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  • Employers often wonder if a wellness program can truly fit into their workforce demographic. Every employee’s needs can vary depending on their job description and working environment. Nowadays, this could mean work that is sedentary office-based, labor intensive, extended shifts, travel, working from home, and more. The good news is that there is a way to provide specific information to any diverse demographic.

    Image of a diverse workplace with a workplace wellness program.

    Health Risk Assessments are beneficial for employers.

    Data gathered from Health Risk Assessments can provide employers the most accurate analysis on the health status and health risks of their employees. According to an article in the Journal of Occupational and Environmental Medicine, “Health Risk Assessments originally were designed to predict the probability of common causes of death based on an individual’s lifestyle and biometric risk factors.” With time and continued research, health care providers have found these assessments to provide so much more.

    On an individual level, it can provide specific data based on their self-report of health history and status. On an employer level, it can help provide structure and specific information in all future efforts made with worksite health promotion. If employees are willing to participate in an HRA, the next step is to adopt a worksite wellness program to address those modifiable health risks among the workforce.

    What is a Health Risk Assessment?

    An HRA may consist of several different components. Its primary form involves a questionnaire about an individual’s health history and health status. After that, it may be accompanied with a Biometric Screening that may include blood pressure, height, weight, body mass index, cholesterol, or glucose testing. Participation of an HRA is completely voluntary, but when paired with a specific type of Workplace Wellness Program, it can be made mandatory.

    What good comes from knowing the risks of your population if nothing is implemented to help improve those specific risks?

    Federal regulations do apply when collecting such personal information. According to the Kaiser Family Foundation, “medical information obtained by any program may only be provided to the employer in aggregate terms that do not disclose or are not reasonably likely to disclose the identity of any employee.” Collected information must be kept confidential, secure, and separate from all other employment records and you must stay in compliance with federal, state, and local laws.

    How can a Wellness Program help tackle health risks in your workforce?

    A wellness program can offer several different services, which can positively influence your employee’s health and overall well-being. Some examples of these services include:

    • Health risk assessments
    • Health screenings
    • Lifestyle management services
    • Lunch and learns
    • Disease management services
    • One on one communications
    • Monthly newsletters
    • Informational meetings
    • Exercise demonstrations

    What research has found is that the delivery of healthcare information needs to move outside of the clinical environment to reach and influence a larger population, such as schools, work, community based organizations, etc.

    After an organization adopts a healthier outlook, the next step is to provide ongoing support for those individuals, which is exactly what a wellness program can provide for you. Contact GMS today to learn more about setting up a Workplace Wellness Program for your employees.

  • One of the largest contributors to mental health problems in the workplace is stress. Not only are mental health issues difficult to recognize, we also cannot assume an employee’s stresses from everyday life are checked at the door when they arrive at work every morning.

    Everyday life stresses coupled with the pressures that work brings could be detrimental to both the employee and the business. This can have serious impact on an employee’s overall health and employers must take the appropriate steps to protect both the employees and the business.

    Image of a stressed out employee.

    Stress in the Workplace

    This begs the question, how can stressed out employees affect a business? Several factors combine to impact the business negatively:

    • Poor performance
    • Increased human error
    • Mental lapses
    • Lack of motivation
    • Workplace accidents

    These factors combined could determine the employee’s likelihood to quit or could end up being the reason for their termination. The resulting increase in turnover costs a businesses, and even the economy, a lot of money.

    Workplace stress, according to Dr. David Posen, “is costing the American economy hundreds of billions of dollars each year in lost productivity and health care expenses.” Beyond the workplace effects, the stress and mental health issues could have serious physical implications on the individual, including:

    • Heart disease
    • Headaches
    • Depression
    • Anxiety
    • Medication abuse

    What Employers Can Do About Stress

    There are numerous steps employers can take to prevent mental issues from entering the workplace. This process can start with proper management training to promote:

    • Effective communication
    • The setting of achievable goals
    • Adequate lifetime training for employees
    • Teamwork/team first workplace

    On top of these steps, many companies offer Employee Assistance Programs (EAP) to help make sure their stress is appropriately managed. It’s important to set expectations with each employee and keep these expectations realistic and reasonable to help employees manage their workload and stress levels. Coupled with heavy workloads and daily stresses from everyday life, it is imperative to offer your employees paid time off (PTO) and encourage them to take full advantage of it to help them minimize their stress and maximize their workplace efforts. Lastly, employers can offer their employees a corporate wellness program to help promote the overall physical, mental, and emotional health of their workforce.

