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U.S. Group Health Insurance Market Size, Share & Trends Analysis Report By Plan Type (HMO, PPO, POS, HDHP/SO, Conventional (Indemnity plans)), By Firm Size (Small Firm, Large Firm), By Region, And Segment Forecasts, 2023 - 2030

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    Report

  • 150 Pages
  • March 2023
  • Region: United States
  • Grand View Research
  • ID: 5767786
The U.S. group health insurance market size is anticipated to reach USD 1,611.3 billion by 2030, to expand at a CAGR of 2.3% from 2023 to 2030. The availability of group health insurance enables the advantage for companies with an advantage in the hiring phases that aids in retaining qualified personnel, and increases engagement and productivity at work as a whole. According to statistics from the Kaiser Family Foundation's Health Insurance Coverage of the Total Population data for 2021, 48.5% of Americans rely on a group health plan chosen by their employer for insurance coverage, showcasing the high demand for group health insurance.

In 2022, the South area owned the biggest proportion of the U.S. market, followed by the Midwest region. This is due to the presence of prominent insurance plans and a sizable population with standard group health insurance. Florida State has the largest revenue share for the South in 2022, while Illinois has a sizable revenue share supporting the Midwest region. Additionally, the market is aided by the growing popularity of Preferred Provider Organization (PPO), High-Deductible Health Plans with a Savings Option (HDHP/SO) plans. According to the Employer Health Benefits 2022 Annual Survey Report from the Kaiser Family Foundation (KFF), the PPO and HDHP/SO plans accounted for 49% and 29% of covered workers' enrolment in 2022, reflecting the rising demand for these plans.

The U.S. market for group health insurance is affected to some extent by the overall consolidation of the healthcare sector. For instance, at the start of 2020, Cigna and Oscar collaborated to sell health insurance policies to small businesses. The plans use member-focused technologies from Oscar and the regional and national provider networks of Cigna. As a result, Cigna and Oscar are able to provide small group health insurance across the nation in more than a dozen of the most important areas, including Kansas City, Georgia, Connecticut, Tennessee, and Arizona.

U.S. Group Health Insurance Market Report Highlights

  • Based on plan type, the market is segmented into five types - health maintenance organization (HMO), preferred provider organization (PPO), point of service (POS) plans, high-deductible plan with a savings option (HDHP/SO), and conventional (also known as indemnity plan).
  • In 2022, the preferred provider organization (PPO) held the highest revenue share, with over 45% of the market. Furthermore, due to its widespread adoption and acceptability compared to other plans like HMO, HDHP/SO contributed to the second-largest revenue share of over 25% of the market in 2022. According to the Kaiser Family Foundation's (KFF) Employer Health Benefits 2022 Annual Survey Report, a higher proportion of covered employees are covered in HDHP/SOs than in HMOs in small and large firms.
  • Based on firm size, the market is segmented into small (employee size less than 199 or equal to 199) and large (employee size more than 200) firms. Due to relatively lower employee cost-sharing, large firms hold a major portion of the market and are anticipated to maintain dominance over the forecast period.
  • South region dominated the market and accounted for the largest revenue share of over 35% in 2022 due to increased acceptance of employer-sponsored health insurance. The market for overall U.S. group health insurance market s anticipated to expand as a result of factors including rising group health insurance awareness and the cost of that insurance across different U.S. regions.
  • Large companies plan to offer group health insurance to employers in all states in the U.S., which supports the market expansion. For instance, the November 2022 Health Insurance Market Concentration report from Government Accountability Office (GAO) stated that PREMERA BLUE CROSS GROUP had a 93.4% market share in Alaska in 2020, indicating company focused on the Small Group Health Insurance Market.


