America's Health Insurance Plans (AHIP) surveyed member companies offering coverage in the small-group health insurance market including premium and benefit data from more than 650,000 small groups (those with 50 or fewer employees), covering 4.0 million workers and 3.2 million dependents.

Of workers offered an HSA plan, approximately one-third also had a choice of a PPO or HMO/POS plan. Almost half (46%) of enrollees in small groups chose HSA/HDHP plans when offered a choice of HSA plans and other types of health plans.

However, less than 10 percent of small groups offer health savings account (HSA) benefit, with a qualifying high deductible health plan (HDHP).