    Partner with a PEO to Limit Workplace Stress

    Workplace stress management is a lot to keep up with, especially while you’re trying to simultaneously run a successful business.

    A PEO can help your employees stay happy, healthy, and productive while you make sure business is operating smoothly and successfully. GMS offers one-on-one management training to help you with employees’ stress, difficult situations that arise, and several other areas of concern. GMS also partners with a company called ESPYR to provide a completely customizable Employee Assistance Program (EAP) to help promote overall company wellness. Customizable GMS EAP services can include:

    • Legal consultation provided by attorneys
    • Financial consultation
    • Prenatal program
    • Child care information and referrals
    • Elder care services
    • Adoption specialists
    • Academic resources
    • Pet care services
    • Life event services
      • Such as birth, death, marriage, divorce, natural disasters, end of life services
    • Special needs services and referrals

    The EAP offered through GMS also provides:

    • Up to four sessions per problem for face-to-face counseling and referral for a full range of personal, family, and work concerns
    • Telephonic and video access to counseling
    • 24/7 toll-free telephone access to mental health professionals
    • Multilingual counselors and staff and multilingual interpreter services available in 140 languages

    GMS recognizes that a business’ most important assets are its employees. If business owners can take the appropriate steps to promote the well-being of their employees, it can only help to maximize the company’s potential. Contact GMS today to talk to one of our experts about taking the next step toward managing workplace stress.

  • When the Affordable Care Act passed in late 2010, one of the major tenets of the plan was the creation of healthcare exchanges in every state. These exchanges would be state-run with federal seed money used to create them. People who didn’t have coverage or had unaffordable coverage through their employers would be able to buy subsidized plans at a comparatively low cost.

    The exchanges began with the implementation of the ACA in 2014. Of the 50 states, 23 of them were run by the federal government. In late 2015, it was reported that 12 of the 23 federally-run state exchanges were shutting down due to unsustainable losses. In some areas, things have gotten worse.

    Image of healthcare exchanges. Learn about self-insured health care plans.

    Withdrawal from the Healthcare Exchanges

    Over the last couple of years, some insurance companies have begun announcing their intent to withdraw from the healthcare exchanges. In some counties, they were the last insurance company standing. According to a recent Washington Post article, dozens of counties across the country could be without any insurance companies in the exchanges.

    According to that same article, “that leaves 35 thousand marketplace enrollees living in a county with no affordable way to purchase insurance (As it stands, people who receive subsidies can only use them to purchase coverage in the marketplace.), and 2.4 million would be left with just one insurer’s plan to choose from. That’s out of 12.2 million enrollees total.”

    What to Do Without the Healthcare Exchanges

    If you’re an employer who counted on those exchanges for your employees to get coverage, what are you to do? If you’d like to take care of your employees and offer them coverage, you can begin shopping for a group plan, but you’ve probably heard about the extremely high costs of even the most basic coverage. You can wait for Congress to step in, but partisanship appears to be at an all-time high and the prospects of a quick resolution seem remote.

    Another option is to look at self-insuring your healthcare through a level-funded plan, like the kind offered by GMS. To find out if this is something that could work for an organization of your size contact us today to talk to one of our healthcare experts about a self-insured health plan.

  • It can be very difficult for small business owners to compete with big companies when it comes to 401(k) plans. Due to their size, large corporations can use economy of scale to their advantage and offer attractive retirement plans that are more affordable due to the size of their employee base.

    Small business owners don’t have hundreds of employees to their name, but that doesn’t mean that they can’t have access to economies of scale through other resources.

    How a PEO Can Provide New 401(k) Advantages

    Small business owners are typically subjected to a lot of costs when they manage their own 401(k) plan, which can scare off some employers. The Pew Charitable Trusts conducted a survey with small- and medium-sized businesses that don’t offer a 401(k) to employees and found that 71 percent of these business claimed that the associated expenses played a role in their decision to forgo a retirement plan.

