Health Insurance

Health Insurance

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What Health Insurance Is All About:

Health Insurance for Businesses is about investing in your employees and providing them with the coverage they need to live and work well. In doing so, you can ensure your employees feel taken care of and ensure you are able to not only recruit top talent but make them stay.

Read on to see if providing health benefits to your employees is right for your business.

What is Health Insurance?

Health insurance for businesses is coverage that business owners acquire to provide their employees with access to medical and surgical treatment. For business owners contemplating implementing insurance for employees, understanding how coverage works is important.

Every business is unique, that’s why every business owner need to weigh the pros and cons of obtaining health insurance before taking a final decision.. On the surface level, insurance enables employees to access treatment. Providing employees with insurance is an investment into their well being and also the future of your business.

According to a Glassdoor’s study these are the most important benefits to employees, which affects employee satisfaction:

  • Health insurance
  • Vacation and PTO
  • Pension plans, 401(k) & other retirement plans

Depending on the scale of your business, health insurance for your employees may be necessary to obtain. If you are a small business owner with few employees whose salaries are below $50k annually, investing in insurance may not be necessary. However, if the salaries of your employees are higher, investing in insurance for them may help you to ensure you are able to keep top talent around. Many employees at medium to large businesses have come to expect health insurance be provided. If you business has more than 50 employees, you have to offer health insurance under the Affordable Care Act. In case of violation of the employer mandate a company may face a tax penalty. For larger businesses, premiums may not be as high given the extent to which insurance has been integrated. The unique circumstances of your business are important to consider when determining if you need to be insured. Also consider that offering health insurance for your employees helps you save money on taxes, as:

  • Employer contributions are tax-deductible
  • Employer payroll taxes are reduced by 7.65 percent of employee contributions
  • Employer workers compensation premiums are reduced

While there are many negligence examples in healthcare, this should not dissuade a business from purchasing a healthcare plan for employees. Whether it is required by law or not, healthy employees offer better business advantages.

Do I Need Health Insurance?

This insurance will come in handy if:

  • You are a small business owner with employees who have salaries high enough that investing in health insurance is affordable
  • You are a mid to large business owner with several employees and want to implement a company-wide health insurance program
  • You are a business owner that wants to recruit top talent
  • You are a business owner that wants to keep top talent around

Still not sure what you need?

CoverWallet's Insurance Checklist , you'll find a list of insurance types needed for your specific business or industry.

What Does Health Insurance Cover?

At a High Level...

Health Insurance for businesses provides coverage for employees depending on the employee demographics and their distinctive needs. Regardless of the specifics, insurance can be acquired that best suits your business.

Getting Into the Details...

While every insurance policy is different, and they can vary depending on the specific insurance that you need, each includes basic coverage. Regarding the Affordable Care Act health insurance plans must cover doctors’ services, inpatient and outpatient hospital care, prescription drug coverage, pregnancy and childbirth, mental health services, and more. There are several types of policies you can choose depending on the type of coverage you need such as:

Type of Claim Description Example
Self-funded The business owner takes full responsibility for the financial costs associated with employee’s medical claims. As an employer, you pay for your employee’s medical claims.
Professional Employer Organization (PEO) While you manage the daily responsibilities of employees, the PEO is in fact the one that hires them and takes on financial costs associated with their medical claims. The PEO takes responsibility for employee’s medical claims.

What Does Health Insurance Not Cover?

  • Dental benefits.
  • Retirement benefits.
  • Depending on the plan, it may not cover alternative medicine.

What Are the “Limits” on a Health Insurance Policy?

Depending on the scale of a given business, the ability to provide employees with insurance will vary. There will be limitations to what an insurance policy covers depending on how comprehensive of a plan a business has obtained. Basic insurance policies may cover only the most crucial aspects of health care. By contrast, more comprehensive plans can include coverage for alternative health care practitioners or access to services beyond the scope of traditional health care policies.

How Much Does Health Insurance Cost?

The costs associated with obtaining insurance for your business and employees can greatly vary. Demographics of employees, such as age or gender, differ from business to business and as a result, so do the type of benefits needed. Younger employees may need health care benefits which extend to dependents. By contrast, older employees may need coverage for treatments specific to an illness that arises in relation to age.

In addition to variance in demographics, as a business, you may want to offer employees different options for their health care benefits. In doing so, you can provide your employees the flexibility to choose a package that best suits their needs. If you opt for different packages, the cost of insurance for your business will change accordingly.

The type of insurance policy you wish to implement at your business will also directly impact the costs associated. You can choose either self-funded or PEO health plans, each of which has a different financial outcome. Self-funded health programs may not include a premium which may incur higher initial costs. PEO will likely include premiums which will cost a percentage of total coverage.

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