Affordable Group Health Insurance

Tuesday, December 5, 2017 20:56 Posted by Admin

Providing affordable group health insurance plan to all employees that qualify is your responsibility as a business owner. To offer health insurance that offers maximum health benefits and reasonable monthly premiums, there are local, state and federal laws that all large and small businesses must meet.

If the small business owners or company’s fail to meet the group health coverage standards set for their group size, they will suffer from tax penalty. However, a small business owner that meets the requirements of all medical insurance laws will qualify for tax savings and other perks related to tax free money.

It is a proven fact that a business’s success is heavily reliant on their ability to retain employees as well attract qualified individuals looking for employment.

One of the greatest ways to retain and attract quality workers is by offering a cheap and comprehensive affordable group health insurance plan that stands out from the employee benefit packages offered by competitors.

An insurance broker can make this possible by using their learned and perfected negotiating skills while dealing with leading insurance companies specializing in group health insurance plans.

What You May Include In Your Flexible and Low Cost Group Health Plan

  • Health Maintenance Organization plans (HMO)
  • Preferred Provider Organizations plans (PPO)
  • Group managed care & indemnity plans
  • Employee health savings accounts (HSA)
  • Flex spending and health reimbursement accounts
  • Group medical & dental insurance
  • Vision coverage and eye care plans
  • Employee benefits & health insurance plans
  • Short & long term disability
  • Retirement plans & 401(k)
  • Section 125 cafeteria plans
  • Group life insurance & long term care
  • Workers’ compensation

The more employees your business must provide health insurance for, the lesser the rates associated with your group plan.

Thus, small employers can save money by providing business health options program to their full time employees. This means that health coverage is more affordable for everyone who chooses to take advantage of it.

How an Affordable Group Health Insurance Plan Protects Your Employees

There are many ways affordable group health insurance plans protect your employees. It provides them with assistance and financial relief for ambulatory services, emergency care, maternity and infant health coverage, prescription drugs coverage, pre existing conditions, preventive care, out of network care, and other benefits regarding the good health of themselves and family.

The affordability to seek the proper medical attention whenever needed, decreases the amount of call offs your business receives from its employees due to medical concerns.

How Does Small Business Health Insurance Work?

According to the Affordable Care Act (ACA), a small business consists of less than 50 full time employees. Though the definition of small group varies from place to place but it is not compulsory for business owners to legally provide health insurance to everyone.

Consider an example of California where this group does not have greater than 100 FTE. Still, there are no defined rules for providing the employees with essential health benefits.

Generally, group health insurance is purchased by the small business owners from private health insurance companies. Afterwards they make their employees pay their part in the form of monthly premiums for providing coverage.

The preventative care services not covered by the plan, deductibles and copays need to be paid by the employee.

Steps to Choose the Right Small Business Insurance Plan

Assess your needs

Try to consider the following factors before opting for a health plan from the health insurance providers.

  • Your health plan must suit the diverse needs of your employees and their dependents covering both financial and health trends aspect.
  • How much coverage cost sharing can be done between the employees and the employer? Try to analyze cost sharing according to your business and group coverage needs.
  • It is important to analyze the benefits necessary for the owner and the employees. Always ask the benefits needed by your employees. Knowing employee needs is crucial before deciding any health plan.

Comparison of Small Business Health Insurance plans

Many factors need to be considered before purchasing any small business health insurance option. We suggest some important factors to be considered before opting for any health plan.

  • Health Insurance Premiums: Always check on the cost of the health care policy and how much monthly premium cost your employees need to pay. Either the employer pays the whole amount or part of it.

Some leave it on their employees to pay for the individual health insurance plan chosen.

The end result should be an affordable policy for both employees and the company.

