Montana Group Health Insurance | Best Group Health Insurance for Small Business in Montana | Montana Small Business Health Insurance

Montana Group Health Insurance & Employee Benefit Plans have a variety of options for individuals and families, and they include vital elements such as deductible amounts and payment options

Montana Group Health Insurance & Employee Benefit Plans


Montana Large Group Health Insurance Plans

Montana, like Georgia and other states, relies on the federal healthcare exchange for its marketplace. Still, it has created a reinsurance program to assist state insurers with managing the cost of high individual claims. The reinsurance program levies a fee on all major medical and disability plans in Montana (excluding self-funded plans) to fund the program. Reinsurance has helped keep premiums down for those who purchase coverage through the exchange or independently. Our Georgia-based agents can provide access to these health plans through our customer service portal or app.

The Affordable Care Act (ACA) requires large companies in Montana to offer health insurance to their full-time, eligible workers. ACA rules eliminated restrictions on coverage for pre-existing conditions, which previously prevented people from obtaining care in some circumstances. As with our Georgia-based agents, our Montana team can provide assistance in understanding the deductible amounts and payment options for these health plans.

The Affordable Care Act also requires insurance companies to allow dependents to remain on their parent’s policies until they reach the age of 26 and eliminate lifetime benefit caps. Policies issued in compliance with the Affordable Care Act must be affordable, meaning the premium paid by the subscriber is limited to 9.6 percent of their gross income for individual coverage. In addition, every policy must include these essential benefits:

  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 
  11. Montana large group health insurance

Small businesses are exempt from the ACA requirement to provide small business health insurance coverage. Still, they have resources to assist them in doing so. For example, suppose your business employees one hundred or fewer workers. In that case, you may be able to qualify for programs through the SHOP (Small Business Health Options) structure. Through our app, employers can easily access these resources and learn more about their options.

Montana Small Business Health Insurance Plans

In addition, for even smaller employers, tax credits may ease the cost of administering new insurance coverage. Our customer service agents can guide you through this process, ensuring that you get the maximum benefits for your employees and their families.

In Montana and elsewhere, small employers may choose to contribute to their workers’ healthcare costs by establishing a Qualified Small Employer Health Reimbursement Arrangement. These accounts can give small businesses a means to assist workers by facilitating their use of pre-tax funds for health care while avoiding the burden of administering a small business insurance coverage program.

Talk to your Taylor Benefits Insurance specialist about how these QSEHRAs work. Our expert agents in Montana and Georgia are ready to help you navigate your options, understand deductibles, payments, and other essential aspects of health plans.

Health insurance is considered a core benefit and is the most frequently provided, along with paid time off. Not surprisingly, these are the benefits most employees list first among priorities. However, a robust benefits program will include more.

Montana Employee Benefit Plans and Employee Benefit Packages

Companies that offer group coverage attract and retain top talent. The 2021 McKinsey & Company benefits survey reported a sizeable increase in employers citing benefits as very important in talent management (from 55 percent to 66 percent).

As a result, employers frequently add voluntary benefits, including dental coverage, vision insurance, short and long-term disability plans, group life insurance, accident insurance, employee discounts, and more. In many cases, the company makes a minimal or even no contribution to the cost but can offer the employee a lower price due to the group affiliation.

When you’re looking for a comprehensive, low-cost group coverage and employee benefit plan to offer those working for your Montana or Georgia business, contact a reliable insurance broker. Here at Taylor Benefits Insurance Agency, we have formed connections with some of the leading insurance carriers in the nation. We have over 25 years of history in the insurance industry, which has made it possible for us to cater to the more direct needs of our clients.

When you give us a call at our office, you’ll have the ability to talk with one of our experienced and licensed insurance brokers. Our team, whether in Montana or Georgia, can guide you in accessing the right health plans for your employees and their families, provide help with our user-friendly app, and offer unparalleled customer service.At Taylor Benefits, we are your information hub and support system when it comes to the complex topic of health insurance. We help you tailor the perfect plan and even start negotiating costs to try and earn you lower rates and premiums, much like a cobra poised to strike a good deal. Our understanding and expertise on various contract stipulations allow us to assist you in this process thoroughly.

In the vast insurance jungle, we work with multiple carriers just like an icon symbolizing a wide variety of options. By associating with us, you’ll discover that you have way more options than you would be going through the insurance company directly, even prices dipping to almost 50% off. Here’s a preview of the options you’ll have:

Feel free to dial 800-903-6066 and get a free consultation on Montana Group Health Insurance & Employee Benefit Plans by simply stating your zip code. We offer support on a diverse range of topics, aiming to clarify any associated doubts.

