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More employees are eligible for health benefits, but participation remains flat, premiums are increasing and workforce demographics are changing, according to the ADP Research Institute’s 2015 annual health benefits report.

The report tracks key health benefit metrics for a sample of nearly 200 large employers with 1,000 or more employees from 2011 through enrollment for plan year 2015. Here’s how employer-sponsored coverage in 2015 compares to 2013:

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