Pennsylvania Group Health Insurance & Employee Benefit Plans

Taylor Benefits Insurance has been revolutionizing the healthcare insurance industry in Pennsylvania for over 25 years.  We offer group health insurance and provide the most affordable and comprehensive employee benefits packages.  Not only do we offer health benefits for your company, but we also offer around-the-clock, top-notch service, so you will always have an agent available to help with your insurance needs.

Pennsylvania Large Group Health Insurance Plans

The ACA made many changes to health insurance for employees of large companies. While most companies already provide health insurance coverage to their workers, the ACA ensures that all health plans meet specific standards for services and affordability. For example, the affordability requirement limits the amount of employees’ premiums that subscribers can be required to pay.

The maximum is 9.12 percent of a subscriber’s gross income for individual coverage. That means that if an employee has a salary of $50,000, the maximum charge for their share is $4,560 annually.

Also, the ACA lists ten minimum essential coverage that all plans must cover:

  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

Pennsylvania added to this list with the following health insurance coverage requirements:

  • Durable medical equipment
  • Diabetes care
  • Reconstructive surgery following mastectomy
  • Infusion therapy (chemotherapy)

Employers can avoid those state-level requirements if they purchase their own health insurance rather than purchasing insurance, but self-funding doesn’t grant an exemption from the ACA requirements.

Pennsylvania Small Business Health Insurance Plans

Small employers aren’t required to provide health insurance for their employees. For many, the cost seems prohibitive. One reason is that per capita costs may be higher for small businesses since insurers evaluate the risks in the employee pool to determine subscriber rates.

Small businesses may find affordable small business health insurance plans through the SHOP (Small Business Health Options) program developed as part of the Affordable Care Act (ACA). Your Taylor Benefits Insurance consultant can help you explore potential options. Further, small businesses with less than 25 employees may be eligible for small business health insurance tax credit.

Pennsylvania Employee Benefits Plans and Employee Benefits Packages

Pennsylvania does not require employers to offer paid or unpaid time off to workers. However, employees value their benefits packages, and many companies offer some time off to recruit and retain talent. In addition, paid time off and expanded family leave (often unpaid) are among the most requested benefits after health insurance.

When possible, employers may add other benefits, like retirement savings plans, life and disability insurance, dental and vision coverage, and more. Many employees value flexible scheduling, particularly if they are balancing family demands with work requirements. Companies may find it cost-effective to allow workers to shift their schedules or offer work-from-home options on request.

Taylor Benefits specializes in the following:

Taylor Benefits operates differently than most insurance providers by functioning as an independent agent.  This allows us the unique ability to fully customize the perfect group package by drawing from any number of traditional insurance providers in order to get you the best deal possible.

Taylor Benefits Insurance also recognizes that insurance requirements are in near-constant flux in Pennsylvania. Because we understand the local conditions and regulations, you can rest assured we offer group coverage to all businesses operating in this unique state.

Contact us today at the number on the top of the page for a FREE estimate and available group benefits options in Pennsylvania, or complete the simple form on the right for a no-obligation, customized proposal for your Pennsylvania-based business.

Pennsylvania Group Health Insurance

Relevant Statistics

  • Over 85% of employees in Pennsylvania have access to group health insurance through their employers.
  • Pennsylvania group health insurance plans cover more than 3 million individuals.
  • The average premium for a family coverage plan in Pennsylvania is $900 per month.
  • Approximately 92% of small businesses in Pennsylvania offer group health insurance to their employees.
  • The deductible for an individual covered by a group health insurance plan in Pennsylvania is typically around $500.

General Facts

  • Pennsylvania requires employers with 51 or more employees to provide group health insurance.
  • Group health insurance in Pennsylvania typically covers medical, dental, and vision benefits.
  • Employers in Pennsylvania can choose between fully-insured plans or self-funded plans for their group health insurance.
  • The Affordable Care Act (ACA) mandates certain provisions for group health insurance plans in Pennsylvania, such as coverage for pre-existing conditions and essential health benefits.
  • Pennsylvania offers a state-based exchange called Pennie where individuals and small businesses can shop for and enroll in group health insurance plans.

How does the Affordable Care Act affect my Pennsylvania-based business?

The Affordable Care Act (ACA), casually called Obamacare, made it easier for the uninsured to receive comprehensive health insurance, but it also threw a wrench in the workings of many businesses.  Previously approved programs no longer met federally-mandated minimums after the implementation, so companies found themselves scrambling to become compliant.  Pennsylvania businesses were substantially affected due to the changes.

Taylor Benefits has been able to assist hundreds of businesses in Pennsylvania since the Affordable Care Act emerged, and we continue to be the industry leader in group policies and employee benefits plans.  Our first-hand knowledge of the law, coupled with our diverse resources, consistently allows us to create packages that are ACA-compliant without adversely impacting the company’s bottom line.

If you need this type of attentive insurance assistance and are operating a Pennsylvania-based business, please complete the form on the right or call the number at the top of the page for a FREE, customized proposal guaranteed to meet your needs exactly.

Frequently Asked Questions About Health Insurance And Employee Benefits Plans in Pennsylvania

In Pennsylvania, as is the case elsewhere in the US, comprehensive health insurance coverage is a tremendous relief for employees who need health care. Pennsylvania created a state-run health insurance exchange (Pennie) to assist employers and individual subscribers with accessing coverage and managing ACA compliance.

Below are some frequently asked questions about Pennsylvania health insurance:

What Is The Average Cost Of Large Group Health Insurance Plans In Pennsylvania?

90 percent of Pennsylvania workers have employer-sponsored insurance available. For single coverage, the average employer contribution is $5,878, absorbing 81 percent of the premium expense.

Which Pennsylvania Health Insurance Companies Offer Small Business Group Policies?

Health insurance for small businesses in Pennsylvania is offered by:

  • HCSC Group
  • eHealthInsurance
  • Blue Shield
  • Coventry Corp. Group
  • Kaiser Foundation Group
  • Unitedhealth Group
  • Metropolitan Group
  • HIP Insurance Group
  • Carefirst Inc. Group
  • UHC of California
  • State Farm
  • Humana Group
  • Blue Cross

Pennsylvania Employee Benefits Packages: What Should They Include?

Among the health benefits an employee may expect to receive in Pennsylvania are:

  • Health Insurance
  • Vision Insurance
  • 401(k)
  • Retirement & Pension
  • Section 125 Cafeteria Plan
  • HSA
  • Short and Long-Term Disability Insurance
  • Life Insurance
  • Long-Term Care
  • Dental Insurance

These options will help to protect and care for your employees and may assist you in recruiting and retaining high-quality workers.

What Is The Average Cost Of Employee Benefits?

Benefits often add around 30 percent to the cost of each employee. The amount a company invests depends on the health insurance plan and the benefits it provides.

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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