Oregon Group Health Insurance & Employee Benefit Plans

Taylor Benefits Insurance has over 25 years of experience providing top-notch employee benefits plans and group health insurance plans in Oregon.  We set the bar high, offering personalized service when creating customized business packages designed specifically to meet your company’s needs.  Taylor Benefits prides itself on providing comprehensive and affordable insurance to your valued employees while constantly figuring out ways to cut costs for you as the employer effectively.

We specialize in the following:

Taylor Benefits works independently, which allows us to combine aspects of many different insurance products in an effort to provide you with the most comprehensive packages at the lowest rates possible.  Whether you run a small business with 10 employees or need a package deal for over a thousand, we can help you find a perfect Oregon health plan!

Healthcare in Oregon is constantly evolving, so Taylor Benefits Insurance must be flexible.  We consistently keep up-to-date with regulatory changes, so your company will remain compliant through it all.

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

Oregon Group Health Insurance Employee Benefit Plans

Oregon Large Group Health Insurance Plans

Since the implementation of the Affordable Care Act (ACA), group health insurance plans are required to meet established standards for essential health benefits. If the program doesn’t provide all the components, the employer offering the coverage can be found non-compliant with ACA rules. The ten minimum essential coverage benefits that a large group health insurance plan must cover are these:

  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

One of the mandatory covered services is preventive and wellness services, including chronic disease management. That means health insurance carriers must include preventive services without any medical expenses to the patient. Preventive care includes vaccines, cancer screenings, and testing for other illnesses and pre-existing conditions like high blood pressure and cholesterol.

Some large employers are going further, offering additional screenings plus information about disease avoidance and management. Many add incentives and support for health-conscious activities like exercise, smoking cessation, and stress reduction. Incentives can be as simple as offering eligible employees a step counter (exercise monitor) when they sign up to participate. Other plans include Medicare Federal Health Coverage Program for people who are over 65 and have an end-stage.

Oregon Small Business Health Insurance Plans

Oregon health insurance marketplace for small businesses offers helpful resources for companies that want to provide health insurance for their workers. Companies can learn about health coverage options, pricing, and how to access information about tax credits.

Taylor Benefits Insurance can help your company navigate the regulations and be sure that you locate the support that’s available for you. Small businesses must meet these criteria to be eligible for the administrative support small business tax credit:

  • Employ fewer than 25 full-time-equivalent employees (not including family members of owners or seasonal workers)
  • Pay average annual salaries of $50,000 or less per employee
  • Pay at least 50 percent of full-time employees’ premium costs
  • Purchase a qualified plan

Oregon Employee Benefits Plans and Employee Benefits Packages

Oregon requires employers to provide up to forty hours of sick leave for their workers annually. Employees accrue time at the rate of at least one hour earned for every thirty hours worked. For companies with at least ten employees, sick leave must be paid time off. No other paid time off is required, but Oregon workers are entitled to an unpaid family leave of up to twelve weeks.

Oregon has a retirement savings program that companies must register for if they do not offer a retirement plan on their own. OregonSaves does not require the company to make any contributions, but it must administer employee deposits.

Learn more about employee benefit packages in Oregon.

Relevant Statistics

  • Over 80% of Oregon employers offer group health insurance to their employees.
  • The average deductible for Oregon group health insurance plans is $960 per year.
  • Approximately 92% of Oregonians with employer-sponsored health insurance have coverage for prescription drugs.
  • In Oregon, group health insurance premiums have increased by an average of 5% per year over the past decade.
  • Around 70% of Oregon residents with group health insurance receive preventive care services on a regular basis.

General Facts

  • Oregon requires employers with 50 or more employees to offer group health insurance.
  • Group health insurance in Oregon typically covers medical, dental, and vision services.
  • Employers and employees share the cost of group health insurance premiums.
  • Group health insurance plans in Oregon must meet certain coverage requirements outlined by state regulations.
  • Oregon offers options for small businesses to join co-op plans for more affordable group health insurance coverage.

How does the Affordable Care Act affect your Oregon business?

The Affordable Care Act (ACA), often referred to simply as Obamacare, was revolutionary when implemented.  It allowed uninsured people all over the country to afford insurance. Of course, the ACA also greatly affected the way insurance was provided in the workplace.  Oregon companies were especially affected by the changes.

Many businesses were forced to restructure their insurance plans entirely, which was a costly endeavor.  Taylor Benefits Insurance can help review your policies, offering suggestions or alternatives to ensure you stay in compliance with the ACA while also watching your budget.  We are constantly offering updated packages to positively influence your bottom line while providing the most comprehensive health plan to your employees.

If you need this type of attentive insurance assistance and are operating an Oregon-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 Oregon

Health insurance provides financial security for employees since they can obtain the medical services they need without worrying about the cost. Oregon requires residents to have individual or employer-sponsored health coverage unless they have a verified exemption. Here are some of the frequently asked questions about health insurance coverage in Oregon:

How Do Large Group Health Insurance Plans work in Oregon?

Large group health plans in Oregon are available for any company or other organization with more than fifty members/employees. Since the health insurance company can spread the risk over a larger number of people, a large group health insurance policy is often available with a lower per-person premium.

In Oregon, What Is Considered a Small Business Group for Health Insurance Plans?

Small group health insurance coverage can be effective for companies with at least one employee or as many as fifty. In most cases, small group coverage is more affordable than individual coverage policies.

What Are the Different Types of Benefits Offered in Oregon?

In Oregon, employees have access to a variety of benefits. The employer decides what to incorporate into the package, but the list may include any of the following:

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

While employers decide what to include, many try to incorporate benefits that will match their workers’ needs.

What Percent of Health Insurance is Paid by Employers?

Employers and employees usually share the costs of insurance. In Oregon, employers contribute an average of 84 percent of the premium cost for individual health insurance coverage. Some also subsidize the cost for dependents.

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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