- Providing world class service and value for employee benefit group plans since 1987
Welcome to Taylor Benefits, a leading group benefits and employee health plan provider for the State of Texas! We have more than 25 years of experience writing collective insurance packages, and we have the expertise and industry knowledge to help you offer a competitive benefits solution to your workers. We craft customized health and retirement plans for businesses and their staff, including all the following:
As an independent team insurance agent, we are not limited by the available options of one particular carrier or health care plan type.
In other words, we have a wider net of group coverage options we can offer than if you partnered with a single provider.
For more information about mandated health benefits that employers must offer as part of the Affordable Care Act, see this resource from the Texas Department of Insurance. You will find all non-Medicare-related information here.
Call us today at the number at the top of the page to discuss our current team benefits options! We proudly serve the entire state and offer FREE estimates through our online request form to the right! No payment or obligation is required!
Eighty-three percent of workers in Texas are employed by a business that offers healthcare coverage, and 76 percent have a choice of more than one plan. Of the employer-sponsored packages, 61 percent are self-funded, which exempts those employers from complying with Texas’ requirement for coverage that exceeds the ACA essential benefits provisions. In a self-funded program, an employer forgoes using an insurer and sets aside money to pay for staff members’ medical care, usually in a trust and administered by a third party. The approach is more common in large companies, which can spread risk through a wider employee population. The 39 percent that are fully insured (meaning that the company purchases coverage from an insurance provider rather than paying the medical costs directly) must cover these services in addition to the ACA benefits:
Although Texas’ large companies pay almost eighty percent of the single coverage premiums charged to their workers, the average worker still pays 8.7 percent of median income as their contribution. The ACA limits the share that employees can be required to pay to no more than 9.12 percent of their income.
Small businesses (with fifty or fewer employees) are exempt from the mandate to offer healthcare policy to their workers. Still, medical protection is usually the top-requested benefit, and many companies want to provide it to their workforce. The ACA created SHOP (Small Business Health Options Program), which offers helpful resources for companies that want to provide healthcare assurance for their workers. Companies can learn about the options for coverage, pricing, and how to access information about tax credits. Taylor Benefits can help your company navigate the regulations and be sure that you locate the support that’s available for you. Small companies must meet these criteria to be eligible for the administrative support tax credit:
Texas is unique in not requiring private employers to carry workers’ compensation insurance to protect workers who may be injured on the job. In addition, TX also does not require paid or unpaid leave for illness or vacation.
However, many companies in the state do provide a robust benefits package, with a third of workers enjoying dental care coverage, 21 percent having available vision insurance, and half having access to an Employee Assistance Program. An EAP can be simple or complex. Typically, an EAP offers a fast, confidential response to the staff members in crisis. The problems addressed include substance abuse, stress, family conflict, personal financial concerns, and more. Usually, the team can initiate contact online or by phone to start the process and does not need to use their insurance to gain access to help. If the issue requires more than a brief support period, the EAP will refer the employee to more comprehensive assistance resources.
The Affordable Care Act, also sometimes referred to as Obamacare, has changed the way that group benefits are administered. Understanding the challenges and opportunities of the new law is an important part of maximizing the value and cost efficiency of your business, which is where our experience comes in.
We’ve been working with small business owners to offer affordable, effective group benefits since well before the Affordable Care Act was put in place, and we’ve played an essential role in helping our clients adjust to the new regulations during its implementation.
We pride ourselves on being able to come up with a creative solution that works for both your employees and your bottom line.
At Taylor Benefits, we are able to craft health solutions that are specifically tailored to the needs and expectations of your company and its workers. We do this by examining your current benefits offerings against the backdrop of other businesses in your industry, as well as the health coverage requirements dictated by current healthcare laws and the goals of your business.
For a better understanding of what benefits are important to employees, see this informational guide for consumers from the TX Department of State Health Services.
Need a small business healthcare package for your Texas-based business? Call us today to learn how you can offer a cost-saving benefits package that will have a positive effect on the success and growth of your business!
Get started right away with a FREE health plan cost estimate or call us at the number at the top of the page to discuss your options!
Learn more about employee benefits packages offered by Taylor Benefits.
The most common structures for healthcare coverages are listed below. Investigate these options before choosing the most appropriate small business healthcare assurance program for your employees.
