Small Group Health Coverages – What’s best for you and your employees?

Small-group health coverage has become a popular topic for companies and business owners. With the rising costs of individual health insurance, many people are turning to what is now becoming a standard offering in the United States – an independent or self-funded small business health plan.

Wigmore Insurance Agency has the experience and expertise to advise you on options available to you and your employees.-

What’s Best for You and Your Employees?

There are several plans out there with varying coverage levels and cost structures. This article will help you consider a few well-known options employers use today. You may choose to consider other options as well. The most important thing is that you proceed only after consulting with an agent who has your needs in mind. If you have an idea of where you want to go but aren’t sure how the choices will impact your company, we’d be happy to help ensure those plans fit within your budget. Insurance Agency provides businesses with the best and most affordable health insurance plans. From top-quality employers and health insurance plans to the best customer support, our agency can help you make sure you have everything you need to feel secure during uncertain times.

This article offers general information intended to acquaint you with new options in the health insurance world. Every business is different and may not be able to apply this information exactly as written…

The Main Types of Coverage

Like choosing a car, several types of coverage are available for small businesses, each offering something slightly different depending on your needs. Various coverage levels can be combined into an individual plan or a group benefit design for an entire company.

Small Employer Individual Health Insurance Plans

An Individual, or “I” plan, is available to businesses or people who do not have any other health insurance coverage. Most individuals carry at least two forms of health insurance, so the I plan is ideal for those who only want to be insured under their name.

Small Employer Group Health Insurance Plans

These plans are the most popular and best known and are offered by many companies today, although they are much less common among individuals. A group plan may allow employees a choice between several benefits provided by a group of insurers in exchange for higher premiums. Although not technically a group health plan, employees in this type of plan can be treated as such for tax purposes. The employer doesn’t have to set up a formal program or decide which benefit package to offer, as the employee chooses their level of coverage and pays for it. There is no employer contribution to the premium.

Group Health Plans – One Size Does Not Fit All

There are three pretty common forms of group coverage plans: insured, self-funded, and stop-loss insurance programs. While these may all fit under the umbrella term “group health insurance,” they offer different levels of coverage and other benefits. Understanding how they work can help you make an educated decision about what’s suitable for your company. Since 1952, Stop Loss has been one of the most popular forms of group health plan insurance. It is a way to offer long-term (up to two years) coverage with lower premiums for individuals who change jobs frequently. Because of this, it can be a good option for employees or business owners starting up their businesses or needing short-term coverage in their personal lives. While most employers do not want to be responsible for the financial risk of their employees’ health problems, some industries are willing to take on greater financial responsibilities. A self-funded health plan is a form of insurance that allows an employer to pay a higher rate than standard rates for health coverage services. These plans also have lower premiums because the employer pays for benefits upfront. In a stop-loss plan, employers provide employees with short-term coverage when needed and then stop paying for benefits after the intended period. The insurance company typically provides stop-loss coverage for a certain number of years, and then the employee must pay a more significant premium to continue coverage. Stop-loss programs are no longer available, mainly due to the difficulty in predicting the length of time someone would be away from work. Understand that all of these plans have advantages, just like cars. Cars are expensive but offer different features, and people have other uses. Choosing the plan that suits your needs best is a personal decision.

There are advantages and disadvantages to these health plans available in today’s market.

Small Business Health Plan Advantages

Plan Types Have Different Levels of Coverage and Cost

Employers may choose between three main types of health plan coverage: insured, self-funded, and stop loss. The insurance plan offers broad protection for employees but requires higher premiums; the self-funded plan requires a high upfront payment. Still, the bonus is low in comparison to the insured method. At the same time, a stop-loss policy allows employers to pay more for employees than regular rates and then to “stop loss” paying after a specific period. It can work well for people who will only be working for your company for a particular period.

All Health Plans Require Paid Upfront

The premiums for all health plans are based on the number of people who will be covered. The higher the number of people, the lower the premium for each person covered. The employee pays whatever is left to protect their medical expenses.

All plans allow you to choose from a broad range of benefits, not just one or two options like other types of coverage. You can select the combination of benefits that best meets your needs.

Disadvantages & Choices in Health Plans

Health care plans/insurance plans come with various levels of coverage but also allow for several choices. Depending on your financial situation and personal preferences, you can choose what level of coverage works best for you and your budget. Remember that there is no one-size-fits-all approach to health care. People have different needs and financial situations, so they should select a plan that best suits their situation.

The first step in finding a plan is to provide your employer with the appropriate information and request a quote. Your insurance company should be able to provide you with this information very quickly as you will have already been provided with the necessary details at the beginning of your employment. If you receive an immediate quote, your insurance company will be able to provide you with coverage within two days. Please call us for assistance if your employer does not get back to you within this time frame.

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