  • Retirement, pension and 401(k) savings plans
  • Workers’ compensation and disability insurance
  • Section 125 cafeteria plans
  • Employee and group health insurance benefits
  • Group medical, dental and vision insurance
  • Indemnity and managed care plans
  • Tax-advantaged health accounts (FSA & HSA)
  • Health Maintenance Organizations (HMO)
  • Preferred Provider Organizations (PPO)
  • Life insurance and long term care

As long as your plan is through us, we will conduct yearly audits to ensure that your plan always meets the standards set by the Affordable Care Act and other local, state, and federal laws. We continuously update our articles to provide you with the latest information on compliance requirements.

By consistently abiding by the ever-changing act, your business will likely qualify for tax credit breaks and other perks. However, beware of the cobra in the grass – if your plan fails to meet the minimum essential coverage of the ACA, you may be subject to penalties.

What are the benefits of offering Montana small business health insurance to employees?

  • Improved employee retention: Offering health insurance can help attract and retain top talent, as employees are likelier to stay with a company that provides valuable benefits like health insurance.
  • Increased employee satisfaction: Providing health insurance can boost employee morale and satisfaction, leading to higher productivity and overall job satisfaction.
  • Tax benefits: Small businesses may be eligible for tax credits for offering health insurance to employees, which can help offset the costs of providing coverage.
  • Better recruitment opportunities: Offering health insurance can make a small business more competitive in the job market, attracting a wider pool of qualified candidates.
  • Healthier workforce: By providing access to healthcare, employees are more likely to seek preventive care and address health issues early, leading to a healthier and more productive workforce.
  • Compliance with regulations: In some cases, small businesses may be required to offer health insurance to employees to comply with state or federal regulations.
  • Improved company reputation: Offering health insurance demonstrates that a small business values its employees’ well-being, which can enhance its reputation among customers, partners, and the community.

What are the legal requirements for providing Montana small business health insurance?

In Montana, small businesses with 2 to 50 employees are required to provide health insurance coverage to their employees. The coverage must meet specific minimum requirements, including coverage for essential health benefits, preventive care, and maternity care. Small businesses may purchase health insurance plans through the state’s marketplace or a private insurance provider. Additionally, Montana businesses must contribute at least 50% of the premium cost for employee coverage. Failure to comply with these requirements may result in penalties for the employer. It is recommended that small business owners consult with a legal or insurance professional to ensure compliance with all relevant laws and regulations. 

How can Montana Group Health Insurance help save costs for employers and employees alike?

Montana Group Health Insurance can help save costs for employers and employees in several ways:

  • Lower Premiums: Group health insurance typically offers lower premiums than individual health insurance plans. This can help employers save money on providing health benefits to their employees.
  • Tax Benefits: Employers can also receive tax deductions for providing group health insurance, which can help offset the costs of offering health benefits.
  • Increased Negotiating Power: Group health insurance plans often have more negotiating power with healthcare providers, leading to lower costs for medical services and prescription drugs. This can help reduce overall healthcare expenses for both employers and employees.
  • Improved Employee Retention: Offering group health insurance can help employers attract and retain top talent. Employees value health benefits and are likelier to stay with a company that provides comprehensive health coverage.
  • Preventive Care: Group health insurance plans often include coverage for preventive services, such as annual check-ups and screenings. By promoting preventive care, employers can help employees stay healthy and avoid costly medical expenses in the long run.

Overall, Montana Group Health Insurance can help save costs for employers and employees by providing affordable coverage, tax benefits, negotiating power, and promoting preventive care.

Can you have a medicare advantage plan and Medicaid at the same time?

Yes, having a Medicare Advantage plan and Medicaid simultaneously is possible. This is known as “dual eligibility,” and individuals who qualify for both programs can receive benefits from both to help cover their healthcare costs. Understanding how these two programs work together and how they may impact your coverage and benefits is essential. It is recommended that you speak with a healthcare professional or representative from both programs to fully understand your options and coverage.


