Dave: 941-932-1388 or Dawn: 941-932-1389 info@safeguardassurance.com

Group Benefits

Group Benefits

Offering Group Benefits to employees is becoming more expensive and can be very complex. Group Health and other benefits can help an employer retain key employees while also protecting those employees and their families from unknown medical hardships while offering them peace of mind. As we all know, when a employee feels secure, they are typically are more productive which increases a businesses bottom line.

Shopping around for group health insurance is an entirely different than shopping for individual coverage. During your search different questions will arise  that you never considered. What type of Group Health Benefits are available that I can offer my employees? What are the costs of these benefits and can I afford to offer them to my employees? What are the best Group Health Insurance Benefits that fits my business and my employees?

There are a lot of different coverage’s out there and you may find that there is not enough time for you in your busy schedule to go through them all. We are here to help and walk you through some of the basics of group health insurance benefits.

Group Health Insurance

Health Insurance – In recent years the face of Health Insurance has changed and when offering Group Benefits it can be difficult to determine what are the best options for your business and your employees.

If you currently offer a Group Health Plan or Voluntary Benefits to your employees, you probably already know that based on the size and structure of your company, different rules or laws may apply. Example: If you have 50 or more full-time employees, you legally have to offer health insurance.

We are all seeing the cost of Health insurance going up and becoming more expensive which can also be complicated. Plus a lot can go wrong if you are not keeping up with the latest rules and understand all your different options.

In today’s business world, offering Group Health Benefits in a very competitive market is almost a must if you’re looking to grow your business. By offering Health Benefits, your company will attract and retain better employees, improve productivity by keeping those employees healthy and might even save you some additional monies with tax credits and other deductions.

Health Insurance Benefits Based On Business Size

Sole Proprietor – If you are a individual business owner and have no employees, then group options are not available to you. If this is your situation, you’ll probably need to purchase individual health insurance policy. You can search for those and choose a Qualified Health Plan (QHP) under the Affordable Care Act (ACA) on Healthcare.gov during Open Enrollment which runs from November – December 15th unless you have a Special Election Period (SEP).

As an individual business owner, you only need to satisfy your own health related concerns along with your dependents, if any. Keep in mind that there are other options available to you as well with much lower premiums than ACA plans such as: Short-term Medical Plans (STM), Ministry Plans, Hospital Indemnity Plans and more… that can be purchased throughout the year without a SEP.

Group Health Insurance Benefits (2-7 Employees) – Having 2-7 employees gives the business owner a few other options for them and their employees to purchase a Group Plan. 

1. Your first option is for you and your employees to purchase a QHP ACA plan through the Marketplace. These policies can be very expensive with high deductibles unless your income is low enough to qualify for a Tax Credit through the Marketplace.

2. You can purchase a “Fully Funded” healthcare plan through a major carrier such as United Healthcare, Humana, BCBS, Aetna and etc… These small group plans are also usually guaranteed issued without any underwriting and offer PPO’s, POS’s & HMO’s with different deductibles and coverage options as well. Based on the age of your group and the coverage you choose, these Fully Funded Group Plans may offer you additional savings along with being able to purchase Dental, Vision, Life and other benefits.

Group Health Insurance Benefits (8-50 Employees) – As a Business owner with 8-50 employees, you have all the options above as the business owner 

with 2-7 employees, but if you are willing to go through underwriting and have a younger or healthy group of employees, you may want to consider what is called a Level Funded plan.

Level Funded Health Plans are also known as a partially self-funded plans. This type of health insurance plan that combines the cost savings and customization of self-funding with the financial safety net and the predictability of fully funded plans. These costs are fixed and charged per employee. The sweet spot to consider a Level Funded plan is usually begins with 10 employees. Depending on age and health, you may well want to consider a level-funded plan as it could save you 30 percent or more on health care costs for any small business. And because of their structure, level-funded plans do not have the volatility in monthly cash flows, associated with self-insured plans, that can cripple a small business. 

Another benefit of Level Funded plans is at the end of the year, the performance of the group is evaluated. If the group has performed better and expected, some of that claim allowance could be returned to the group fund. Plus the group may benefit from a lower premiums in the following year and may also be applied to stop loss premiums. On the other hand, if the group performs better than originally expected, there should be little or no increase.  This is unheard of with ACA or Fully Funded group plans.

Group Voluntary Benefits

If offering a Group Health plan isn’t within your business budget or you want to enhance you Group Benefits, you may want to consider Voluntary Benefits. Voluntary Benefits are plans such as Dental Plans, Vision Plans, Accident Plans, Critical Illness Plans, Cancer Plans, Term Life Policies, Disability Plans and Supplemental Health (Hospital Indemnity). With a minimum enrollment (usually 5 employees), a company can offer their employees these highly desired plans. These Benefit Premiums are either employee-paid; there’s no effect on the employers bottom line or the employer can fund this themselves. Supplemental employee benefits help you recruit and retain top talent and help you become the employer of choice.

Dental insurance – Helps individuals protect themselves against dental costs. It insures against the expense of treatment and care of dental disease and accident to teeth. Basic procedures are things like fillings. Major procedures are root channels & crowns. These plans allow groups of patients to receive dental care from a defined panel of dentists.

Vision insurance – These health insurance plans under vision care can help cover things such as eye examination, vision aids such as glasses or contacts and may be fully or partially covered.

Accident insurance – Pays a cash benefit to the insured for a covered accident or injury and can help pay expenses such as copays, deductibles and treatment. Accident coverage can help pick up where other insurance leaves off.

Cancer insurance – Pays cash benefits for cancer and other specified diseases to help with the costs associated with treatments and expenses as they happen. Cancer coverage can help provide added financial support when it is needed most. Cancer coverage can help offer peace of mind when a diagnosis of cancer or a specified disease occurs. The benefit can help pay for hospitalization, surgery, radiation/chemotherapy and more. 

Life insurance – Pays a lump-sum cash benefit upon death. Plus, life-event riders can be added to enhance the life coverage. Life insurance coverage is for the living; those left behind must deal with final expenses, bills, mortgage, and expenses associated with day-to-day life. It can also help provide financial security during life-changing events that occur as the insured ages and financial needs change.

Critical Illness insurance – Pays a lump-sum cash benefit when the insured or an eligible family member is diagnosed with a covered critical illness such as Heart, Stroke, Cancer or other critical illnesses.

Disability insurance – Pays a cash benefit to help protect an eligible individual’s finances from a covered sickness or off-the-job injury. Insureds who experience a total disability, partial disability, even a disability from donating an organ can get the help they need to alleviate daily living expenses.

Supplemental Health (Hospital Indemnity) insurance – Helps provide  financial safety with cash benefits that help fill gaps left by major medical coverage associated with a hospital stay because of injury or illness. Benefits can be used for out-of-pocket expenses such as copays, deductibles and treatment.

Group Health Insurance | Level Funded Plans| Voluntary Benefits | Bradenton Sarasota FL

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Company Information:

Safeguard Assurance LLC

11228 28th St. Cir. E.

Parrish, FL 34219

(941) 932-1388 or 1389

info@safeguardassurance.com