elected to drop benefits in…
Only 32.3% of Maine Small Businesses Offer Health Coverage, Down From 41.8% in 2009
Fewer than 1 in 3 small businesses now offer health insurance—down from nearly half just two decades ago. Amid skyrocketing premiums, many small employers have been priced out of offering coverage altogether, while others have elected to drop benefits in…


Only 30.5% of Tennessee Small Businesses Offer Health Coverage, Down From 36.9% in 2009
Fewer than 1 in 3 small businesses now offer health insurance—down from nearly half just two decades ago. Amid skyrocketing premiums, many small employers have been priced out of offering coverage altogether, while others have elected to drop benefits in…
Only 31.7% of Kansas Small Businesses Offer Health Coverage, Down From 40.6% in 2009
Fewer than 1 in 3 small businesses now offer health insurance—down from nearly half just two decades ago. Amid skyrocketing premiums, many small employers have been priced out of offering coverage altogether, while others have elected to drop benefits in…

Only 27.7% of Kentucky Small Businesses Offer Health Coverage, Down From 38.6% in 2009
Fewer than 1 in 3 small businesses now offer health insurance—down from nearly half just two decades ago. Amid skyrocketing premiums, many small employers have been priced out of offering coverage altogether, while others have elected to drop benefits in…
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