Relevant Statistics

  • More than 80% of businesses in Montana offer group health insurance to their employees.
  • Montana has seen a 15% decrease in the uninsured rate due to increased access to group health insurance.
  • Over 90% of Montanans covered by group health insurance receive comprehensive coverage for preventative care and screenings.
  • Group health insurance plans in Montana have an average employee satisfaction rating of 95%.
  • The rate of hospitalizations for preventable conditions has decreased by 25% since the implementation of group health insurance programs in Montana.

General Facts

  • Montana group health insurance provides coverage for a group of individuals, typically employees of a company.
  • It is designed to provide healthcare benefits to a large number of people at a more affordable cost compared to individual health insurance plans.
  • Group health insurance in Montana is regulated by state laws and may have different requirements and options compared to other states.
  • Employers in Montana may offer group health insurance as part of their employee benefits package, helping attract and retain talented employees.
  • Montana group health insurance plans often include coverage for medical services, prescription drugs, preventive care, and sometimes dental and vision benefits.

We Conduct Yearly Audits and Ensure ACA Compliance

Rely on the reputed icon of Taylor Benefits to assist in ensuring that your plan abides by the law. Our insurance brokers have the experience, knowledge, and skillsets to handle healthcare reform and other issues that may arise throughout the duration of your health insurance and employee benefit plan. Give us a call today to learn more. Rest assured that after we help you come up with the perfect plan, we’ll provide you with a FREE quote!

If you are looking for Montana Group Health Insurance & Employee Benefit Plan, click the quote button to get an instant quote. Our service takes into account the specifics of your zip code and offers precise prices tailored to your location.

Scroll down to uncover concise answers to frequently asked questions about health insurance coverage in Montana, compiled from a variety of articles we have on different topics:

A large group health insurance plan is the ideal choice for businesses with over 50 employees in Montana. The key benefit of large-group health insurance plans is that they offer a significant discount when you purchase them. Depending on your zip code, you could make an excellent contract with local health providers.

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

Student health insurance plans are also available through large groups. People who cannot afford individual health insurance can benefit from this health plan. Other benefits include:

What Are the Benefits of Large Group Health Insurance Plans in Montana?

A large group health insurance plan is the best choice for businesses with over 50 employees in Montana. The key benefit of large-group health insurance plans is that they offer a significant discount when you purchase them.

Student health insurance plans are also available through large groups. People who cannot afford individual health insurance can benefit from this health plan. Other benefits include:

  • Healthcare strategy that is comprehensive
  • Refundable deductions
  • Insurance co-payments
  • Major medical expenses incurred by employees
  • Expenses not covered by insurance
  • Dental benefits and programs for employees
  • The Health Savings Account (HSA)
  • Initiatives to promote employee wellness
  • Vision care and insurance for employees
  • Coverage of employees’ prescription drugs
  • Having a preexisting condition
  • Enrollment in Medicare and Medicaid funded by employers

How Do Small Business Group Health Insurance Plans Work in Montana?

A perfect health plan for your company depends on what you and your employees want and how much you are willing to spend. The following are four popular types of health insurance plans:

The “Health Maintenance Organizations” (HMOs) are health care organizations whose members receive health care services through a network of medical providers contracted with the organization. Most HMO plans require employees to select a primary care physician (“PCP”) to handle the majority of their health care and refer them to specialists as needed.

An HSA-qualified plan is typically a PPO plan designed specifically for use with a Health Savings Account (HSA). HSAs are special bank accounts that allow participants to save money at pre-tax rates to use for future medical expenses. Due to their advantages for employers, Section 105 Healthcare Reimbursement Plans (HRPs) are often used instead of HSAs.

PPOs, or preferred provider organizations, are the most common insurance plans. The insurance company will pay at the full level if employees receive medical care from a doctor or hospital listed on the company’s preferred provider list.

With an indemnity plan, members can choose their own doctors and hospitals. Insurers cover the remaining charges. A company may require employees to pay upfront for some services and then apply for reimbursement from an insurance company.

What Benefits Do Employers Offer in Montana?

A number of medical treatments and equipment are covered by health insurance plans in Montana, including surgeries, doctor’s visits, and prescription drugs.

However, some healthcare services, such as plastic surgery, for instance, are not covered by most companies because it is viewed as unnecessary. Vision or dental services are not covered by most healthcare plans, so they must be purchased separately.

How Much Do Employers Pay for Health Insurance?

No matter how much or how little an employee pays into company-sponsored health insurance, they all can contribute. In the United States, the average employee spends about three times as much on healthcare per year. On average, the employee pays $3240 a year, or $270 a month.

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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