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Table of Contents

Chapter 1. Methodology and Scope
1.1. Market Segmentation and Scope
1.2. Market Definitions
1.2.1. Plan Type
1.2.2. Firm Size
1.2.2.1. Small Firm - Plan Funding Type
1.3. Research Methodology
1.4. Information Procurement
1.4.1. Purchased Database
1.4.2. Internal Database
1.4.3. Secondary Sources & Third-Party Perspectives
1.4.4. Primary Research
1.4.5. Details of Primary Research
1.5. Information Analysis
1.5.1. Data Analysis Models
1.6. Market Formulation & Data Visualization
1.6.1. Premium Price - Employer-Sponsored Volume Analysis
1.6.2. Bottom-Up Market Estimation
1.7. Data Validation & Publishing
1.8. U.S. Group Health Insurance Market: CAGR Calculation
1.9. List of Abbreviations
1.10. Objectives
1.10.1. Objective - 1
1.10.2. Objective - 2
1.10.3. Objective - 3
1.10.4. Objective - 4
1.11. List of Secondary Sources

Chapter 2. Executive Summary
2.1. Market Snapshot
2.2. Segmental Snapshot
2.3. Competitive Insights Snapshot

Chapter 3. Market Variables, Trends, and Scope
3.1. U.S. Group Health Insurance Market - Market Dynamics
3.1.1. Market Driver Analysis
3.1.1.1. Increasing adoption of group health insurance
3.1.1.2. Increasing government initiatives
3.1.1.3. Growing awareness of the overall health insurance
3.1.2. Market Restraint Analysis
3.1.2.1. Limited reach of certain group health insurance plans in the U.S region
3.2. Business Environmental Tools Analysis: U.S. Group Health Insurance Market
3.2.1. Porter’s Five Forces Analysis
3.2.2. PESTLE Analysis
3.3. Regulatory Framework
3.4. Employer-sponsored Insured Population, by state, from 2008 - 2021
3.5. Covid-19 Impact Analysis

Chapter 4. U.S. Group Health Insurance Market: Plan Type Estimates & Trend Analysis
4.1. U.S. Group Health Insurance Market, By Plan Type: Key Takeaways
4.2. U.S. Group Health Insurance Market: Plan Type Movement & Market Share Analysis, 2022 & 2030
4.3. Preferred provider organization (PPO)
4.3.1. Preferred provider organization (PPO)Market Estimates And Forecasts, 2018 - 2030 (USD Billion)
4.4. Health maintenance organization (HMO)
4.4.1. Health maintenance organization (HMO) Market Estimates And Forecasts, 2018 - 2030 (USD Billion)
4.5. Point of service (POS)
4.5.1. Point of service (POS) Market Estimates And Forecasts, 2018 - 2030 (USD Billion)
4.6. High-Deductible Health Plans with a Savings Option (HDHP/SO)
4.6.1. High-Deductible Health Plans with a Savings Option (HDHP/SO) Market Estimates And Forecasts, 2018 - 2030 (USD Billion)
4.7. Conventional (Indemnity plans)
4.7.1. Conventional (Indemnity plans)
4.7.2. High-Deductible Health Plans with a Savings Option (HDHP/SO) Market Estimates And Forecasts, 2018 - 2030 (USD Billion) 

Chapter 5. U.S. Group Health Insurance Market: Firm Size Estimates & Trend Analysis
5.1. U.S. Group Health Insurance Market, By Firm Size: Key Takeaways
5.2. U.S. Group Health Insurance Market: Firm Size Movement & Market Share Analysis, 2022 & 2030
5.3. Large Firm
5.3.1. Large firm Market Estimates And Forecasts, 2018 - 2030 (USD Million)
5.3.2. Self-Funded Or Level-Funded Plan Market Estimates And Forecasts, 2018 - 2030 (USD Billion)
5.3.3. Fully Insured Market Estimates And Forecasts, 2018 - 2030 (USD BILLION)
5.4. Small Firm
5.4.1. Small firm Market Estimates And Forecasts, 2018 - 2030 (USD Million)

