Group Health Insurance for Your Business
We partner with both Idaho-based and national medical insurance companies to ensure we help you find the best-fit plan options that are affordable and valuable for your business, your employees and their families.
Click here to see our list of partner health insurance companies
Health Insurance Plan Types - PPO & HDHP
PPO Plans (traditional copay & deductible) – this plan type is the most common plan employers offer employees since the plans have low fixed fees, copays, to see a primary care physician as well as specialists, chiropractors, therapies, as well as prescription medications without having to first meet the plan deductible. Deductibles for these plans range from $0 to over $8000. Premiums for PPO plans are typically higher cost than HDHP plans primarily because of the upfront coverage for doctors visits and prescriptions.
HDHP Deductible Plans (HSA-qualified) – HDHP group medical plans are plans that require the enrolled employee to cover 100% of the healthcare expenses, except eligible preventive exams, before the plan pays any share of healthcare expenses. These plans are also referred to as HSA plans, HSA is an acronym for Health Savings Account. which are designed to be linked to an employee-owned health savings account which provides the employee the ability to set aside non-taxable dollars to be used for eligible health care expenses including but not limited to physician visit charges, deductible, coinsurance for medical, dental, and vision services as well as prescription medications. HDHP plan deductibles generally range from $1400 to over $8000.
Health Insurance Plan Types - Health Risk vs. Non-Health Risk
Non-Underwritten Health Insurance – the Affordable Care Act, ACA, created this type of health insurance. Non-underwritten plans also referred to as ‘fully-insured’ are common plans employers’ select for their businesses. Rates for these plans which include both copay-deductible and HSAs are based solely on one demographic, age, of the eligible employees within that business.
These plan types cannot evaluate rates based on the health risk of your group of employees.
The ACA removed the ability for specific insurers, fully-insured, to evaluate the health risk of an employer group therefore increasing the monthly premium costs for the plans the insurer offers employers.
Underwritten Health Insurance – this can also be referred to as ‘self-funded’ or ‘level-funded’ health insurance. Insurers that offer these plan types are able to evaluate the health risk of an employer group, benefit eligible employees, based on age, sex, tobacco use, and individual health histories.
The insurer requires the completion of a simple health questionnaire, usually 10-20 questions.
The advantage of this process is the potential for significant monthly premium cost savings for comparable non-underwritten plan designs and types. Many of our customers have benefitted from 20-40% monthly premium costs savings which can equal thousands if not 10's of thousands of annual premium costs.
We provide you proposals that show both non-underwritten and underwritten plan options during proposal review.
Health Insurance Plan Types - Limited & MEC Plans
Limited Medical – these plan types are designed to be a more affordable version of health insurance for employers to provide or offer to employees and their families.
Some limited medical plans are designed to work identical to full coverage plans but with copays and coinsurance for doctor visits, hospital stays, and prescriptions as well as outpatient lab, diagnostic exams, and procudures. While other are designed to be simply copay-based or reimbursement based plans. Regardless of the plan structure, they all have limitations in coverage of care.
Mininum Essential Coverage (MEC) - these plans are designed to be ACA compliant to fulfill the basic levels of preventive care coverage however most do not provide any additional benefit for healthcare services. MEC plans are typically offered by medium to large employers as a solution for part-time employees or for high turnover industries.
Pricing on these plans vary by the demographics of the employer group but can be 60-80% less than full coverage health insurance plan premiums.