Missouri Group Health Insurance & Employee Benefits Plans

Missouri group health insurance plans

Missouri group health insurance plans, uniquely designed to cater to a network of companies and their employees, are detailed on our comprehensive menu of insurance options. These plans have different payment structures such as copay, deductible, and co-insurance options, all constructed with a keen eye on the varying healthcare needs of different employees, much like a chef curates an inclusive, diverse menu to cater to every palette.

The quickest and easiest way to find the right group health insurance plan and employee benefits plan is by working with a reputable insurance agent or agency. After 25 years in the healthcare industry, Taylor Benefits, our Colorado-based firm, has been able to form close relationships with some of the best insurance carriers in the nation, including HMO and PPO networks. We have assisted countless individuals, groups and states, providing an overview of the right information and helping them understand the nuanced details of their coverage.

Our vast experience in the healthcare industry, compared to the varied landscapes of multiple states, has made it possible for us to negotiate the cost of a flexible insurance plan for your Missouri company. We consider every amount, tailoring each group coverage to fit the needs, resources and condition of each company. We also offer Medicare and Medicaid services, ensuring that no employee, regardless of their condition, is left out of pocket when it comes to their health coverage.

Missouri Large Group Health Insurance Plans

In Missouri, there are three additional requirements for insurers to provide, and our in-depth knowledge and overview of these details ensure the best possible benefit for all in the group coverage. Any individual health insurance or large group plan in the state, whether it’s an HMO or PPO, must include bone marrow testing, reconstructive breast surgery following a mastectomy, and health insurance coverage for routine care necessary for involvement in clinical trials for cancer treatment.

  1. Ambulatory patient services (outpatient care)
  2. Emergency services
  3. Hospitalization, including surgical and medical
  4. Maternity and newborn care, including delivery
  5. Mental health and substance use disorder services
  6. Prescription drugs
  7. Rehabilitative services and devices
  8. Laboratory services
  9. Preventative and wellness services, including chronic disease management
  10. Pediatric services, including dental and vision care for children under the age of 19

The federal rules also specify affordability, highlighting the crucial information about income and out-of-pocket costs. The out-of-pocket costs, from deductible to co-insurance, plus the premium cost for the employee (for at least one plan option if they have a choice) can’t exceed 9.12 percent of their income. Moreover, the insurance coverage must be intended to cover major medical coverage of at least sixty percent of the reasonably expected costs for a typical person, including those with pre-existing conditions.

Finally, a metal tier, color-coded like a spectrum of Colorado’s scenic panoramas, designates insurance plans: bronze, silver, gold, and platinum, with the higher value metal name indicating that the program covers a more significant percentage of the healthcare costs (and has a higher premium.) special enrollment period.

Small business owners in Missouri aren’t obligated by the ACA or federal law to offer insurance coverage for their workers. However, if they choose to do so, they must ensure their health plans comply with all HMO and PPO regulations. Small businesses can access the insurance network, SHOP (Small Business Health Options Program) to obtain qualifying health plans that meet the minimum essential coverage and the additional Missouri coverage requirements.

If you provide a SHOP plan, you must offer it to all eligible employees (all full-time employees or those working at least thirty hours per week). Also, at least seventy percent of your eligible employees must either enroll in small business health insurance or purchase private health insurance coverage, which could potentially lower their out-of-pocket expenses.

Missouri Small Business Health Insurance Plans

For small companies with fewer than 25 workers, tax credits may be available to support your administrative costs. These benefits can alleviate the financial burden, particularly if employees require care for pre-existing conditions.

Missouri doesn’t have any state-mandated benefits aside from employer-maintained workers’ compensation insurance coverage. Many companies, however, do provide desirable benefits such as sickness copay options and coverage for pre-existing conditions.

One great way to attract and retain hard-working employees is by offering insurance and benefits with low rates, premiums and out-of-pocket expenses. The better the coverage and perks, the happier your employees will be, knowing that they can adequately care for themselves and their families.

Missouri Employee Benefits Plans and Employee Benefits Packages

Call 800-903-6066 to get a free consultation on Missouri Group Health Insurance & Employee Benefit Plans, and get every pertinent information you need, as well as an overview of our services.

  • Paid time off (vacation, holiday, and sick leave)
  • Family leave
  • Retirement support
  • Health Insurance
  • Dental and vision insurance
  • Flexible working schedules
  • Childcare support

One vital service we offer to our clients is to perform a yearly audit to ensure their plans meet the requirements of the Affordable Care Act. Part of this audit includes checking that HMO or PPO network services are compliant with local, state, and federal healthcare laws.

Give our office a call to learn more about all that we have to offer. Discuss your Missouri health insurance options, including HMO and PPO policies, and don’t hesitate to ask our licensed insurance brokers any questions relating to your health care needs or inquiries about out-of-pocket expenses or pre-existing conditions. They’ll diligently assist you, offering top-notch customer service, to carefully create the right health plan to present to your employees.This plan, offering flexibility and tailored to fit the specific needs of your workforce, will take into account a number of factors such as the size of your workforce, your employees’ dependence on the coverage, and eligibility prerequisites for your group health plan. It’s not unlike ensuring your spouse and dependents are covered under a personal plan. Once you are satisfied with the results, we will provide you with your FREE estimate! This advice is part of our commitment to work effectively with our plan members.

