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Employees are often attracted to companies who
offer a good package of benefits. This is often
seen as a sign that the business is prosperous
and takes care of their employees well. Most of
the time, first-class potential employees are
looking to see if you have group health insurance,
otherwise they may be looking somewhere else.
What is Group health insurance?
It is an insurance policy that involves health
coverage for a group of individuals. Instead of
having an individual policy, many choose to enroll
in their group plan. Group health insurance is
the only way for employees to be covered e.g. for maternity
immediately, unless they already have an individual
health insurance policy in force for at least
6 months or an year and have already requested coverage. For
your business to qualify for Group health coverage,
most states require that you have at least two eligible
(min. 75% partcipation of eligible employees)
employees.
Why should an employee move to the group health
insurance plan offered at work during an open
enrollment?
Open enrollment is referred to as the time you
can sign up for health coverage without being
denied coverage. Maybe you can no longer afford
the premium for your current plan. You now realize
that premiums for group health insurance come
out of your check pre-tax, thus lowering your
taxable income. Also your spouse may have recently
lost their job, and you now have no coverage,
a medical emergency could be detrimental to your
financial checkbook.
Why do employers need to consider Group health
insurance?
Small business health insurance has lots of benefits.
Besides providing medical care for yourself and
your employees, a small business health insurance
plan helps spread the financial risk between all
the members.
But group health insurance has tax advantages
. Employer contributions to a small business
health insurance plan are generally 100% tax deductible,
and employees save on payroll taxes.
How group health insurance works?
A small business health insurance plan provides
its members with a set coverage with rates calculated
using the group and individuals. Employees may
be able to add policy riders and additional coverage
to fit their specific needs, but the basic policy
format will remain the same.
Likewise, although small business health insurance
comes in a variety of shapes and sizes (fee-for-service,
HMO, PPO, POS), the format that's chosen will
apply to all members. (And although it is technically
possible to purchase a group indemnity policy,
the managed care plans are much more common.)
Although rate calculations vary both from state
to state and from company to company, the cost
of a group health insurance plan is based on the
characteristics of each member, including:
• age
• health status
• occupational hazard
• business and/or residential location
Employees of a business that offers group health
insurance are not compelled to join the plan,
but the group must maintain a minimum number of
insured (as few as 2 people, depending on the
policy) to guarantee coverage.
What is the cost of small business health insurance?
So what about the bottom line? Well, group health
insurance can be less expensive than a bunch of
individual policies bound together, but it's not cheap. No
health care in America is.
Depending (again) on the state and the insurer,
you, as the employer, will be required to pay
some percentage of an employee's individual premium
. If the employee wants to extend
coverage to a spouse or dependant, you may choose
to pay a percentage of that cost, but that's not
required. You'll probably have a lot of policy
and payment options to choose from. Getting right
to that . . .
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