Chapter 6. U.S. Group Health Insurance Market: Regional Estimates & Trend Analysis
6.1. U.S. Group Health Insurance Market: Regional Movement Analysis, 2022 & 2030
6.2. Key Country Dynamics
6.3. Competitive Scenario
6.4. Regulatory Framework
6.5. South
6.5.1. South U.S. Group Health Insurance Market Estimates And Forecasts, 2018 - 2030 (Billion)
6.5.2. Florida
6.5.2.1. Florida Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.5.3. Georgia
6.5.3.1. Georgia Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.5.4. Maryland
6.5.4.1. Maryland Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.5.5. North Carolina
6.5.5.1. North Carolina Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.5.6. Virginia
6.5.6.1. Virginia Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.5.7. Alabama
6.5.7.1. Alabama Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.5.8. Kentucky
6.5.8.1. Kentucky Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.5.9. Tennessee
6.5.9.1. Tennessee Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.5.10. Louisiana
6.5.10.1. Louisiana Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.5.11. Oklahoma
6.5.11.1. Oklahoma Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.5.12. Texas
6.5.12.1. Texas Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.5.13. Others (Delaware, West Virginia, Mississippi, Arkansas)
6.5.13.1. Others Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.6. Northeast
6.6.1. Northeast U.S. Group Health Insurance Market Estimates And Forecasts, 2018 - 2030 (Billion)
6.6.2. Connecticut
6.6.2.1. Connecticut Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.6.3. Massachusetts
6.6.3.1. Massachusetts Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.6.4. Pennsylvania
6.6.4.1. Pennsylvania Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.6.5. New Jersey
6.6.5.1. New Jersey Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.6.6. New York
6.6.6.1. New York Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.6.7. Others (New Hampshire, Rhode Island, Vermont, Maine)
6.6.7.1. Others Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.7. Midwest
6.7.1. Midwest U.S. Group Health Insurance Market Estimates And Forecasts, 2018 - 2030 (Billion)
6.7.2. Illinois
6.7.2.1. Illinois Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.7.3. Indiana
6.7.3.1. Indiana Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.7.4. Michigan
6.7.4.1. Michigan Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.7.5. Ohio
6.7.5.1. Ohio Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.7.6. Wisconsin
6.7.6.1. Wisconsin Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.7.7. Iowa
6.7.7.1. Iowa Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.7.8. Kansas
6.7.8.1. Kansas Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.7.9. Minnesota
6.7.9.1. Minnesota Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.7.10. Missouri
6.7.10.1. Missouri Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.7.11. Nebraska
6.7.11.1. Nebraska Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.7.12. Others (North Dakota, South Dakota)
6.7.12.1. Others Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.8. West
6.8.1. West U.S. Group Health Insurance Market Estimates And Forecasts, 2018 - 2030 (Billion)
6.8.2. Arizona
6.8.2.1. Arizona Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.8.3. Colorado
6.8.3.1. Colorado Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.8.4. Nevada
6.8.4.1. Nevada Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.8.5. Utah
6.8.5.1. Utah Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.8.6. California
6.8.6.1. California Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.8.7. Oregon
6.8.7.1. Oregon Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.8.8. Washington
6.8.8.1. Washington Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
6.8.9. Others (Idaho, Montana, New Mexico, Wyoming, Alaska, Hawaii)
6.8.9.1. Others Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)

