Today, France plays an influential role in the global community, with a gross domestic product of $717,409 in 2018. Our Global Institute members have a significant presence in the region, and it is a common market practice to have employees contribute 40% - 50% of the total rate, unless collective agreement requires the proportion to be split differently. The structure of benefits, however, continues to evolve, with eligibility requirements and current policy changes having an impact on plan design and cost.