Monday, February 6, 2023


Everyone knows that issues change. Nevertheless, whereas we would consider that “nothing is definite however dying and taxes” because the proverb goes, even taxes change from yr to yr.

And that is equally true in the case of the main points, advantages, and necessities of small group medical health insurance.

Every year issues change, prices sometimes go up, some points or options are added, whereas others go away. Sadly for the usually overworked and excessively busy small enterprise proprietor, small group well being protection isn’t actually a “get it and overlook it” product.

As we transfer into the yr 2023 and are within the throes of open enrollment, the annual interval when individuals can enroll in a medical health insurance plan for the following calendar yr, modifications might should be made.

Needless to say certified small enterprise homeowners can acquire small enterprise well being insurance policies any time in the course of the yr, not like particular person well being plans. In different phrases, there isn’t any standardized “open enrollment” interval for small enterprise medical health insurance.

Nevertheless, annually, normally throughout open enrollment, your plan’s premiums or advantages might come up for renewal. If and when this occurs, it’s all the time a good suggestion to check costs.



Whereas there are actually some points of healthcare which can be considerably subjective, corresponding to high quality of care and customer support, most elements relating to healthcare suppliers and plans are measurable. 

Every year, varied entities take it upon themselves to rank or fee medical health insurance suppliers to assist customers decide the “greatest” by way of varied classes. These are sometimes ranked in line with greatest worth, greatest general, highest high quality, and so forth. 

Here’s a transient overview of one of the best medical health insurance corporations for 2023 based mostly on the collective outcomes of assorted sources.

  • Finest General: Blue Cross Blue Protect
  • Finest Worth Plans: Oscar
  • Highest High quality Plans: Kaiser Permanente
  • Finest Low-Value Plans: Kaiser Permanente
  • Finest Buyer Service: Humana
  • Finest for Transparency: UnitedHealthcare

One other supply listed what they decided to be the highest small enterprise medical health insurance suppliers throughout the board:

  1. UnitedHealthcare
  2. Blue Cross Blue Protect
  3. Anthem
  4. Humana
  5. Kaiser Permanente
  6. Aetna

Yet one more useful resource, the nationwide Chamber of Commerce provided this rating of what they thought-about to be the 5 greatest small enterprise medical health insurance in 2022:

  1. Finest small enterprise medical health insurance: Aetna
  2. Humana: High quality medical health insurance for native companies
  3. Kaiser Permanente plans for small companies
  4. UnitedHealthcare plans for small companies
  5. BlueCross BlueShield plans for small companies

In fact, the “greatest” of something in the case of well being protection is basically depending on the wants and preferences of these using the providers provided. 

For instance, as Investopedia reviews

“In the end, your choices are restricted by the provision of plans in your state and the medicine and providers you want lined. However when you’re in search of well-administered plans and a optimistic member expertise, Blue Cross Blue Protect gives worth alongside sturdy rankings.”



It’s fairly potential that, after reviewing the plans and suppliers accessible for small group well being protection, you might need to take into account various choices to guard your workers at little or no expense to your organization.

The most typical choice various for homeowners is to direct workers to their state’s particular person medical health insurance trade market, corresponding to Coated California, for instance. In the event you select to take action, it’s also possible to reimburse some or all the prices incurred by your workers.

Based on,

“If an worker pays the premiums on personally owned medical health insurance or incurs medical prices and is reimbursed by the employer, the reimbursement typically is excluded from the worker’s gross revenue and never taxed underneath each federal and state tax regulation. This contains premiums for tax dependents and opposite-sex spouses. Nevertheless, there are some circumstances by which the reimbursement is taxable revenue, together with the next:

  • If an employer merely pays the worker an additional quantity and doesn’t specify in writing that the quantity have to be used to pay the well being protection premium, will probably be taxable to the worker as revenue.
  • If the employer is self-employed, any reimbursements for their very own or their dependents’ well being care prices are taxable revenue to the self-employed employer.”

As a enterprise proprietor contemplating this selection, it would be best to speak along with your CPA or a tax skilled beforehand.

Another choice is to supply your employees what is called a Certified Small Employer Well being Reimbursement Association (QSEHRA). That is an association that permits many small employers to contribute to their worker’s well being care prices. explains it this manner,

“A QSEHRA permits small employers to offer non-taxed reimbursement of sure well being care bills, like medical health insurance premiums and coinsurance, to workers who keep minimal important protection, together with a person Market plan. In lots of states, QSEHRAs permit small employers to offer their workers further plan decisions with out managing group well being plan protection.”

For a small enterprise to qualify for a QSEHRA, an employer typically should:

  • Have fewer than 50 full-time workers
  • Present the association on the identical phrases to all full-time workers (reimbursement quantities might solely fluctuate based mostly on age and the variety of people lined)
  • Not supply a gaggle well being plan, like SHOP protection or a versatile spending account (FSA)

By way of typical prices with a QSEHRA, an employer can resolve what quantity to contribute to their workers’ well being care prices, with an annual most that’s set by the IRS.

For instance, in 2022 the utmost employee-only contribution is $5,450 ($454.17 month-to-month), whereas the utmost for workers and households is $11,050 ($920.83 month-to-month).


J.C. Lewis Insurance coverage is well-established and family-owned agency of professional brokers that has been in enterprise right here in Sonoma County for greater than 4 many years. We provide small group medical health insurance plans from lots of the main medical health insurance carriers licensed to supply insurance coverage in California.

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

In the event you’re a small enterprise proprietor contemplating medical health insurance and even imaginative and prescient and dental insurance coverage on your workers – or simply for you and your loved ones – you’ll possible have many questions and issues.

At J.C. Lewis, we perceive the wants and challenges of small companies, and we all know that offering California medical health insurance choices on your workers is usually a daunting and complicated endeavor. Ideally, it would be best to discover a stability between protecting prices inexpensive for you, whereas providing one of the best choices accessible to your employees.


J.C. Lewis Insurance coverage Companies welcomes your questions relating to insurance coverage protection, and you may be assured that we are going to aid you discover the precise answer.


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