Evaluating health insurance options can be a real challenge in the complex insurance market we have now. Having said this, it can generally be asserted that group health insurance plans are superior to any health insurance options available to individuals. Let’s take a look at how to get and set up group health insurance.
States Matter
Any discussion of group health insurance has to be tempered first with a disclaimer that the rules related to groups vary greatly from state-to-state. Group health insurance is almost always a much better deal than individual insurance. It tends to provide better coverage and cost much less since the cost is shared between the employer and employees in one form or another. Having said this, group coverage is a complex area of insurance and should only be ventured into with the help of a qualified, experienced health insurance agent or financial planner.
Worth Offering
The decision to purchase group health insurance is a smart one for a business. Talented and valuable potential employees now look closely at benefits when deciding where they wish to be employed. It is no secret that health insurance is very expensive these days. Offering it to potential employees can often be the nudge needed to convince them to select or stay with your company instead of heading to a competitor.
One new offering that many companies are including is the Health Savings Account option. Under this plan the employee agrees to a lower cost high deductible health plan and in return does payroll deductions (on a pre-tax basis) that is deposited into a HSA. Normally the company will contribute the premium savings as a match to the employees account. You may want to look through the various HSA rules to see if this type of account would work for your situation.
Requirements
As the name implies, group health insurance is available only to a group of individuals. In this case, the group is a collection of employees. Most small business group health plans define this as a collection of between 2 and 50 individuals. Group plans cannot be offered to select employees. If any single employee is offered health insurance by the company in question, all of the full time employees must be offered the same plan.
Group health insurance works in a manner that is entirely different than individual insurance. With individual health insurance, an insurance company is going to evaluate the individual’s health closely and may reject them based on any particular concerns that arise in the evaluation. This is not the case with group health insurance. Instead, risk is spread over the population of employees participating in the group plan, so the insurer is often forced to simply take the group as a whole regardless of the health concerns related to one or two individuals. Put another way, individual employees with certain health problems cannot be excluded.
Application
The preparation and filing of an application for group health insurance is a fairly complex matter. This is an area where an experienced professional is worth their weight in gold. They can help you work through the options available to your particular group while also organizing the application in a manner that is going to get you the maximum coverage for the minimum cost. Most business owners are DIY ["do it yourself"] enthusiasts by definition, but this is one area where you want to bring in professional help.
Administration
A group health insurance policy comes with an administrative requirement. A business will need to designate one or more people to administer the plan and work with employees who have questions or problems. Most businesses designate a person in human resources to handle the matter. Your particular choice doesn’t matter so long as you understand this is the responsibility of the business and arrange for it to be handled.
Applying for and setting up group health insurance can be a chore at first. The aggravation is more than worth it in the long run. Once the plan is up and running, the cost is a fraction of individual policies and provides employees with benefits that will generate loyalty to the company.