    Without some help, those costs can quickly add up over time. There can be a lot of set-up fees and other miscellaneous charges to maintain plan documents. Most employers are also not experts of retirement planning, so they also need to hire a Third-Party Administrator to handle their 401(k) plan for them.

    Small businesses aren’t going to match the output of a big corporation. With a Professional Employer Organization like Group Management Services, they don’t have to. Since GMS represents over 1,000 different companies, we can provide companies with the same types of benefits that the large corporations get due to economy of scale.

    Our Multiple Employer Plan creates a level of buying power that a lot of small businesses never get to have. That power can lead to a more diverse investment menu than they might be able to get on a single employer plan, as well as additional perks. We also handle 401(k) Plan administration in house with the aid of Transamerica, which allows us to cut down on the costs that employers would typically pay a Third-Party Administrator.

    The Multiple Employer Plan also relieves employers of many of the responsibilities attached to providing substantial fiduciary support for their plan. That includes the following:

    • Making sure that contributions get deposited in a timely fashion.
    • Selecting and monitoring the investments offered on the plan. We conduct quarterly meetings with our Financial Advisors to do our due diligence on the funds offered on our platform.
    • Making sure that plan documents are maintained and keeping our clients compliant.
    • Filing one 5500 to the DOL with our clients listed.
    • Offering access to a dedicated financial adviser and educational material.

    Retirement Guide

    Use Economy of Scale to Your Business’ Advantage

    Economy of scale can help your business save big while providing a retirement plan your employees want. Contact us today to talk to one of our experts about our 401(k) plans for small businesses.

  • There are growing signs that the economy is improving. Perhaps the most notable marker is that more people are starting to come back to the workforce. The unemployment rate is continuing a downward trend, meaning that more employers are starting to hire again.

    Of course, finding good employees is important to a company’s growth, but keeping their best employees is vital to an employer’s productivity. Keeping your best employees ensures a smoother transition for newer employees and keeps the job environment stable with their most seasoned employees.

    Of course, with a growing job market, sometimes a company’s best employees begin looking at this as an opportunity to “test the waters” of their own value and see if there are better options. How does a small business owner retain good employees while attracting qualified candidates? By offering benefits.

    What Workers Want

    There are many benefits out there and employees put different values on each one. Which benefits should you offer? According to a Gallup poll in a recent post at Employee Benefits News, these are the 11 you should consider:

    1. Full-time flexible working locations (35%)
    2. Part-time flexible working locations (37%)
    3. Profit Sharing (40%)
    4. Paid leave for sick/medical/personal days (48%)
    5. Non-health insurance benefits like vision, dental, etc. (48%)
    6. Retirement plan/401(k) with employer matches (50%)
    7. Flex-time (51%)
    8. Retirement plan with defined benefits (51%)
    9. Paid vacation (53%)
    10. Monetary bonuses (54%)
    11. Health Insurance (61%)

    Of course, cost factors into this and not everyone can offer everything, so it becomes crucial for an employer to know which ones to offer. An employee survey can help set a course.

    Finding a trusted partner to help you set up a benefits plan and get them to you at an affordable cost becomes another issue. A Professional Employer Organization (PEO) like GMS can help create employee benefits policies and offer big company benefits at big company rates to help small business owners compete with larger companies for those great employees. Contact us today to talk with one of our benefits experts about your benefits package.

  • Administrative professionals can be the gears that keep your business machine moving forward. Administrative Professionals Day is April 26, so we’d like to highlight a few high-profile assistants, secretaries, and other notable administrative workers throughout history.

    Image of Rosa Parks, civil right activist, secretary, and receptionist.

    Rosa Parks

    Odds are that you know Rosa Parks as the famous civil rights activist who refused to give up her bus seat in Montgomery, Ala. back in 1955. During that time, she also served as the secretary for her local chapter of the NAACP. She continued to play an active role in the civil rights movement and moved to Detroit, where she was hired as the secretary and receptionist for U.S. Representative John Conyers, a position she held from 1965 to 1988.

