Tuesday, November 29, 2022


With the present state of “unofficial” recession and rising gasoline prices, simply “getting by” is costing extra. And so as to add to that expensive combine, a housing gross sales and rental market that has but to considerably see pricing decreases imply that saving cash is excessive on most individuals’s the record of priorities.

After all, enterprise house owners really feel the brunt of a rising price of residing as a lot as anybody and – in some respects – extra so.

One of many methods small enterprise house owners can lower your expenses is on their firm’s group medical insurance plan.


There are, in fact, just a few basic factors to bear in mind:

  • When you’re a qualifying small enterprise proprietor, you possibly can apply for small enterprise medical insurance at any time of yr.
  • Nonetheless, when you’ve enrolled in a small enterprise medical insurance plan, you possibly can solely make modifications to your present advantages with the identical insurer as soon as per yr.

One other issue to think about is your general prices as an employer.

These and different employer bills have frequently elevated over the past decade or so.

For instance, the typical annual premiums for employer-sponsored household well being protection reached $22,221 in 2021, a 4 p.c enhance from the earlier yr. from final yr, with staff on common paying $5,969 towards the price of their protection.

In distinction, in 2011, employer-sponsored household well being protection premiums at a small employers (3-199 staff) was simply $14,595, whereas these at massive employers (200 or extra staff) common $15,544.

This is a rise of greater than 32 p.c over ten years.

Worker Well being Protection Numbers You Ought to Know

Listed here are some further statistics from the Kaiser Household Basis (KF) 2021 Employer Well being Advantages Survey:

  • 58 p.c of small companies and 99 p.c of huge companies supply well being advantages to a minimum of a few of their staff, with an general supply charge of 59 p.c.
  • The common annual premium for single protection for coated staff in small companies ($7,813) is just like the typical premium for coated staff in massive companies ($7,709).
  • The common annual premium for household protection for coated staff in small companies ($21,804) is just like the typical premium for coated staff in massive companies ($22,389).
  • Lined staff on common contribute 17 p.c of the premium for single protection and 28 p.c of the premium for household protection in 2021.
  • The common month-to-month employee contributions are $108 for single protection ($1,299 yearly) and $497 for household protection ($5,969 yearly).
  • The common contribution quantity for household protection is increased for coated staff in small companies (3-199 staff) than for coated staff in massive companies (200 or extra staff) ($7,710 vs. $5,269).
  • Common annual employer contribution to premiums general in 2021 was $16,253.

Whereas these numbers could seem a bit distressing to a small employer taking a look at rising prices in each different space of his or her enterprise, there are methods to decrease the prices of group medical insurance.



When contemplating the forms of plans you possibly can probably supply your staff, the age and marital standing of your workers issues.

You probably have quite a lot of age teams in your workforce, providing a totally insured plan with a number of choices can present extra stability, much less threat and larger alternative.

For instance, providing a high-deductible plan with a decrease embedded deductible can be extra inexpensive for youthful, single staff in addition to youthful workers with households. This selection permits for every dependent to have a smaller particular person deductible to fulfill, moderately than one big deductible throughout your complete household.

On the opposite, in case your workforce is mostly wholesome and youthful, this sometimes means there are fewer claims. On this state of affairs, you might wish to take into account level-funded protection. It will assist you to obtain a premium charge that’s primarily based on how wholesome your inhabitants is, and it could be inexpensive than the totally insured market.

Because the the Society for Human Useful resource Administration, (SHRM) explains,

“With a level-funded plan, an employer pays a well being service the identical month-to-month quantity to cowl the estimated price for anticipated claims, the premium for stop-loss insurance coverage that covers well being care prices over a set greenback quantity, and plan administration prices. If complete claims prices are increased or decrease than anticipated, the service makes changes on the finish of the plan yr within the type of a refund to the employer for decrease claims or a premium enhance on the stop-loss insurance coverage renewal for increased claims.”

And because the KFF 2020 Employer Well being Advantages Survey discovered, 16 p.c of small companies with 3 to 199 workers used level-funded well being plans.

Extra Methods for Saving Cash on Worker Well being Care Prices

Different attainable choices can embody the next:

Supply an HSA-Appropriate Plan

A Well being Financial savings Account (HSA) is a long-term account an worker units as much as pay for his or her healthcare bills. HSAs can solely be used with particular HSA-compatible insurance coverage, sometimes referred to as HDHPs.

Based on HealthCare.gov,

“A excessive deductible plan (HDHP) will be mixed with a well being financial savings account (HSA), permitting you to pay for sure medical bills with cash free from federal taxes. For 2022, the IRS defines a excessive deductible well being plan as any plan with a deductible of a minimum of $1,400 for a person or $2,800 for a household.”

All these plans will help employers save on premium contributions whereas nonetheless offering well being protection for his or her workers.

Present Preventative Wellness

Wellness plans have gotten more and more well-liked with enterprise house owners who wish to preserve their firm insurance coverage prices low. These providers encourage workers to get and keep wholesome.

For instance, a preventative wellness plan might present providers like these without spending a dime or at a low price:

  • Flu pictures
  • Most cancers screenings
  • Smoking cessation
  • Psychological well being providers

Evaluate Insurance coverage Suppliers

Every medical insurance supplier gives completely different plans. And a few insurers enhance their charges considerably year-over-year, whereas others have extra modest will increase, or might even lower their charges, over time. Store round earlier than you determine on a plan.



JC Lewis Insurance coverage, a long-time, family-owned agency of skilled brokers, is positioned in Sonoma County. We provide medical insurance plans from most of the main medical insurance carriers licensed to supply insurance coverage in California.

And we’re licensed and authorized by every of those insurance coverage carriers to supply protection to small group employers. As well as, J.C. Lewis Insurance coverage Companies Medicare supplemental and prescription drug plans for seniors.

Once you’re looking for medical insurance on your workers, in addition to imaginative and prescient and dental insurance coverage on your workers – or simply for you and your loved ones – you’ll doubtless have many questions and issues.

We perceive that offering California medical insurance choices on your workers could be a daunting and complicated endeavor. And it would be best to discover a steadiness between maintaining prices down whereas providing the perfect choices accessible to your staff.

At J.C. Lewis Insurance coverage Companies we welcome your questions about insurance coverage protection and you may be assured that we are going to allow you to discover the suitable answer.


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