Group Health Insurance
Explore the benefits of small business group health insurance, including cost savings and talent attraction, to create a competitive advantage and foster employee retention. Discover how offering comprehensive healthcare coverage can strengthen your workforce and position your company as an attractive employer in the job market.
Discover how offering comprehensive healthcare coverage can strengthen your workforce and position your company as an attractive employer in the job market.
What is Group Health Insurance?
Group health insurance refers to a type of health insurance coverage provided to a group of individuals who are typically members of a common organization, such as employees of a company, members of an association, or members of a professional group. It offers health insurance benefits to a group of people, rather than to individuals on a stand-alone basis.
This is a traditional option where the employer offers a group health insurance plan that provides coverage for employees and often their families. Premiums are usually shared between the employer and employees.
Health Reimbursement Arrangements (HRAs)
HRAs allow employers to set aside funds for employees to use on eligible medical expenses. Employers control the amount contributed and the types of expenses covered.
Health Savings Account (HSAs)
HSAs are individual accounts that employees can use to save and pay for medical expenses. They’re paired with high-deductible health plans (HDHPs), and both employers and employees can contribute to the HSA.
Qualified Small Employer Health Reimbursement Arrangements (QSEHRAs):
QSEHRAs allow small employers to reimburse employees for health insurance premiums and other medical expenses. This option is suited for businesses that don’t offer group health insurance.
Group Plans Metal Tiers:
Group health insurance plans often use metal tiers to categorize different levels of coverage. These tiers help individuals and businesses understand the costs and coverage associated with each plan. The metal tiers typically include:
Plans in the Bronze tier usually have the lowest monthly premiums but higher out-of-pocket costs when you receive medical care. These plans are a good choice for individuals or businesses looking to save on monthly premiums and are willing to pay more when seeking medical services.
Plan Pays 60%
You Pay 40%
Silver plans strike a balance between monthly premiums and out-of-pocket costs. They offer moderate premiums while also providing relatively lower out-of-pocket expenses compared to Bronze plans. This tier is often chosen by those seeking a balance between upfront costs and potential medical expenses.
Plan Pays 70%
You Pay 30%
Gold plans tend to have higher monthly premiums but lower out-of-pocket costs when you receive medical services. These plans are a good fit for individuals or businesses willing to pay more upfront in exchange for reduced costs when accessing healthcare.
Plan Pays 80%
You Pay 20%
Platinum plans have the highest monthly premiums but the lowest out-of-pocket costs. These plans are ideal for individuals or businesses who want the most comprehensive coverage with minimal expenses when seeking medical care.
Plan Pays 90%
You Pay 10%
Group Health Insurance for Small Businesses
Small businesses often face unique challenges when it comes to providing health insurance benefits to their employees. However, offering group health insurance can provide several advantages for small businesses.
One of the primary advantages of group health insurance for small businesses is the potential for cost savings. By pooling the risk and purchasing power of a group, small businesses can access more affordable health insurance options compared to individual plans. This enables small businesses to provide comprehensive coverage to their employees at more competitive rates.
Attracting and Retaining Talent
Group health insurance plays a crucial role in attracting and retaining top talent for small businesses. In today’s competitive job market, prospective employees often prioritize companies that offer comprehensive benefits, including health insurance. By offering group health insurance, small businesses can enhance their overall employee benefits package, making their company more attractive to skilled professionals. Moreover, providing access to quality healthcare coverage can improve employee satisfaction and loyalty, resulting in higher employee retention rates.
3 steps for group health insurance enrollment Infographic
Benefits ofSmall BusinessHealth Plans
Employee Attraction and Retention: Offering health benefits can make your small business more appealing to potential employees and help retain valuable staff.
Employee Well-Being: Access to healthcare contributes to a healthier workforce, which can result in increased productivity and fewer sick days.
Tax Advantages: Many small business health plans offer tax advantages for both employers and employees. Contributions to HSAs, HRAs, and QSEHRAs can be tax-deductible.
Improved Morale: Providing health insurance demonstrates that you value your employees’ well-being, which can boost morale and loyalty.
Regulatory Compliance: Depending on the number of employees and location, offering health insurance may be required by law.
Who is this for?
Employers with all sizes can offer benefits to their full time or part time employees. Contact us to learn more about the options available to you and your employees.
Groups with 1-50 employees are eligible for Small Business group plans. These plans follow the Affordable Care Act rules.
There are multiple options available for independent contractors including Health Reimbursement Arrangement, and QESHRA.
If you own a family business and you have another full time employee (non – family member and non spouse) you are eligible to get a group health policy. Contact us to learn more.
Why Should You Offer Health Insurance?
Keep Your Good Employees
Providing group health insurance demonstrates a commitment to the well-being of employees, fostering loyalty and long-term commitment. Employees who have access to quality healthcare coverage are more likely to remain with the company for an extended period. This continuity helps small businesses build a stable and dedicated workforce, reducing turnover costs and maintaining a positive company culture
Attract Top Talent
Group health insurance serves as a powerful tool for small businesses to differentiate themselves in the talent acquisition process. Potential employees often consider health insurance benefits as a key factor when evaluating job opportunities. By offering a robust group health insurance plan, small businesses can position themselves as attractive employers, helping them attract top talent and compete with larger companies.
By offering group health insurance, small businesses can contribute to the overall well-being of their employees. Access to comprehensive healthcare coverage provides employees with the financial security and peace of mind to seek necessary medical care when needed. This, in turn, can reduce absenteeism, increase productivity, and improve overall job satisfaction.
