Pittsburgh Group Health Insurance & Employee Benefit Plans

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Pittsburgh PA Large Group Health Insurance Plans

Companies with more than fifty employees must comply with the Affordable Care Act (ACA) requirements, which created requirements for employer-sponsored health insurance. Most applicable companies already had insurance. Still, the legislation added some new elements to make insurance more affordable and available for employees. For example, policies must meet an affordability standard that limits how much the worker can be required to pay. Companies can offer more than one plan, but at least one must satisfy this requirement. Every plan must follow the other conditions, including offering the ten essential benefit areas outlined by the ACA:

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

Other changes that support subscribers include prohibiting insurers from denying coverage due to pre-existing conditions and allowing dependents to remain on a parent’s plan until they turn 26.

Pittsburgh PA Small Business Health Insurance Plans

Companies that employ fewer than fifty people don’t have to provide health insurance as a benefit to their workforce, even after the passage of the Affordable Care Act. As a result, many businesses don’t look into the options, because it costs so much. Still, small companies know that getting access to health insurance can be a burden for their team members, and they want to help if possible.

One option for these companies is to offer a Qualified Small Employer Health Reimbursement Arrangement (QSEHRA). These accounts help small businesses support workers by administering pre-tax funds that the employees contribute to and use for healthcare. Using this method, employees save money by diverting the funds they need for medical premiums and out-of-pocket costs to the account before the income is taxed. Of course, the company can also contribute to the accounts, but that’s optional. Talk to your Taylor Benefits Insurance specialist about how QSEHRAs work.

Pittsburgh PA Employee Benefit Plans and Employee Benefit Packages

Large and small companies try to offer some benefits, especially in a competitive labor market. Employees and candidates evaluate the benefits when considering offers. A good package often starts with health insurance, which is required for large companies under the ACA mandate, but still optional for small businesses. In addition to insurance, workers usually look for paid time off for illness, vacation, and holidays.

Other benefits that workers want include:

• Dental and vision insurance
• Flexible working schedules
• Remote work options
• Childcare assistance
• Tuition reimbursement

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