Modesto Group Health Insurance & Employee Benefit Plans

Taylor Benefits is a local, independent agent for businesses and employee groups that need an affordable solution to providing quality health insurance and group benefit options in Modesto.

With health care costs getting more expensive and changes brought on by healthcare reform, it can be difficult to find what works for your business, employees and professional culture. At Taylor Benefits we specialize in finding a group benefit and employee health plan that is specifically suited to the needs of your business and the expectations of your employees.

Modesto CA Large Group Health Insurance Plans

Large employers—defined by the Affordable Care Act as those with more than fifty workers that work at least thirty hours per week—must provide health insurance as an option for workers. The ACA has detailed requirements for coverage and affordability. To be qualified as "affordable," the plan must cost the worker less than 9.61 percent of the employee's income. That rule only applies to single-employee coverage without the extra cost for dependents. For example, suppose an employee earns $50,000 annually. In that case, the affordability threshold is approximately $4,805 for that individual to participate in the workforce plan. The monthly premium could be as much as $400. The program can also have a co-payment and a deductible. Still, it must be designed to absorb 60 percent of the cost of expected medical services for a "standard” subscriber. Finally, the plan must cover these ten essential benefit areas:

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

Modesto CA Small Business Health Insurance Plans

When small companies in Modesto want to compete for talent, they can stand out by offering health insurance to potential employees. Insurance is also an essential benefit for retention. However, small companies may struggle with the cost. Health insurance is expensive, and the premiums rise every year. Your Taylor Benefits Insurance consultant can offer money-saving suggestions and help you identify and implement the best solution for your company.

Small companies may want to evaluate the difference between coverage choices, offering a PPO, HMO, or POS program and various deductible and co-payment options. PPOs (preferred provider organizations) are usually most popular with workers. One cost-control tool is a high deductible plan paired with a health savings account. Suppose the employer wants to offer the HSA. In that case, the deductible must be high enough to qualify according to the IRS standards. Ask your consultant if this might be a good approach for your business.

Modesto CA Employee Benefit Plans and Employee Benefit Packages

Benefits plans often start with essential elements like health insurance and time off. In Modesto, the law requires workers to get paid sick time and family leave, but there is no mandate for paid vacation time. Still, if a company offers it, workers are entitled to receive payment for any accrued but unused time if they leave the job.

Beyond those fundamentals, many employees desire assistance from their employer in saving for retirement. California is also one of several states that require companies to participate in a state-run retirement account program if they don't sponsor a private retirement account for employees. The businesses only have to facilitate payroll deductions for their workers; they don't have to make any contributions.

Other widespread benefits include flexible scheduling, remote work, child care assistance, commuting benefits, fitness center access or subsidy, and dental insurance.

One of the advantages of choosing an independent broker is that you’ll have access to all insurance companies in the state, rather than having to choose from only what’s offered by one insurance company or provider. With access to all the different plans available in Modesto, combined with our knowledge and experience, we are able to customize your benefit and health offerings by drawing from the best available options that fit with the goals of your company or group network.

A challenge that many businesses face when implementing a comprehensive health and benefit offering is managing HR, especially when working with a new plan or making changes to an existing one. With this in mind, we’ve developed a free HR management tool that helps to streamline the administration of group benefits and simplify the process for all parties involved.