Amwins Benefits rolls out inaugural market report
By AI, Created 1:30 PM UTC, May 22, 2026, /AGP/ – Amwins Benefits has released its first comprehensive State of the Market Report, expanding beyond stop-loss to cover the full employee benefits landscape. The Charlotte-based division says the report is meant to give brokers, consultants and carriers a single guide to pricing, trends and strategy across a market facing higher costs and tighter underwriting.
Why it matters: - Amwins Benefits is packaging its market intelligence into one report that spans more of the employee benefits stack, not just stop-loss. - The report is aimed at brokers, consultants, third-party administrators and carrier partners that need faster readouts on pricing, claims and coverage decisions. - The timing matters because benefits markets are facing higher medical and drug costs, tighter carrier underwriting and more frequent rate disruption.
What happened: - Amwins Benefits released its inaugural State of the Market Report on May 26, 2026. - The report expands the annual stop-loss-focused publication into a broader guide covering employee benefits market intelligence, trend analysis and strategic guidance. - The Charlotte-based Amwins division says the new edition draws on its $11.7 billion book of business across small to mid-market, ancillary, retiree healthcare, self-funded health and stop-loss. - President Riva Dumeny said the report is designed to unify market intelligence across every solution vertical and give brokers, consultants and clients a clearer view of the benefits landscape.
The details: - The report highlights medical inflation, regulatory changes and healthcare-specific cost pressures as drivers of market change. - Medical inflation stalled after COVID relative to overall inflation, then began rising again in 2024. - Government policies and legislation tied to transparency, trade, tariffs and enhanced premium tax credits are affecting the market in real time. - The report projects a 6% to 9% median medical plan cost trend increase this year, which could be the highest annual renewal projection in more than a decade. - Carriers are using medical cost trends of 10% to 12% in formula renewals and building in buffers for volatility and high-cost claims. - Prescription drugs are the largest projected driver of plan increases, at 11%. - Specialty drugs account for less than 2% of prescriptions but nearly 50% of total drug spend. - In the self-funded market, weaker groups are seeing rate-cap increases at renewal or being declined, while strong risks are drawing intense competition and sometimes lower rates. - Self-funding and level funding continue to gain interest among small to mid-market fully insured groups. - The stop-loss market is growing at a 15% compound annual rate and is projected to reach $113.5 billion by 2034. - In the small to mid-market fully insured segment, major carriers are pointing to losses, weaker risk pools and higher utilization as reasons for above-average rate increases. - Those conditions are contributing to fewer regional carrier options, rate volatility, network disruption and a decline in the ACA market segment. - Employers in that segment are exploring program business, level-funded, alternative risk and captive solutions. - In the PEO market, the five largest providers account for more than 51% of the market, and less than 3% of the U.S. workforce is enrolled in that structure. - More than half of PEO clients are concentrated in Florida, California, New York and Texas. - The publicly traded PEO index posted low-single-digit growth over the past year, while broker-driven growth is expanding quickly. - In ancillary benefits, employees want more choice and customization, but administration is becoming more labor-intensive. - The combined statutory and private paid-leave market is described as a multi-billion-dollar U.S. opportunity. - Mental and behavioral health integration and digitally accessible solutions are expected to keep shaping ancillary benefits. - In retiree healthcare, COVID-era pauses in elective procedures helped create later rate turbulence as hospital and outpatient use rebounded. - Retirees are also facing higher prescription drug costs and broader healthcare inflation. - Employers are reworking retiree offerings through carve-outs and other strategies to reduce savings pressure and liability. - The full report is available for download.
Between the lines: - The report signals that Amwins Benefits is trying to move from a narrow product lens to a broader advisory platform. - The focus on self-funding, captive solutions and carve-outs suggests employers are looking for more tools to manage volatility instead of simply absorbing higher renewals. - The heavy emphasis on drug spend, especially specialty drugs, points to where cost pressure is most acute.
What’s next: - Amwins Benefits is positioning the report as an ongoing resource for brokers and consultants heading into future renewals. - Employers and intermediaries are likely to keep evaluating alternative funding structures as rate pressure and utilization trends persist. - The company says the report will help partners build stronger, more resilient plans for employers and employees.
Disclaimer: This article was produced by AGP Wire with the assistance of artificial intelligence based on original source content and has been refined to improve clarity, structure, and readability. This content is provided on an “as is” basis. While care has been taken in its preparation, it may contain inaccuracies or omissions, and readers should consult the original source and independently verify key information where appropriate. This content is for informational purposes only and does not constitute legal, financial, investment, or other professional advice.
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