    Erin Brockovich

    Before Erin Brockovich was the focus of an Academy Award-winning film featuring Julia Roberts, she was a legal secretary. Her most well-known work involved allegations that the Pacific Gas & Electric Company contaminated drinking water in a small California town. Her work helped lead to a $333 million settlement, the largest direct-action lawsuit settlement in the U.S. when the case concluded in 1996.

    Ursula Burns

    While Burns is known as the first female African-American CEO of a Fortune 500 company, she initially started out as a personal assistant at Xerox. Burns had held a few positions at other companies before she was offered a position in 1990 as the personal assistant for Wayland Hicks, Xerox’s then president of marketing and customer operations.

    Burns worked her way up in the company and was named CEO in 2009. She held the position until the end of 2016 and now serves as Chairwoman for the company.

    Thomas A. Watson

    Phones are a huge part of businesses around the world. One assistant helped make the telephone a reality. Thomas A. Watson served as Alexander Graham Bell assistant and was the very first person to receive a message by phone. After moving on from his assistant’s position for Bell, Watson worked as a farmer and a traveling Shakespearean actor before founding one of the largest shipyards in early 1900’s America.

    Rewarding Administrative Professionals

    While there have been many notable administrative professionals, the most important to your company is the one you have working at your office. There are plenty of things that you can do to reward your administrative employees, both for Administrative Professionals Day any other day of the year, but one of the best is by offering a benefits package that can truly reflect just how valuable they are to your company.

    Contact us today to talk with one of our experts about how partnering with a PEO can help you retain your employees and save money through our benefits administration services.

  • When it comes to finding the right health plan for your business, the key is to find an option that makes sense for your business. One route that a business can go is to invest in TPA services for a self-funded health plan, which offers several benefits that can help owners save money and mitigate their risk with proper planning and support. Self-funded insurance also allows businesses to avoid some of the increased regulations on healthcare, which is a big reason why more small and midsize employers are choosing to self-insure, according to the Society for Human Resource Management.

    With all that in mind, self-funding sounds like an intriguing option, right? However, there are a pair of misconceptions about self-funding that either dwell in the past or are not that relevant to business owners. Here are two reasons why owners avoid self-funding, and how a TPA can dispel those arguments.

    Image of a business owner considering self-funded health insurance through TPA services.

    Myth No. 1: Self-Funding Will Sink Small Businesses

    Some business owners remember stories about a company sinking because they went self-funded. What essentially would happen is that a business with self-funded insurance would run into a large number of costly claims after one or several employees got really sick. Because they were self-funded, the business would theoretically be stuck paying all of those claims without any help from a provider, which would force them to shut down since they wouldn’t have the cash flow to actually run their business and pay their other bills.

    While businesses back in the ‘70s and ‘80s did run into this problem, times have changed. Businesses can now invest in something called stop-loss insurance to manage their risk and set a maximum liability number for their yearly claims.

    Stop-loss insurance allows a business to mitigate its liability so that it can self-fund its insurance without having to fear a year with an unexpected number of claims. Let’s just say that your business is given a $10,000 monthly maximum through stop-loss insurance. At the end of the year, that’s $120,000 max. If your business exceeds $120,000 in claims in a year, you’re reimbursed the overage by the reinsurer.

    This policy also works in your favor if you have fewer claims than expected. If you don’t reach your maximum claims liability number, you simply get to keep the difference, or you can take advantage of a “premium holiday.” This allows you to use the refund to pay for one or several insurance premiums in advance. Since the refund could affect your tax filings, this option can help you avoid having to do a tax adjustment on your healthcare fees since we’ll just deduct your refund from the premiums for the following year.

    Myth No. 2: Self-Funding Makes Owners Deal with Several Moving Parts

    As we’ve mentioned before about self-funding, “normal businesses with fewer than 5,000 employees won’t have the infrastructure to comply with all the regulations and make it financially feasible.” Managing a self-funded plan can mean carefully overseeing several important moving parts. This means that you’re going to need some help because self-funding can be a lot of work for whomever oversees their HR.

