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Small Business Health Insurance

How does Small Business Health Insurance work?

Getting coverage through a small business health insurance plan can be more affordable than buying coverage by yourself. Here's what you need to know:

  • Coverage is generally guaranteed issue
  • You need at least one employee to qualify
  • You must contribute toward employee premiums
  • And you can shop for coverage at any time of the year

How much does Small Business Health Insurance cost?

An average eHealth small business plan covers 5 people and costs $1432 per month in premiums - or $286 per person.

Want to learn more about Small business health insurance?

Speak with an Agent now!

Small business health insurance is complicated, we can help

Browse group plans online or call a small business health insurance agent for personalized recommendations. No charge, no expectations to enroll.

We’re your advocate

If you ever need help dealing with the health insurance company regarding claims, billing or need any assistance, we’ll be there for you.

We have the best prices

Prices are fixed by law. We will have the best prices on any health plan we sell.

We’re unbiased

We will empower you with decision making tools so that you decide what health plan is best for you.

Compare Types od Business Health Insurance Plans

Learn about different types of health insurance coverage options to find the plan that’s best for you and your employees. Common types of health insurance plans include:

Health Maintenance Organization (HMO): HMO plans offer affordable, comprehensive health coverage with relatively low out-of-pocket costs, but most care must be done in-network to avoid additional costs.

  • ◾ Each member selects an in-network Primary Care Physician (PCP)
  • ◾ Referrals from your PCP are often required to see a specialist
  • ◾ Out-of-pocket costs are predictable and often limited to low annual deductibles and copayments for doctor visits and other covered services
  • ◾ The number of providers in the HMO network varies by location
  • Preferred Provider Organization (PPO): While premiums are often higher for a PPO than for an HMO plan, a PPOs typically offer larger networks and will give you more flexibility.

  • ◾ Members don’t have to choose a PCP
  • ◾ Members don’t need a referral to see a Specialist
  • ◾ Members can choose any doctor or hospital regardless of whether the provider is in the plan’s network (costs may increase for out-of-network care)
  • ◾ Out-of-pocket costs may include annual deductibles, copayments, and coinsurance for covered services
  • Point of Service Plan (POS): A POS health plan is a hybrid, containing features of PPOs and HMOs. POS plan premiums are often mid-range between HMO and PPO plans. However, POS network size varies by location.

  • ◾ Members usually need to select an in-network PCP
  • ◾ Members usually don’t need a referral to a Specialist to receive POS plan benefits
  • ◾ Members can choose to use the plan’s provider network for some services and go outside the network for other services
  • ◾ Members usually pay a small portion of the cost of covered services when they stay in the POS network
  • Want to compare Small Business Health Insurance Plan?

    Request a quote, it just takes a minute to see multiple options.

    Frequently asked questions

    How does Obamacare impact small businesses?

    Under the Affordable Care Act (also known as "Obamacare"), businesses with fewer than 50 full-time-equivalent employees aren't required to provide health insurance to their employees and won't face tax penalties for not doing so.

    Small business employers may receive tax credits when they provide coverage, as follows:

    •  ◾ Employers with 25 or fewer employees with average annual wages of less than $50,000, may be eligible for a special tax credit of up to 50% of the amount the employer contributes (at least 50%) toward employee insurance premiums.

    Whether you offer health insurance to employees or not, it is absolutely critical that you make your employees aware of their obligation to seek health coverage under the Affordable Care Act. And, you have to let your employees know that they have access to guaranteed coverage in the individual market, and that they may be eligible for government subsidies if the coverage you provide them is not deemed to be affordable under the law.

    Beginning in 2016, businesses with the equivalent of 50 or more full-time employees must provide "affordable" health insurance or pay a tax penalty.

    Can I reimburse my employees for the cost of a private insurance plan?

    Under the Affordable Care Act (also known as "Obamacare"), reimbursing employees for private insurance (individual or family health insurance purchased directly by the employee) is no longer allowed as of July 1, 2015. This type of arrangement (often known as "employer payment plans") fails to satisfy the market reforms and may be subject to a $100 per day excise tax per applicable employee (or $36,500 per year, per employee) under section 4980D of the Internal Revenue Code.

    If your company has 50 or more full-time equivalent employees, you are required to provide health insurance for your employees or face an additional penalty. All eHealth group health insurance plans are ACA compliant and will help you avoid these penalties.

    Will I find cheaper rates elsewhere?

    Because health insurance plan rates are filed with and regulated by your state Department of Insurance, you should pay the same monthly premium regardless of where you buy your insurance--from eHealth, your local agent, or directly from the health insurance company. This means that you can enjoy the advantages and convenience of shopping and purchasing your health insurance plan through eHealth and be sure that you're getting the best available price.

    For the same plan, the premiums quoted on eHealthInsurance.com should match premiums quoted from any other source, assuming the requested employee information, effective dates, and plans selected are the same. If the premiums do not match, it's likely that the employee information entered is somehow different. If you are comparing our listed rates with those from another source, make sure that the same number of employees, spouses, and children was used in each quote, with the exact same ages and home zip codes. These details will affect the quote totals.

    Can eHealth help me if I am already working with a broker?

    If you already have a broker or have purchased a group health insurance plan in the past through a broker or health insurance company, eHealth can help you to maintain your current plan or find a new plan that meets your health insurance needs.

