To get health insurance for your small business, here are the key steps and options available:
- Understand Your Options:
- Qualified Small Employer Health Reimbursement Arrangements (QSEHRAs): For businesses with fewer than 50 employees, provides a monthly tax-free allowance for employees to buy their own insurance.
- Traditional Group Health Insurance: The business pays premiums for a group policy covering employees.
- Individual Coverage Health Reimbursement Arrangement (ICHRA): Employers reimburse employees’ medical expenses or premiums on a tax-free basis, with no annual limits.
- Self-Funded Insurance: The business pays claims directly rather than fixed premiums; it's riskier but can save money depending on company size.
- Association Health Plans (AHP): Small businesses in the same industry or region join a large-group plan.
- Where to Shop:
- Use your state's health insurance marketplace (like the SHOP marketplace) to compare plans for small businesses with 2-50 employees.
- Contact insurance companies directly or work with an insurance broker who can help you find the best plan.
- For sole proprietors or freelancers, individual policies or HRAs may be required if group plans aren’t accessible.
- Key Factors to Consider:
- Number and demographics of employees.
- Budget and how much the business wants to contribute.
- Coverage options including network size, premiums, deductibles, and copays.
- Compliance with Affordable Care Act (ACA) requirements if offering coverage.
- Tax Credits:
- Small businesses with fewer than 25 employees using SHOP may qualify for the Small Business Health Care Tax Credit, which can offset premiums up to 50%.
- Popular Insurance Providers for Small Businesses:
- Kaiser Permanente
- Anthem
- United Healthcare
- BlueCross BlueShield (regional branches)
- Plan Types Available:
- HMO (Health Maintenance Organization) - cost-effective with network restrictions.
- PPO (Preferred Provider Organization) - more flexibility with provider choices.
- EPO (Exclusive Provider Organization)
- POS (Point of Service)
- HDHP (High Deductible Health Plan) often paired with HSAs.
By researching these options, setting a budget, considering employee needs, and using the available marketplaces or brokers, you can select a health insurance plan that suits your small business. Consulting experts or brokers can also help you navigate complexities and compliance.