Chapter 7. Competitive Landscape
7.1. Company Categorization
7.2. Company Market Share Analysis, 2022
7.3. Strategy Mapping
7.4. Company Profiles/Listing
7.4.1. HEALTH CARE SERVICE CORPORATION
7.4.1.1. Overview
7.4.1.2. Financial Performance (Net Revenue/Sales/EBITDA/Gross Profit)
7.4.1.3. Product Benchmarking
7.4.1.4. Strategic Initiatives
7.4.2. UNITEDHEALTH GROUP
7.4.2.1. Overview
7.4.2.2. Financial Performance (Net Revenue/Sales/EBITDA/Gross Profit)
7.4.2.3. Product Benchmarking
7.4.2.4. Strategic Initiatives
7.4.3. KAISER FOUNDATION HEALTH PLAN, INC.
7.4.3.1. Overview
7.4.3.2. Financial Performance (Net Revenue/Sales/EBITDA/Gross Profit)
7.4.3.3. Product Benchmarking
7.4.3.4. Strategic Initiatives
7.4.4. BLUE CROSS BLUE SHIELD ASSOCIATION
7.4.4.1. Overview
7.4.4.2. Financial Performance (Net Revenue/Sales/EBITDA/Gross Profit)
7.4.4.3. Product Benchmarking
7.4.4.4. Strategic Initiatives
7.4.5. ANTHEM, INC. (NOW ELEVANCE HEALTH)
7.4.5.1. Overview
7.4.5.2. Financial Performance (Net Revenue/Sales/EBITDA/Gross Profit)
7.4.5.3. Product Benchmarking
7.4.5.4. Strategic Initiatives
7.4.6. THE IHC GROUP
7.4.6.1. Overview
7.4.6.2. Financial Performance (Net Revenue/Sales/EBITDA/Gross Profit)
7.4.6.3. Product Benchmarking
7.4.6.4. Strategic Initiatives
7.4.7. HEALTH PARTNERS GROUP LTD
7.4.7.1. Overview
7.4.7.2. Financial Performance (Net Revenue/Sales/EBITDA/Gross Profit)
7.4.7.3. Product Benchmarking
7.4.7.4. Strategic Initiatives
7.4.8. MISSISSIPPI INSURANCE GROUP, LLC
7.4.8.1. Overview
7.4.8.2. Financial Performance (Net Revenue/Sales/EBITDA/Gross Profit)
7.4.8.3. Product Benchmarking
7.4.8.4. Strategic Initiatives
7.4.9. PROVIDENCE HEALTH PLAN
7.4.9.1. Overview
7.4.9.2. Financial Performance (Net Revenue/Sales/EBITDA/Gross Profit)
7.4.9.3. Product Benchmarking
7.4.9.4. Strategic Initiatives
7.4.10. HARVARD PILGRIM HEALTH CARE, INC.
7.4.10.1. Overview
7.4.10.2. Financial Performance (Net Revenue/Sales/EBITDA/Gross Profit)
7.4.10.3. Product Benchmarking
7.4.10.4. Strategic Initiatives

List of Tables
Table 1 List of secondary sources
Table 2 List of abbreviations
Table 3 U.S. Group Health Insurance Market estimates and forecasts, by Plan Type, 2018 - 2030 (Billion)
Table 4 U.S. Group Health Insurance Market estimates and forecasts, by Firm Size, 2018 - 2030 (Billion)
Table 5 Northeast U.S. Group Health Insurance Market, by Plan Type, 2018 - 2030 (Billion)
Table 6 Northeast U.S. Group Health Insurance Market, by Firm Size, 2018 - 2030 (Billion)
Table 7 Midwest U.S. Group Health Insurance Market, by Plan Type, 2018 - 2030 (Billion)
Table 8 Midwest U.S. Group Health Insurance Market, by Firm Size, 2018 - 2030 (Billion)
Table 9 South U.S. Group Health Insurance Market, by Plan Type, 2018 - 2030 (Billion)
Table 10 South U.S. Group Health Insurance Market, by Firm Type, 2018 - 2030 (Billion)
Table 11 West U.S. Group Health Insurance Market, by Plan Type, 2018 - 2030 (Billion)
Table 12 West U.S. Group Health Insurance Market, by Firm Type, 2018 - 2030 (Billion)
Table 13 Participant’s overview
Table 14 Financial performance
Table 15 Key companies undergoing expansions
Table 16 Key companies undergoing acquisitions
Table 17 Key companies undergoing collaborations
Table 18 Key companies launching new products/services
Table 19 Key companies undergoing partnerships
Table 20 Key companies undertaking other strategies

