Is Your Business Eligible For Group Health Insurance?

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Is Your Business Eligible For Group Health Insurance?

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When it comes to purchasing group health insurance for your small business, the rules are very different to individual or family coverage, and you may not even know if your business qualifies for it. Outlined below are a few basic questions, that when answered, should help to point you in the right direction if you’re buying group health insurance for your employees: – PowerPoint PPT presentation

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Title: Is Your Business Eligible For Group Health Insurance?


1
Is Your Business Eligible For Group Health
Insurance?
2
  • When it comes to purchasing group health
    insurance for your small business, the rules are
    very different to individual or family coverage,
    and you may not even know if your business
    qualifies for it. Outlined below are a few basic
    questions, that when answered, should help to
    point you in the right direction if youre buying
    group health insurance for your employees
  • What is group health insurance?
  • Group medical coverage is usually issued to
    businesses or organizations with employees and
    refers to one policy that is given to an entire
    group of individuals, and sometimes covers
    dependents of those individuals, too.

3
  • Individual coverage has a different set of rules
    than group coverage, and this is down to the way
    in which the insurers risks are calculated.
    Insurers determine a premium price based upon the
    entire group of employees within a small
    business, and they do so, using general
    information about them, such as their age or
    gender.
  • Are small businesses required by law to provide
    group health insurance?
  • There have been substantial changes in the world
    of health insurance in recent years, and while
    there is no law that mandates small business
    owners must provide health insurance for their
    workers, if you do choose to provide coverage for
    your workforce, then you will need to be aware of
    the regulations.

4
  • Under the Affordable Care Act, some larger
    businesses are at risk of incurring penalties if
    they dont offer coverage to their workforce,
    while those companies employing 50 full time
    workers or less, will not face penalties if they
    dont offer health coverage.
  • Is your small business eligible for group health
    insurance?
  • A small employer is defined as one whose business
    has from 2 to 50 full time workers, and under
    federal law, these employers are guaranteed group
    coverage if they opt to provide it for their
    workforce, irrespective of the health status of
    those employees.

5
  • Business owners are usually included as
    employees, so even a sole proprietorship that has
    one employee, falls into the small business
    category, in much the same way as partnerships,
    since the very definition of partnership is that
    at least one other person is involved.
  • Which employees are eligible for coverage?
  • If at least one full time employee has been
    offered health insurance by their employer, then
    the general rule is that the employer must then
    offer it to all full-time staff. For part-time
    employees, the employer may opt to provide them
    with coverage too, and if it is offered to some
    of them, then again, it must be offered to them
    all.

6
  • The employees health status is not taken into
    consideration when coverage is offered to them,
    so any employee eligible for health insurance
    must not be denied coverage due to pre-existing
    medical conditions.
  • Also, under group health insurance plans,
    dependents of eligible employees are usually
    included in the coverage, and these can range
    from spouses, domestic partners and children.
    However, those dependents may not apply for
    coverage unless the employee themselves has
    enrolled, and under the Affordable Care Act,
    group insurance plans are now required to include
    coverage for dependents up to the age of 26.

7
  • For more detailed advice and guidance about group
    health insurance for the employees of your small
    business seek help from a qualified and
    professional payroll service.
  • Apollo Payroll is one of the premier small
    business payroll services companies in Miami and
    Coral Gables. Apollo Payroll is dedicated to
    delivering expert advice, responsive service, and
    highly accurate payroll processing and reporting
    to ensure the success and growth of the business
    that we serve. Our services include comprehensive
    payroll services in Homestead and other cities in
    Miami-Dade County, employee background check and
    group health insurance in Miami Coral Gables
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