    In addition:

    • ◾ eHealth provides you with world-class customer service.
    • ◾ eHealth is a platinum agent with many top health insurance companies.
    • ◾ eHealth has dedicated accounts managers to assist you.
    • ◾ Rates are regulated and do not vary by broker, so there's no additional cost to you.

    How much does group health insurance cost?

    The insurance company will determine the final monthly cost for your group health insurance plan once your application has been reviewed and approved. The insurance company will assess your group using a number of criteria, including the size and location of your company and the ages of your employees, to arrive at the final monthly rate, or premium. As part of the Affordable Care Act, the health of your employees, including pre-existing conditions, no longer impact group health insurance rates. Please note that your final monthly rate will be the same whether you apply through eHealth, another health insurance agent, or directly with the insurance company.

    What types of health insurance plans does eHealth offer?

    eHealth offers 900+ group health insurance plans from 70+ carriers throughout the United States. Our licensed agents shop and compare products from multiple insurers to find a solution that's optimal for each company's specific needs.

    Group health insurance plans are categorized as either indemnity plans (also known as "traditional indemnity," "fee-for-service," or "FFS" plans) or managed care plans. Indemnity and managed care plans differ in their basic approach. Put broadly, the major differences concern choice of providers, out-of-pocket costs for covered services, and how bills are paid:

    • ◾ With an indemnity plan, you typically have a broader choice of doctors (including specialists, such as cardiologists and surgeons), hospitals, and other health care providers.
    • ◾ With a managed care plan, you typically have less out-of-pocket costs and paperwork.

    Indemnity plans once dominated the American health insurance market, but are no longer as popular as they used to be; they are most common on the east coast. Managed care plans now take up a much larger share of the general health insurance market and are especially dominant in the western parts of the country. There are three basic types of managed care plans: PPOs, HMOs, and POS plans.

    Health insurance companies are adapting their products to meet the new guidelines established by the Affordable Care Act. All new plans will have to provide an Essential Health Benefits (or EHB) package. Licensed agents will be available at eHealth to assist small employers through the enrollment process and help answer questions related to health care reform.

    What is the process for applying for group health insurance?

    Here are the steps for selecting and applying for a group health insurance plan:

    1. Tell us about your company and employees on eHealthInsurance.com.
    2. We provide you with health insurance quotes for leading companies in your area.
    3. You then compare plan rates and benefits to find the plan that best meets your needs.
    4. You'll be able to speak with a licensed agent for personal help selecting a plan and starting the application process.

    How much do I pay for group health insurance? How much do my employees pay?

    Typically, an employer covers at least 50% of the employee's monthly premium. In these cases, the employee covers the remainder of his or her own premium and then covers the full premium for any of his or her dependents. Minimum employer contribution levels may differ from state to state and from one insurance company to the next. Also, some employers opt to cover a higher percentage of the employee's monthly premium and sometimes a portion of the premium costs for an employee's dependents.

    During the application process, you'll be able to indicate how much of your employees' (and their dependents') monthly premiums you would like to cover.

    Do I have to provide health insurance for my employees?

    Under the Affordable Care Act (also known as "Obamacare"), businesses with fewer than 50 full-time-equivalent employees aren't required to provide health insurance to their employees and won't face tax penalties for not doing so.

    But that doesn't mean small businesses should not, or will not, provide health insurance for employees. In fact, there are a number of good reasons why employers choose to provide health insurance today. First and foremost, many wise employers offer health insurance because it's better for their workforce. Health benefits allow them to recruit and retain talented employees who expect to get health insurance with a job. And, when employees have access to health care, they're more likely to take care of preventative care, which reduces illnesses, reduces absenteeism, and increases productivity.

    In addition, small business employers may receive tax credits when they provide coverage, as follows:

    • ◾ Employers with 25 or fewer full-time equivalent employees with average annual wages of less than $50,000, may be eligible for a special tax credit of up to 50% of the amount the employer contributes (at least 50%)toward employee insurance premiums.

    Whether you offer health insurance to employees or not, it is absolutely critical that you make your employees aware of their obligation to seek health coverage under the Affordable Care Act. You also have to let your employees know that they have access to guaranteed coverage in the individual market and that they may be eligible for government subsidies if the coverage you provide them is not deemed to be affordable under the law.

    Beginning in 2016, businesses with the equivalent of 50 or more full-time employees must provide "affordable" health insurance or pay a tax penalty.

    Will my company get tax credits for group health insurance?

    Employers with 25 or fewer full-time equivalent employees with average annual wages of less than $50,000 may be eligible for a special tax credit of up to 50% of the amount the employer contributes (at least 50%) toward employee insurance premiums.

    Significant tax advantages may also be available to employers who offer group health insurance coverage to their employees:

    • ◾ Employers can generally deduct 100% of the health insurance premiums they pay on qualifying group health plans.
    • ◾ Providing health insurance coverage to employees as part of a total compensation package may also result in reduced payroll taxes for employers.

    Additionally, when the employer offers group health coverage, it's possible for an employee's share of the premium to be paid with pre-tax dollars, resulting in tax savings for the employee as well.

    Check with your accountant or tax advisor for specific tax benefits for your business and employees.

    Do group health insurance plans include dental and vision?

    Group health insurance plans don't include coverage for dental and vision, but these are often available as benefit riders that can be added to your group health insurance plan for additional fees. Once you select a group health insurance plan, you'll have the opportunity to view the additional insurance plans or riders that are available in your area.

    Want to learn more about Small business health insurance?

    Speak with an Agent now!

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