Case Study: Small Business Health Insurance Plans vs. Individual Health Plans
HealthyStart Co., a fitness studio with 20 employees.
To evaluate the financial and comprehensive benefits of group health insurance plans versus individual health plans.
- Group Plan: Yearly cost of $170,000.
- Individual Plans: Collective expense of $260,000.
- Premium Savings: $90,000 annually
- Group Plan: Tax-deductible contributions for the business.
- Individual Plans: Taxation of employees' contributions.
Tax Savings: Potential reductions in tax liability.
Access and Network:
- Group Plan: Expansive healthcare network for employees.
- Individual Plans: Possible network limitations.
Access Benefit: Enhanced healthcare accessibility.
- Premium Savings: $90,000 annually.
- Tax Savings: Potentially significant.
- Enhanced Access: Robust healthcare network.
Still have questions?
We’ve got answers.
How many employees do I need to qualify for a small business health plan?
You need only 2 full time employees to enroll in a small business health plan. One employee has to be non spouse, and non family member.
What if my business already has insurance through a PEO?
No problem. You can keep your PEO for everything except benefits and get those through Smart Insurance Agents. It is common for our customers to carve out benefits for us and keep the rest with their PEO.
Can Smart Insurance Agents Save Employers Money?
Absolutely. We are independent health and life agents, and work with all available carriers. With us you will always sign up for the best in class benefits and save the utmost.
What if we would like to keep the same plans but change our broker or agent?
If you would like to keep your benefits and plans as is until the end of the year renewal, but you would like to change your agent you can make us the agent of record. This is easy, contact us for more instructions.
What is Small Business Health Insurance?
Small Business Health Insurance refers to group health insurance coverage that is offered by small businesses to their employees. These plans provide healthcare benefits to eligible employees and can include medical, dental, vision, and other health-related services.
Why should a small business offer health insurance to its employees?
Offering health insurance as a small business can provide several advantages. It helps attract and retain talented employees, promotes employee well-being and productivity, and may provide tax advantages for the business. Additionally, it can contribute to a positive company culture and enhance employee satisfaction.
How does Small Business Health Insurance differ from individual health insurance?
Small Business Health Insurance is designed to cover a group of employees under a single policy, while individual health insurance plans are purchased by individuals to cover themselves and their families. Group health insurance typically offers more comprehensive coverage options and may be more affordable due to the risk being spread across the entire group.
Are small business health insurance plans customizable?
Yes, small business health insurance plans can be customized to meet the specific needs of the business and its employees. Insurance providers offer a range of plan options, including different coverage levels, deductibles, copayments, and network options. Employers can work with insurance brokers or agents to tailor a plan that fits their budget and employee requirements
How can a small business find and compare different health insurance plans?
To find and compare small business health insurance plans, businesses can use online platforms like Smart Insurance Agents, which provide easy access to multiple insurance options. These platforms allow businesses to compare plans based on coverage, cost, and other relevant factors, helping them make informed decisions.
What factors should small businesses consider when selecting a health insurance plan?
When selecting a health insurance plan, small businesses should consider factors such as the cost of premiums, deductibles, copayments, coverage for specific medical services, network size, prescription drug coverage, and any additional benefits or services offered. It’s important to evaluate the needs of the employees and strike a balance between affordability and comprehensive coverage.
Can small businesses qualify for any tax incentives or credits related to health insurance?
Yes, small businesses may qualify for tax incentives and credits related to health insurance. In some countries, including the United States, the Small Business Health Care Tax Credit may be available to businesses with fewer than 25 full-time equivalent employees and average wages below a certain threshold. It’s recommended to consult with a tax advisor or accountant to determine eligibility and understand the specific requirements.
How often can small businesses change their health insurance plans?
Small businesses can usually change their health insurance plans once a year during the open enrollment period. The open enrollment period typically occurs annually and provides an opportunity for businesses to review and make changes to their existing plans. However, certain qualifying events, such as the addition or loss of an employee, may allow for mid-year plan changes.
Can small businesses offer health insurance to their part-time employees?
Yes, small businesses can offer health insurance to part-time employees, depending on the insurance provider and plan. Some providers may have specific requirements, such as a minimum number of hours worked or a waiting period, to be eligible for coverage. It’s advisable to check with insurance providers to understand the options available for part-time employees.
How it Works?
Our Smart Insurance Agents have made the process of offering employer coverage a breeze. Tell us about your business and your employees, will take care of the rest.
Request a Quote
Start by filling in some information about your business and employees.
Get a Smart Proposal
Review all the available plans among different carriers. Offer up to 6 plans for your employees to choose from.
Fill the paperwork digitally. Your group policy will be issued before you know it.
Why healthier employees means a healthier business:
- 👷👷♂️👷♀️Retain Employees: Encourage your team to stay and help your company grow.
- 👨⚕️Protect Your Health: Provide heath care coverage for you and your family as well as your team.
- 💵Potential Tax Savings: Heath care exemptions, tax credits, and deductions could mean significant savings for you and your team.
- 📈Boost Productivity: Reduce sick days and help your employees stay healthy longer.
- 🤝Attract New Talent: Superior benefits can help you recruit the best possible team.
Essential Health Coverage For Your Employees:
✅Ambulatory patient services
✅Maternity and newborn care
✅Mental health and substance use disorder services, including behavioral health treatment
✅Rehabilitative and habilitative services and devices
✅Preventive and wellness services and chronic disease management
✅Pediatric services, including dental and vision