North Dakota Group Health Insurance & Employee Benefits Plans

Taylor Benefits Insurance has more than two and a half decades of success creating custom group insurance plans for our clients. As a result, we understand the needs and priorities of groups seeking healthcare, no matter what state the group is in.

While our plans actively leverage current market offerings, they are also unique and designed to provide value to each client. We consider what works and doesn’t work within the marketplace and provide a customized proposal for services to our clients based on their preferences.

We provide the following options to clients when writing their employee benefit plans

As an independent agency offering custom-designed health insurance plans, Taylor Benefits Insurance is not limited by insurance plans or carriers operating in the state of North Dakota. We are independent, and our group healthcare insurance plans are not reliant on any one carrier or plan. Because of this flexibility, we can offer our clients a wide range of healthcare options that might not be available to them using the state healthcare exchange or directly from an insurance provider.

Contact Taylor Benefits Insurance for free estimates for your group insurance plan. You are under no obligation to purchase a plan from us. We provide these estimates free of charge, so you can see the advantage of doing business with an independent insurance agency.

North Dakota Large Group Health Insurance Plans

North Dakota’s large employers have several choices when determining the best way to satisfy their obligation to provide affordable health insurance coverage per the ACA. As is the case elsewhere, many opt for preferred provider organizations, health maintenance organizations, and point-of-service structures. In addition, some businesses offer employees a choice between two or more to allow for individual preferences.

As a result, the employee might pay a different premium depending on the selection. Still, at least one available option must meet the affordability standard (less than 9.12 percent of gross income for individual coverage.) Taylor Benefits Insurance is here to advise you on the best plans for your team.

Coverage must include at least ten of the following 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 19

North Dakota Small Business Health Insurance Plans

Small businesses striving to provide quality health insurance to their employees may want to visit the ACA SHOP marketplace. SHOP (Small Business Health Options Program) is designed to assist small employers that want to offer health or dental coverage to their workforce.
SHOP is for businesses with up to fifty workers, including the owner. The employer can purchase insurance through the platform, from a broker, or directly from an insurer. The SHOP website explains employee eligibility plus the potential tax credit for companies that start offering coverage.

North Dakota small businesses unable to offer health insurance can assist with their employees’ healthcare costs by creating a Qualified Small Employer Health Reimbursement Arrangement. These accounts allow employers to contribute non-taxed money to an employee’s expenses, including employees’ premiums and copayments, for qualified plans.

North Dakota Employee Benefits Plans and Employee Benefits Packages

Employer studies show that workers consider benefits plans as a significant factor when evaluating job offers. If your company is working hard to recruit and retain top talent in North Dakota, a healthy benefits package is a tool that can help. Health insurance is a good foundation, and employees also want to receive paid vacation and sick leave.

If you can add some optional benefits, consider looking next at dental and vision coverage and a retirement savings plan like a 401(k). These are usually near the top of employees’ wish lists and help elevate the workforce’s financial security. Again, your Taylor Benefits Insurance specialist can help you decide how to create a package that will increase your appeal as an employer.

Relevant Statistics

  • Over 80% of employers in North Dakota offer group health insurance to their employees.
  • The average monthly premium for group health insurance in North Dakota is $450 per employee.
  • More than 95% of North Dakotans with employer-sponsored group health insurance have access to preventive care services.
  • Group health insurance plans in North Dakota cover an average of 85% of medical expenses.
  • Approximately 75% of North Dakotans who have group health insurance receive coverage through their employer.

General Facts

  • Group health insurance in North Dakota provides coverage for a group of individuals, typically employees of a company or members of an organization.
  • It offers a range of medical benefits, including doctor visits, hospital stays, prescription drugs, and preventive care.
  • Employers in North Dakota are required by law to offer group health insurance if they have a certain number of employees.
  • Group health insurance plans in North Dakota may have different levels of coverage and cost-sharing options, such as deductibles and copayments.
  • The North Dakota Insurance Department regulates group health insurance plans to ensure they meet state standards and provide necessary consumer protections.

North Dakota and Group Insurance

When the Affordable Care Act (ACA) was enacted, North Dakota joined the federal exchange. As a result, North Dakota offers eligible marketplace plans, just like every other state that joined the exchange. However, you should inquire with an independent insurance agency like Taylor Benefits Insurance before signing up for a health plan through the federal exchange. Premiums for marketplace plans are rising, and even the basic plans may become TOO expensive for some. You might be surprised to find a more affordable option using a broker like Taylor Benefits. 

North Dakota group health benefits and employee insurance plans

At Taylor Benefits Insurance, we thoroughly research all the pertinent policies, laws, mandates, and requirements for group insurance plans as they relate to your wants and needs for group healthcare insurance. We also research your industry to view similar plans and policies. Our goal is to provide you with the coverage you need at the price you want. Contact us today to learn how Taylor Benefits Insurance can work for your group.

To learn more about the current state of North Dakota’s insurance plans as offered on the federal exchange, please see this resource from the North Dakota Insurance Department.

Frequently Asked Questions About Health Insurance And Employee Benefits Plans in North Dakota

Group plans are contracted for by organizations and offered to their members or workers as part of a larger health insurance package. Because these plans are only for groups, individual consumers can’t purchase the same coverage. In many cases, at least 70% of the eligible participants must sign up for the health plan to take effect. Because every plan and insurer is different, companies have a wide variety of available policies and prices to consider.

What Are Large Group Health Insurance Providers in North Dakota?

These are some of the most well-known providers of large-scale group health insurance.

  • TaylorBenefits Insurance
  • Sanford Health Plan
  • UnitedHealthcare
  • Medica
  • Blue Cross Blue Shield of North Dakota
  • eHealthInsurance
  • Superior Insurance Agency
  • Humana

What are Small Business Group Health Insurance Providers in North Dakota?

The following companies offer plans that may be suitable for smaller businesses:

  • Sanford Health Plan
  • Medica
  • Superior Insurance Agency.
  • Blue Cross Blue Shield of North Dakota
  • eHealthInsurance
  • UnitedHealthcare
  • Humana

In North Dakota, What is Normally Included in the Benefits Package?

While offering excellent benefits is a great way to distinguish your company from the competition, it’s not always possible to offer every potential benefit. You can share the cost of health insurance with your employees as long as their premium share does not exceed 9.12 percent of their gross income. Some benefits are low-cost and can be added with little overall expense. The benefits choices may include these:

  • Health Insurance Benefits
  • Retirement Accounts
  • Dental Insurance
  • Life Insurance
  • Education Assistance
  • Flexible Spending Accounts (FSAs) or Health Savings Accounts (HSAs)
  • Paid Holidays
  • Paid Medical Leave
  • Paid Vacation and Sick Time
  • Flexible Schedule

What Percentage of Health Insurance Costs is Paid by Employers?

In North Dakota, employers pay an average of 83% of the policy expense for individual employees. That equates to an average employer contribution of $5959 yearly per worker.

The average cost of family coverage is over $20,000 per year, and employers often contribute to the dependent coverage as well.

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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