List of Figures
Fig. 1 Market research process
Fig. 2 Data triangulation techniques
Fig. 3 Primary research pattern
Fig. 4 Market research approaches
Fig. 5 Value-chain-based sizing & forecasting
Fig. 6 QFD modeling for market share assessment
Fig. 7 Market formulation & validation
Fig. 8 Market snapshot
Fig. 9 Market segment snapshot
Fig. 10 Competitive Snapshot
Fig. 11 Market driver impact
Fig. 12 Market restraint impact
Fig. 13 Porter’s analysis
Fig. 14 PESTLE analysis
Fig. 15 U.S. Group Health Insurance market: Plan type outlook and key takeaways
Fig. 16 U.S. Group Health Insurance market: Plan type movement analysis
Fig. 17 Health maintenance organization (HMO) Market, 2018 - 2030 (USD Billion)
Fig. 18 Preferred provider organization (PPO) Market, 2018 - 2030 (USD Billion)
Fig. 19 Point of service (POS) Market, 2018 - 2030 (USD Billion)
Fig. 20 High-Deductible Health Plans with a Savings Option (HDHP/SO) Market, 2018 - 2030 (USD Billion)
Fig. 21 Conventional (Indemnity plans) Market, 2018 - 2030 (USD Billion)
Fig. 22 U.S. Group Health Insurance market: Firm Size outlook and key takeaways
Fig. 23 U.S. Group Health Insurance market: Firm Size movement analysis
Fig. 24 Small Firm Market, 2018 - 2030 (USD Billion)
Fig. 25 Self-funded or Level-funded Plan Market, 2018 - 2030 (USD Billion)
Fig. 26 Fully Insured Market, 2018 - 2030 (USD Billion)
Fig. 27 Large Firm Market, 2018 - 2030 (USD Billion)
Fig. 28 U.S. Group Health Insurance market: key takeaways
Fig. 29 Northeast U.S. Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 30 Connecticut Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 31 Massachusetts Group Health Insurance Market estimates and forecasts, 2018 -2030(Billion)
Fig. 32 Pennsylvania Group Health Insurance Market estimates and forecasts, 2018 -2030(Billion)
Fig. 33 New Jersey Group Health Insurance Market estimates and forecasts, 2018 - 2030(Billion)
Fig. 34 Others Group Health Insurance Market estimates and forecasts, 2018 - 2030(Billion)
Fig. 35 Midwest U.S. Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 36 Illinois Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
Fig. 37 Indiana Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 38 Michigan Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 39 Ohio Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 40 Wisconsin Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 41 Iowa Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 42 Kansas Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 43 Minnesota Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 44 Missouri Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 45 Nebraska Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 46 Others Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 47 West U.S. Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 48 Arizona Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 49 Colorado Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 50 Nevada Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 51 Utah Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 52 California Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 53 Oregon Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 54 Washington Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 55 Others (Idaho, Montana, New Mexico, Wyoming, Alaska, Hawaii) Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 56 South U.S. Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 57 Florida Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 58 Georgia Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 59 Maryland Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 60 North Carolina Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 61 Virginia Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 62 Alabama Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 63 Kentucky Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 64 Tennessee Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 65 Louisiana Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 66 Oklahoma Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 67 Texas Group Health Insurance Market, 2018 - 2030 (Billion)
Fig. 68 Others (Delaware, West Virginia, Mississippi, Arkansas) Group Health Insurance Market estimates and forecasts, 2018 - 2030 (Billion)
Fig. 69 Company market position analysis
Fig. 70 Market participant categorization
Fig. 71 U.S. Group Health Insurance market share analysis, 2022
Fig. 72 Strategy framework

Companies Mentioned

  • HEALTH CARE SERVICE CORPORATION
  • UNITEDHEALTH GROUP
  • KAISER FOUNDATION HEALTH PLAN, INC.
  • BLUE CROSS BLUE SHIELD ASSOCIATION
  • ANTHEM, INC. (NOW ELEVANCE HEALTH)
  • THE IHC GROUP
  • HEALTH PARTNERS GROUP LTD
  • MISSISSIPPI INSURANCE GROUP, LLC
  • PROVIDENCE HEALTH PLAN
  • HARVARD PILGRIM HEALTH CARE, INC.

Methodology

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