News Summary
South Carolina is grappling with increasing health insurance costs that strain businesses, especially small firms. A recent survey indicates that only 54% of private-sector employers offered health benefits in 2024. Larger companies have an easier time providing coverage compared to smaller businesses, highlighting the growing disparities. As premiums rise due to inflation and advancements in medical treatment, many companies are turning to brokers for assistance. This situation complicates employee recruitment and retention efforts and necessitates effective strategies to balance costs with competitive benefits.
South Carolina is facing growing challenges as rising health insurance costs put a significant strain on businesses across the state. A recent survey reveals that only 54% of private-sector employers offered health benefits to their employees in 2024, highlighting the impact of rising premiums on the ability of companies to provide essential healthcare coverage.
Among larger companies with more than 200 employees, 98% provide health benefits, a stark contrast to 53% of smaller businesses. The disparity highlights the struggles smaller firms face in managing rising healthcare costs amidst uncertain economic conditions. Major contributing factors include inflation, various macroeconomic pressures, and advancements in medical treatment and technology, which have all driven costs upward.
Businesses across the region are continuing to witness hikes in their health insurance premiums. For example, a local restaurant group’s premiums surged by 12% in the past year. Similarly, Table 301 Hospitality spends approximately $440,000 annually on employee health care premiums, absorbing more than 50% of employee contributions. Oasis Animal Hospital has also reported a 12% increase in its health insurance premiums, leading to an expenditure of more than $10,000 a month, totaling around $120,000 annually, with about half of its 45 employees utilizing the company’s health benefits.
For many companies, health benefits have become essential tools for recruitment and retention. Firms like DP3 Architects fully cover their employees’ health insurance premiums for a high-deductible health plan, positioning themselves as attractive employers amidst a competitive job market.
However, disruptions in patient access and coverage have arisen from ongoing negotiation issues between health carriers and healthcare networks. For instance, thousands of patients insured by UnitedHealthcare have faced challenges accessing care within Prisma Health due to failed negotiations in 2024. Such disruptions exacerbate the challenges of providing consistent healthcare coverage to employees.
To navigate these complexities and manage increasing costs, many businesses are employing health insurance brokers. These professionals assist companies in choosing the most suitable health plans and optimizing expenditures while ensuring compliance with legal obligations. The increasing financial burden is evident, with single-coverage premiums growing from $4,386 in 2008 to $8,182 in 2023, according to the Employee Benefit Research Institute. This substantial rise underscores the urgent need for effective strategies in managing health benefits.
Business leaders recommend that companies consult with well-regarded insurers and brokers for guidance when discussing health benefits. They advise ensuring that employees understand their health insurance options and have a sense of ownership over their benefits. This engagement can lead to more informed health choices and usage of healthcare services, potentially alleviating some financial pressures.
In conclusion, as South Carolina businesses navigate the landscape of rising health insurance costs, the emphasis remains on finding effective solutions that protect both employer and employee interests. As healthcare costs continue to challenge the viability of health benefits, employers face the ongoing task of balancing financial sustainability with providing competitive employee benefits to attract and retain talent in their workforce.
Deeper Dive: News & Info About This Topic
- WITN: NC Health Insurance Provider Stop Coverage
- Greenville Online: Bon Secours UnitedHealthcare Dispute
- Post and Courier: Encompass Health Greenville Hospital Expanding
- Greenville Business Mag: UnitedHealthcare Bon Secours Agreement
- WYFF: Greenville Woman Insurance Fraud
- Wikipedia: Health Insurance in the United States

Author: STAFF HERE FLORENCE WRITER
FLORENCE STAFF WRITER The FLORENCE STAFF WRITER represents the experienced team at HEREFlorence.com, your go-to source for actionable local news and information in Florence, Florence County, and beyond. Specializing in "news you can use," we cover essential topics like product reviews for personal and business needs, local business directories, politics, real estate trends, neighborhood insights, and state news affecting the area—with deep expertise drawn from years of dedicated reporting and strong community input, including local press releases and business updates. We deliver top reporting on high-value events such as the Florence Festival of Lights, Pee Dee Pride, and agricultural expos at the Florence Center. Our coverage extends to key organizations like the Florence Regional Chamber of Commerce and the Pee Dee Area Council of Governments, plus leading businesses in healthcare and retail that power the local economy such as McLeod Health and Pee Dee Electric Cooperative. As part of the broader HERE network, including HERECharleston.com, HEREColumbia.com, HEREGreenville.com, and HEREHiltonHead.com, we provide comprehensive, credible insights into South Carolina's dynamic landscape.