    While some owners may be scared off by self-funding, there’s a simple solution to these moving parts: a TPA. What we can do as a PEO with TPA services is manage everything in house so that you can benefit from self-funding without having to deal with all the regulations and administration needs, which can include:

    • Electronically sending out a file on health plan eligibility every day
    • Having an in-house programmer who can receive necessary data files
    • Access to a pharmacy benefits manager, who works with pharmacies on plan eligibility and drug costs

    Those are just a few of 30 moving pieces that are necessary for self-funding. When you work with a TPA, we can be as transparent about this process as you’d like so that you can see how everything works, or you can let us take care of the work while you focus on other important matters. Regardless of how much or how little you want to know about the process, a TPA enables you to take the HR work out of your hands. This way they can sign up for self-funding, pay their premiums, and know that the work is being done for them.

    Using TPA Services to Self-Fund Your Business

    The key to a good self-funded plan is a TPA that can take care of all the moving parts for your business. As a Professional Employer Organization that offers TPA services, Group Management Services can allow you to enjoy the benefits of self-funding while managing your plan. Contact GMS today to talk one of our experts to learn more about self-funding and to get a quote for your business.

  • Escalating costs of healthcare and benefits have led business owners across the country to seek out a solution that makes the most sense for their company. Of the many options out there, self-funded health insurance has become a realistic opportunity for many small businesses thanks to third-party administrators.

    These organizations, also known as TPAs, allow business owners to take advantage of self-funding, which can provide a “greater level of flexibility that comes with being able to tailor the plan to their needs,” according to the Society for Human Resource Management. The self-funding process can be complicated, but a good TPA can simplify the process so that employers can reap the benefits of self-funded insurance without having to deal with the risks of managing it themselves.

    Image of a third-party administrator for a small business.

    How Does the TPA Process Work?

    While some people refer to TPAs as “claims payers,” the role a TPA plays is much more intricate than that. Let’s start by imagining that your business is going from a fully-insured carrier to become self-funded. In this instance, the business owner is now the plan fiduciary, which just means that they are financially responsible for the plan.

    Since you’re now self-funded, there’s no insurance company anymore, and you rent what is called a PPO network. For example, GMS primarily works with Cigna. These networks have a long list of providers and hospitals in their network and negotiate discounts with each of these groups. You then pay your network a set cost per employee, per month so that they have access to these discounts.

    This is where the “claims payer” name comes into play. When members of your plan go out and generate insurance claims, those claims go directly to your TPA. The TPA then administers these claims to tell providers who’s eligible on the plan, processes them, and bills the client for monthly fees and the amount of money that needs to be paid to these providers.

    Do I Need a TPA if I want Self-Funded Insurance?

    Absolutely. While a Google-sized company can afford to have an in-house TPA, normal businesses with fewer than 5,000 employees won’t have the infrastructure to comply with all the regulations and make it financially feasible. A TPA gives you access to a team of people who can handle the day-in, day-out needs of self-funding, which can range from daily electronic filings of plan eligibility to a pharmacy benefits manager who deals with every prescription one of your members has filled.

    There are also the potential financial ramifications of managing self-funded insurance in-house. The right TPA can offer you stop loss insurance to mitigate your liability. As GMS’ Costas Reamensnyder points out, a self-funded health insurance plan allows you to “pay only for actual claims; not the total expected claim level from a fully insured carrier.” This means your plan can save a substantial amount of money each year. . A TPA can help you set a cap for maximum liability, which means that you can properly budget for your plan and cover yourself from unforeseeable circumstances. This maximum liability is provided by adding a stop loss insurance policy. It essentially mitigates your financial liability by limiting the plan’s maximum exposure.

    The PEO TPA Connection

    If interested in self-funding your health insurance, GMS can help. As a Professional Employer Organization, we can help business owners in a variety of ways, including our TPA services. Contact GMS today to talk to one of our experts about self-funded health insurance for your business.

  • Small business owners weigh many factors when deciding whether to invest in a group health insurance plan, but oftentimes the decision comes down to dollars and cents. The Kaiser Family Foundation’s 2016 Employer Health Benefits Survey notes that the high costs of insurance premiums are the primary reason why firms won’t offer health benefits. Even for business owners who do offer plans, rising insurance premiums can create a lot of stress and confusion, especially if the owner doesn’t know how these premiums are calculated and how they can manage them.

