Group Health Insurance

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Who needs a Group Health Plan?

The short answer is companies of all sizes. 

It does not matter if you are self-employed, a small to medium size business, or a large company. You are going to need help finding and securing health coverage. Not having health insurance is a gamble you do not want to take. 

In addition, since the Affordable Care Act of March 23, 2010, there may be a legal requirement for your group size to offer health insurance or pay a penalty for each employee.

Health insurance helps protect your finances in the following ways:

  • Discounted rates for medical care. Insurance companies negotiate rates with health care providers. Without that feature, even the cost of a regular checkup or office visit can be twice as high
  • Spares you unexpected medical costs. Bankruptcy, due to hospitalization over an unforeseen injury, happens more often than you’d think
  • Protects your ability to work. If you don’t have your health, it isn’t possible to work
  • Improves access to quality care. With a group health insurance plan, you gain access to a broader network of health care providers than you would have, otherwise
  • Encourages a healthier lifestyle with regular checkups and preventive care that won’t cost you too much and are likely included in your policy.
  • Shields your business from personal medical costs. Unexpected personal medical expenses can impact your personal liability for medical costs. Health insurance can help you keep your business protected

Hire and retain great workers. Employer-sponsored group health insurance coverage is a valuable inducement to top talent, as well as an important consideration in complete compensation packages

What kind of health plans are available to business owners?

There are three categories of health insurance for business owners to choose from: 

  • Small Business Group Plans for at least 2 employees
  • Mid-Size Group Plans for 50-99 employees
  • Large Group Plans for 100+ employees


There are many plan options to choose from:

Preferred Provider Organization (PPO) plans are the most popular for individuals and families. It’s your responsibility to make sure that the health care providers you visit participate in the PPO. A PPO plan may be right for you, if:

  • Your doctor already participates in the PPO
  • You want to direct your own health care and can work with the predetermined preferred provider list

Health Maintenance Organization (HMO) plans offer health care services through a network of providers who contract exclusively with the HMO or who agree to provide services to members. An HMO plan may be right for you if:

  • You’re willing to coordinate your care through a primary care physician and follow the rest of the HMO guidelines
  • You enjoy preventive care, such as coverage for checkups, immunizations, and similar services

Health Savings Accounts (HSA) eligible plans are usually PPO plans with higher deductibles, designed for use with HSAs. Similar to a flexible spending account (FSA) or 401(k), an HSA is a special bank account, which allows participants to save pre-tax money, specifically for future medical expenses. An HSA-eligible plan may be right for you if:

  • You want to pay for health care expenses with pre-tax dollars
  • You’re relatively healthy and don’t need lots of care or doctor visits
  • You prefer a cheaper monthly premium, even if it means having a higher deductible
  • You want to “roll over” your contributions each year

Indemnity plans allow members to direct their own health, visiting any doctor or hospital they like most. Because of this freedom, Indemnity plans are sometimes more expensive than other types of plans. An Indemnity plan may be right for you, if:

  • You want the greatest level of freedom possible in choosing which doctors or hospitals to visit
  • You don’t mind coordinating the billing and reimbursement of your claims, yourself

Self-funded plans historically only used by larger employers are now available to small groups and midsize groups to control costs. You must have a minimum of 5 employees enrolled. 

  • Monthly costs are based on the health trends and expected claims of your employees. 
  • If your health costs are lower than anticipated, you get back a percentage of your funds
  • If your claims are greater than expected, you are protected by “stop-loss” insurance
  • There is one rate for a single, one rate for husband wife, one rate for a single parent family, and one rate for a two parent family.

Worried about the cost?

We specialize in covering business owners like you. We have everything you need, including:

  • Monthly payment options, to help spread out your payments so you can better manage your cash flow
  • Coverage of temporary staff, full-time employees, and independent contractors
  • Claims responsiveness when time is of the essence, especially in the event of an insurance claim
  • Tailored coverage for the specific risks of your field and industry
  • Knowledgeable agents who provide exceptional, passionate service

Why We're Different

We have a plethora of experience in this field of health insurance information. We understand the pre-ACA plans and the post-ACA plans. We offer this knowledge to you because there is no such thing as a one-size-fits all insurance policy when it comes to your business.

Group Health Insurance Plans

We understand that healthcare is a necessity. When considering a group health insurance plan, it is very important you have a clear understanding of what is required because the rules differ depending on the size of your company. 

Contact us today, and we will help you protect what matters most.

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