Your needs and budget determine which structure to choose for your company. Review this brief overview of the top four types of medical coverage plans:
The PPO or “Preferred Provider Organization” health plan is increasingly the most preferred for employers and employees. This provider paradigm typically offers a widespread network of medical service providers that the subscriber has access to. Subscribers can also get care from providers not in the network, but generally, they will pay more if they do.
Health Maintenance Organizations (HMOs) offer a lower-cost approach in many cases. The HMO has a group of service providers that the subscriber can use. In most cases, the subscriber has a primary care physician who is responsible for coordinating their overall care and making necessary referrals to specialists. HMO patients typically cannot use out-of-network doctors or hospitals except in an emergency.
HSA-qualified solutions are insurance packages with high deductibles that qualify for Health Savings Accounts (HSAs). HSAs are accounts that you fund with pre-tax dollars to pay for medical costs. Unlike similar funds like FSAs (Flexible Spending Accounts), the money can roll over from year to year if it isn’t needed.
Indemnity programs are traditional protection policies that do not restrict the medical providers that a patient can seek care from. Typically, an indemnity program pays a specific portion of the overall costs, with the subscriber paying the balance.
If you own a small business with fewer than 25 crew members and pay lower-than-average wages, your company may be eligible for a tax credit if you provide healthcare assurance to your workers and pay more than half the premium cost.
What are the main benefits of the Business Health Insurance plan for small businesses?
The main benefits of the Texas Business Healthcare program for small businesses include cost savings through group rates, access to a wider network of healthcare providers, improved employee retention and morale, and compliance with healthcare regulations.
How does Group Medical Insurance ensure the privacy and security of policyholders’ health information?
Texas Team Health policy ensures privacy and security by implementing strict data encryption protocols, limiting access to authorized personnel only, regularly updating security measures, and complying with HIPAA regulations.
How does Collective Healthcare Insurance handle pre-existing conditions?
Texas Collective Health Insurance cannot deny coverage or charge higher premiums for pre-existing conditions under the Affordable Care Act. They must provide coverage for all health conditions, regardless of when they were diagnosed.
We provide healthcare solutions for individuals, dependents, and any size small business available with the leading Texas health protection companies at affordable premiums. Consider the policies available from these leading insurers:
Contact us today to get an instant quote for business group health solution costs.
Here are answers to common questions regarding TX health protection coverage.
Taylor Benefits can connect you with some of the nation’s most reputable group health benefits providers. You can always count on us to find you a great deal on large team coverage programs.
We collaborate with the providers listed below:
Small companies in Texas can choose from several feasible options when deciding to offer healthcare coverage to their employees.
The first option is a standard insurance policy for small businesses. Employers and subscribers often share the cost of the premium for individual coverage and added dependents.
The Qualified Small Employer Health Reimbursement Arrangement (QSEHRA) is an excellent alternative for companies that don’t want the responsibility of sponsoring insurance. Instead, the company can establish these accounts that the workers use to pay for their costs if they purchase qualifying individual programs.
A Collective Coverage Health Reimbursement plan combines team medical protection with a monthly allowance to cover deductibles, copays, and other expenses.
Self-funded healthcare is not widespread in small businesses due to the risk. With self-funding, the company pays directly for medical costs incurred by the workforce rather than buying insurance. It’s risky because a few catastrophic claims can eliminate the anticipated savings and result in tremendous liability.
A final option is to join in an Associate Health Plan (AHP), which is a cooperative between several small organizations buying policy together to benefit from higher subscriber numbers.
Taylor Benefits Agency provides the following benefits packages to businesses and employees:
Among Texas employers that sponsor insurance, the average amount they pay for individual coverage is $5,520, which equals 79 percent of the employee premium cost. Large employers must ensure that the subscriber’s share isn’t more than 9.12 percent of their income. However, employers are not required to contribute toward dependent coverage costs.
The average cost of small business health protection depends on whether you’re looking at individual employee coverage or family coverage. Here’s a breakdown based on 2023 data:
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.
Todd Taylor with Taylor Benefits gives our small business the kind of personal service we need. Insurance benefits are important to our employees and Todd helps us find a balance between benefits and value. Todd responds immediately to my phone calls & e-mails. He has even gotten in touch with me on a Sunday when we were in need of coverage answers immediately. We are very pleased with the hands-on service Todd and his staff provide.”
-Ken and Linda Orvick, Orvick Management Group, Inc.
We’re ready to help! Call today: 800-903-6066