Insurance and Benefit Plans to Select From

  • Employer-sponsored benefits & health plans
  • Short & long-term disability
  • Group retirement plans & 401(k)
  • Section 125 cafeteria plans
  • Employee health savings accounts (HSA)
  • Group medical & dental insurance
  • Group life insurance & long-term care
  • Workers’ compensation
  • Missouri large group health insurance

Are you looking for Missouri Group Health Insurance & Employee Benefit Plans? Click the quote button to get an instant quote. Our team of individuals, comprising expert advisors and doctors, will be ready to provide assistance, ensuring you navigate through the myriad of groups and options within your area with ease.

Missouri’s market for large-group health insurance providers is complex, involving numerous fees and potential for loss if not navigated accurately. It can be challenging to purchase group health insurance, but it’s not impossible. Some key events that will aid in the process include understanding your eligibility, your list of dependents, and your business size. The three largest health insurers in Missouri are Anthem Blue Cross Blue Shield, National General Benefits Solutions, and UnitedHealthcare. Each insurance provider has a different number of customer service resources available, so let us help choose the best one.

Affordable Care Act Compliance

The Affordable Care Act (ACA) has resulted in the availability of lower premiums for small businesses interested in group health plans, possibly enhanced by specific tax credit benefits. Of course, the price depends on the services included, but small companies in Missouri may be eligible for health insurance coverage for as little as $150 monthly premiums per person.

Imagine knowing that both you and your spouse are covered under the same plan. Many employers provide employees with benefits in addition to their salary. They understand that individuals have different needs, so some of the most common employee benefits include life insurance, retirement plans, 401(k) plans, paid leaves, disability insurance, and medical plans. Some employers may also provide additional benefits to employees and their families, including vision and dental insurance, legal insurance, pet insurance, and college debt relief.

Relevant Statistics

  • Over 70% of employers in Missouri offer group health insurance to their employees.
  • The average deductible for group health insurance plans in Missouri is $1,200.
  • Approximately 85% of Missourians with employer-sponsored health insurance receive coverage through a group plan.
  • Group health insurance premiums in Missouri have increased by an average of 7% per year over the past decade.
  • Around 90% of Missourians covered by group health insurance have access to preventive care services at no additional cost.

General Facts

  • Group health insurance in Missouri provides coverage for a group of individuals, such as employees of a company or members of an organization.
  • It is usually offered by employers as part of their employee benefits package.
  • Group health insurance helps cover the cost of medical expenses, including doctor visits, hospital stays, and prescription medications.
  • In Missouri, group health insurance plans are regulated by the state’s Department of Commerce and Insurance.
  • Group health insurance premiums are typically shared between the employer and the employees, making it more affordable for everyone in the group.

Call Taylor Benefits Insurance Agency Today!

In general, the cost of employee health insurance depends on several key factors, including the insurer, the type of plan, the location of the business, the plan’s features, and the employer’s contribution. But it’s not just about the size of the business or the number of employees; even tax credit eligibility comes into play. Any insurance company offering health insurance (including large employers that are required to do so) must ensure that the employee contribution is less than 9.12 percent of their gross income.

Whether you are a small business or large corporate entity, we are ready to assist in finding the right health insurance solutions. We take into account your business size, number of employees, tax credit eligibility, and the personal circumstances of your employees, even if the plan needs to cover a spouse or dependents.

Frequently Asked Questions About Health Insurance And Employee Benefit Plans in Missouri

What Are Large Group Health Insurance Providers in Missouri?

Missouri’s market for large-group health insurance providers is complex. It can be challenging to purchase group health insurance that matches your needs. The three largest health insurers in Missouri are Anthem Blue Cross Blue Shield, National General Benefits Solutions, and UnitedHealthcare. The health insurance provider you choose can determine how much you spend on your employees’ insurance, so choosing the best one is important.

In Missouri, How Much do Small Business Health Insurance Plans Cost on Average?

The Affordable Care Act (ACA) has resulted in the availability of lower premiums for small businesses interested in group health plans. Of course, the price depends on the services included, but small companies in Missouri may be able to obtain health insurance coverage for as little as $150 monthly premiums per person.

What Are the Different Types of Benefits Offered in Missouri?

Many employers provide employees with benefits in addition to their salary. Some of the most common employee benefits include life insurance, retirement plans, 401(k) plans, paid leaves, disability insurance, and medical plans. Some employers may also provide other benefits to employees and their families, including vision and dental insurance, legal insurance, pet insurance, and college debt relief.

How Much Does It Cost to Offer Employees Health Insurance?

In general, the cost of employee health insurance depends on several factors, including the insurer, the type of plan, the location of the business, the plan’s features, and the employer’s contribution. Any insurance company offering health insurance (including the large employers that are obligated to do so) must ensure that the employee contribution is less than 9.12 percent of their gross income.

Written by Todd Taylor

Todd Taylor

Todd Taylor oversees most of the marketing and client administration for the agency with help of an incredible team. Todd is a seasoned benefits insurance broker with over 35 years of industry experience. As the Founder and CEO of Taylor Benefits Insurance Agency, Inc., he provides strategic consultations and high-quality support to ensure his clients’ competitive position in the market.



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