  • Deductibles, Copay, and coinsurance: Deductibles are the amount paid before any insurance kicks in. Copays are the amount paid at the time of using the group policies. These factors need to be considered before receiving any medicaid services.
  • In network health care hospitals: Knowing beforehand the availability of preferred doctors is crucial before opting for any health plan service. If your company has a prior medical facility, ensure it is in your vicinity.
  • Types of plans available from the insurance company: Before choosing any health insurance for small group, always consider whether you are taking it for an individual or family coverage. Make sure you consider options such as PPOs and HMOs.
  • Coverage options and limits: Do evaluate the maximum coverage options provided in your health plans. It should include services such as preventative care , prescription drug coverage, and specialist care. Also compare prices for different plans beforehand and better coverage services such as dental and vision.
  • Exclusions: Always be sure of any predefined condition of the health insurance policy and how it will affect the needs of the employees.
  • Reputation: The reputation of the insurance company is of prime importance in choosing the policy apt for you. Ease of claiming benefits and decent reviews play an important role in making a good decision to buy health insurance for small group. Do ensure whether the insurance company has an appropriate settlement ratio.

Small Business Health Insurance Enrollment Process

  • Open enrollment process starts with getting the employees and their family sign up for the health insurance policy. The best health insurance providers will provide the required personal help in doing so.
  • Enrollment process should be unbiased, honest and informative by the licensed agents. Sometimes, the medical history of an individual or the personal information can change the minimum contribution amount. But it is necessary to give health insurance coverage to all.

Small Business Health Insurance Options

All thanks to the ACA, the Small Business Health Options Program (SHOP health insurance) really helps the small businesses to get an insurance plan from reputed insurance companies. This enables employers to opt for appropriate health plans obtained from diverse insurance companies.

It also gives them access to the Small Business Health Care Tax Credit, which covers your medicaid services expenses.

You can also choose an insurance broker like Taylor Benefits Insurance for an informed decision who will research and compare different options without any extra cost.

Generally, 4 types of group plans are proposed for small businesses namely bronze,  gold, silver and platinum. Each plan comes with different amounts to be paid in the form of premiums, copays, deductibles and out-of-pocket limits.

Different plans are suitable for both business owners, those who need extensive coverage as well as the ones who can pay less premiums. This makes the process of choosing premium plan flexible and simpler for self employed and small businesses.


Health insurance is equally important for small businesses as well as self employed. Plan’s network assessment is a must before choosing any insurance company.

If your business has more than 50 employees and you need to cover their health insurance coverage costs, then opting for an affordable health insurance scheme is must.

But, even if you own a small strength of employees, opt for SHOP health insurance. Employees do appreciate the efforts taken by their employers in securing their health through affordable shop marketplace health scheme.

Frequently Asked Questions (FAQs)

When can small business owners provide health plan to its employees?

​​There is not a guaranteed law for small businesses to offer health insurance to its employees. Being aware of your state laws is must before offering any health insurance to your employees.

Want to know if your small business is eligible for SHOP Marketplace? Every employer with 1-50 employees qualifies for SHOP marketplace insurance.

Consult your tax advisor about how much taxes you can save by providing medicaid services to your employees. This way you can retain your employees and also reduce your taxable income.

What is the cost of group health insurance for small businesses?

The extent of coverage offered to its employees is decided by small businesses which can vary between $400 to $500 monthly for an employee. The demographics of employees play an important role in shop marketplace.

Typically, the premium contribution by an employer varies greatly from place to place and differ from insurance company to company.

Generally, an employer pays half of the premium amount and the rest is paid by the employee to the insurance company.

He can also cover his dependents in the premium plan of the insurance company. Often, employer covers premium amount of employee extensively and dependent’s premium partially.

When you apply for the health insurance plan you can figure out how much you will pay for your employee and their dependents in the form of premiums.

Do group health insurance plans include dental & vision?

Generally, dental and vision are not covered in any health plan but they can be availed at an additional cost termed as benefit riders. After choosing a group health plan by the insurance company you can get access to these extra available in your vicinity.

Can I reimburse my employees for the cost of a private insurance plan?

From July 1, 2015, reimbursement of private insurance for individuals and their dependents is not available under Affordable Care Act . This type of employer payment plans doesn’t conform to the market reforms.

You have to pay a fine of $100 per day as excise tax per employee (or $36,500 yearly under section 4980D of the Internal Revenue Code).

An employee strength greater than 50 need to be completely insured or the employer have to bear the penalty.

How many employees does a small business have to have to provide health insurance?

According to ACA businesses with minimum strength of 50 employees must be insured. If they do not abide, then they must pay the penalties.

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