Most common reasons for small firms not offering health benefits in U.S. 2024
In 2024, the most common reason for small firms to not offer health benefits in the United States was that the firms are too small, which was chosen by 28 percent of respondents. The other two main reasons cited were that the cost of health insurance is too high, and that employees are covered under another plan, including spouse's, with 27 and 19 percent of respondents choosing these respectively.