    Employers can have many questions for group health providers, and that includes exactly how much they can expect to spend. Here’s a rundown on what the insurance industry uses to calculate your group health insurance coverage premium, as well as some strategies that can lead to lower costs.

    Image of group health insurance plan premiums for small business owners.

    How are Group Health Insurance Premiums Calculated?

    According to the KFF 2016 survey, the average family coverage premium is $18,412 per year and single coverage is $6,435 per year. Of course, every business is different, so your premium may end up being higher or lower depending on a variety of factors that are used to calculate the costs for your plan. These factors include the following.

    Size and Health of the Group

    The total number of people on your group plan can impact how much you pay. This number includes not only your employees who opt in to your plan, but also any family members who also opt in to your plan through an employee. A larger group of people can help lower your premium by spreading the associated health risks of a few people over an entire group.

    However, the overall health of a group does affect your premium. While the Affordable Care Act doesn’t allow insurers to change premiums or deny insurance based on an individual’s pre-existing conditions and overall health status, the American Academy of Actuaries notes that the overall health of the group can play a role in determining premiums.

    “If a risk pool disproportionately attracts those with higher expected claims, premiums will be higher on average,” the Academy writes. This factor can work in your business’ favor, as the Academy also notes that “If a risk pool disproportionately avoids those with higher expected claims or can offset the costs of those with higher claims by enrolling a large share of lower-cost individuals, premiums will be lower.”

    Average Age of the Group

    While the ACA no longer permits insurers to use certain factors like gender to alter premiums, it still allows insurers to consider age in premium determinations. According to independent actuarial and consulting firm Milliman, “rating by age is still allowed under the law as long as the ratio of the highest-cost adult age band to the lowest-cost adult age band does not exceed 3:1.” In a group plan, this means the average age of your group can play a part in what you pay.

    An Employer’s Claims History

    All those visits to the doctor can add up. Insurance providers use the number of total claims and how expensive those claims are to determine adjustments to your premiums over time. When it’s time to renew your policy, an insurer will review your group’s claims history and adjust accordingly. If a few employees had some medical issues that led to frequent or costly visits, that may be reflected on your updated premium cost.

    Type of Occupation

    Different lines of work carry different levels of risk. Your insurance provider may adjust your rates depending on the general occupation of your workers. For example, clerical staff don’t face the same health risks as factory, construction, or offshore workers, so insurance premiums for a group of office workers may be less than other occupations.

    The Type of Coverage and Desired Add-on Benefits

    Not all small business health plans are the same. The level of coverage will play a big role in how much you and your employees pay. Better coverage and lower out-of-pocket costs can lead to higher premiums. Bundling extra add-ons such as dental and vision plans can also increase your premiums due to the extra coverage.

    How Can I Save on Group Health Premiums?

    Health insurance premiums can be expensive for a small business owner, but you don’t necessarily have to resign yourself to what your company is being charged. There are potential strategies that you can use to help you lower your costs and improve the health of your employees.

    Workplace Wellness Program

    Since the number of claims has a direct impact on your premiums, it can pay to improve the overall health of your employees. A customized workplace wellness program can help foster healthier lifestyle choices through health education and wellness activities. This in turn can lead to fewer doctor’s visits caused by preventable diseases, leading to a healthier, more active workforce and lower overall premiums.

    Telemedicine

    Another way to limit the number of doctor’s visits is to give your employees access to a 24/7 mobile doctor. Telemedicine services give your employees the freedom to connect with a professional physician via phone, video, or online chat. This allows them to get the answers they need without having to schedule an in-person appointment with the doctor, meaning no copay for them and no extra claim for your plan.

    Economy of Scale

    Depending on where you get your insurance from, you may be able to take advantage of economy of scale. While larger companies have more employees and greater buying power, smaller business don’t have quite the workforce to take advantage of savings associated with economy of scale. However, a Professional Employer Organization can give you the buying power to lower premium costs.

    A PEO can leverage the collective buying power of all their group health clients, acting as one large company that can purchase plans at lower premiums as a result. This helps your business avoid costly administration fees and save without sacrificing on the quality of your group plan.

