More than half of the U.S. population under age 65 -- around 160 million people -- get their health insurance through an employer. Premium contributions and deductibles in employer plans have taken up a growing share of worker’s incomes over the last decade. Those costs together accounted for 11.5 percent of median household income in 2019, up from 9.1 percent a decade earlier.

Premium contributions and deductibles were 10 percent or more of median income in 37 states, up from ten states in 2010. Nine states (Arkansas, Florida, Louisiana, Mississippi, New Mexico, Oklahoma, South Carolina, Tennessee, and Texas) have combined costs of 14 percent or more of median income. Middle-income workers in New Mexico and Louisiana faced the highest potential costs relative to their income (17.4% and 17.2%, respectively).

Learn more at scorecard.commonwealthfund.org.

Premium contributions and deductibles were 10 percent or more of median income in 37 states.