The Small Business Health Insurance Enrollment Process

Thursday, March 28, 2024 17:43 Posted by Admin

Finding the best health insurance plan for your small business can certainly feel like a daunting task. While you can insure your employees virtually any time of the year, there is a period called Open Enrolment that creates the perfect opportunity for business owners to review insurance policies for their employees.

How does it work and what does the process look like? It can get a bit tricky if you are new to this. Fortunately, the team of experts at Taylor Benefits Insurance Agency is here to help you make an informed decision.

How Does Open Enrolment work?

  • Adding and Dropping Employees

Employees can be added to an insurance plan within a month after being hired, during the Open Enrolment period, or any qualifying status change.

Employees can be taken out of the insurance plan any time during the year when the business collaboration has ended or there are changes in the hours’ schedule or classification.

  • Insurance Update

During the enrollment process, employees and business owners have the chance to review their current group insurance plan and see if it still applies or any changes are needed. During this time, employees receive information about the medical insurance options, can sign up for new options, or ask any questions related to their insurance plan.

  • Life Transitions

If significant events occurred in an employee’s life since the last review of the insurance policy, this can be an opportunity to review the current plan and readjust it accordingly.

  • Enrolment Changes

If the medical plan needs to be reviewed during the one year between Open Enrolment, several employee status changes qualify for the request. Some of the criteria include:

  • Adoption
  • Birth
  • Change of spouse’s employment/benefits
  • Death of a dependent
  • Death of a spouse
  • Divorce
  • Waiving Medical Insurance Coverage

Any employee can choose not to be a part of the employer’s medical insurance plan. A waiver will be signed by the employee where they state the decision of not benefiting from the insurance plan they are offered. This is discussed individually to understand what this decision entails.

Open Enrolment Benefits

  • Costs

Small business medical plans are less expensive than individual medical plans. This depends on each individual, their annual income, and if they qualify to obtain a government subsidy.

  • Coverage

Medical plans are designed to offer coverage for numerous levels of insurance based on each employee’s needs. There is less coverage for individual medical plans, compared to business plans as there are more carriers, offering different types of plans.

  • Services

Small business insurance plans offer a bigger range of doctors and hospitals for the beneficiary. This also depends on the market and the plan level each person receives, but generally, there are more options when the insurance is done through a small business.

  • Conditions

To be suited for an individual insurance plan, more criteria are taken into account, whereas group plans are more flexible and easier to qualify for.

  • Tax Savings

Employers may be qualified for small business health care tax credit when they offer insurance plans to their employees. Also, employees can save money on qualified medical expenses using different governmental programs designed for it.

What to Consider When Choosing an Insurance Plan?

No small business is alike and the coverage needs of your employees may differ from the ones of a different company. The same stays true about your budget and other considerations. But, there are a few factors you should keep in mind when shopping for small business insurance plans.

  • Type

There are different insurance plan types, and they are based on requirements connected to physicians, specialists, and network flexibility.

  • Costs

Companies should consider how much they are willing to pay annually, the deductibles they are looking for, how often their employees visit the doctor, preferences in terms of copayments and coinsurance, and so on when looking for a plan.

  • Value

Each insurance plan has a value assigned to it, such as Platinum, Gold, Silver, and Bronze. These names represent the actual value of each plan and what it covers. Choose a plan that will fit your budgetary needs as well as the medical coverage needs of your employees.

  • Company

Find out which insurance companies operate in your area, the coverage they are offering, the network they count on, or if they fit your budget.

We Can Help

Taylor Benefits Insurance Agency is here to help your company make sense of the legal and medical jargon, find the small business health insurance plan that best suits your needs, and figure out the enrollment process.

To talk to one of our experts, please call Taylor Benefits Insurance Agency at 800-903-6066.

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.

We’re ready to help! Call today: 800-903-6066