    Partnering with a PEO also opens you up to cost-saving strategies such as wellness programs, telemedicine services, and more. If you’re interested in learning more about how a PEO can help your business save on insurance premiums and make your businesses a healthier place, contact GMS today.

  • It’s always a good idea to get more information, especially when your business is investing in something as important as health care. For an employer, that extra information is essential when finding the right group health coverage.

    Even if you have a good grasp on the basics of group health insurance, it doesn’t hurt to ask a provider a few important questions before you purchase a plan for your business. Here are some key things that you should ask a provider when you’re ready to buy group health insurance coverage.

    Five Questions Small Businesses Should Ask Group Health Providers

    What are the different plan options available to my business?

    If you choose to offer health benefits, there are several types of group plans that you can offer to your employees. These plans include:

    • Fully-insured plans
    • Self-funded plans
    • Level-funded plans
    • PPO (preferred provider organization)
    • HDHP/SO (high-deductible health plan with a savings option)
    • POS (point-of-service plan)
    • HMO (health maintenance organization)

    Each one of these types of plans offer different types of benefits. As such, some plans may be better suited for your business than others. For a breakdown on the advantages and disadvantages of each type of plan, check out our post on the different types of group health insurance.

    While many businesses offer only one type of plan, that doesn’t mean that your organization is limited to a single offering. According to the Kaiser Family Foundation (KFF) 2021 Employer Health Benefits Survey, 25% of organizations offer two or more plan types in an effort to diversify and improve their overall benefits package for employees.

    What does my plan cover?

    If you’re going to purchase something, you should know what you’re getting. Make sure to ask your group health insurance provider for a detailed breakdown of what your plan covers so that you and your employees know what to expect.

    It’s also important to ask about additional benefits, such as dental and vision insurance. While some plans have add-ons for ancillary benefits, it’s not always the case. That distinction is important because nearly 90% of employees would consider a lower-paying job in exchange for better health, dental, and vision insurance. Your plan plays a pivotal role in attracting and retaining talent, so make sure your provider gives you everything you need to know about your plan coverage.

    How much will group health insurance cost me?

    According to KFF, the average annual health insurance premiums in 2021 are $7,739 for single coverage and $22,221 for family coverage. Employers contribute an average of $6,440 and $16,253 for single and family coverage respectively.

    Of course, those numbers are just the averages. Your business’ exact health insurance costs can go up or down depending on a variety of factors. The specific factors that insurance agents use to determine group health premiums include:

    • Size and health of the group
    • Average age of the group
    • An employer’s claim history
    • Type of occupation
    • Type of coverage and add-on benefits

    Who should my plan cover?

    As an employer, you do need to abide by some ground rules in terms of who is eligible for group health insurance coverage. Any business that provides health coverage must offer it to all full-time equivalent employees. However, that does mean that employers have some wiggle room in terms of part-time employees and family members.

    Simply put, employers can either decide to offer coverage to all part-time employees or none at all. The same principle applies to family members and dependents of eligible employees. Not offering coverage to these groups can help lower your costs, but may make your plan less attractive to certain employees. As such, you’ll want to iron out these details and determine which options align best with your business’ needs when buying group health insurance.

    Who can help me if I have any questions or problems?

    You shouldn’t feel like you’re stranded on an island when you have questions about health insurance. A good health insurance provider should have a team in place that can assist you with any potential questions and issues in the future.

    Ask each provider about their customer service to find out who your contacts will be and how their process works. If they don’t give you many details about who can help you, that’s a red flag that they may not have your back in the future.

    Group Health Insurance Coverage From A PEO

    It can be a tricky to find an attractive group health plan that won’t break the bank. Fortunately, a Professional Employer Organization may be able to help you find the best of both worlds.

    At GMS, we can help you choose a group health insurance plan that’s right for you and your employees. Thanks to a higher collective buying power and other cost-prevention strategies, GMS can help you lower your premiums and help you save. We also have the experts to help you make informed decisions about benefits management and oversee plan administration so that you have time to focus on the rest of your business.

    Ready to invest in quality group health insurance at a lower cost? Contact us today to talk to one of our experts about what we can do for your business.