Employer-covered healthcare
Life Insurance
Pension and retirement plans
Mandatory paid time-off
Mental health assistance
Self funded plans are becoming more popular and aim to help companies potentially lower their benefits costs. Review each available option carefully with your agent to decide which method is right for your business.
Fully-Insured Plans: This traditional route offers the least risk to employers but comes with higher costs. You pay a premium to an insurance carrier for a specified plan, with no financial surprises but also no savings on lower-than-expected claims.
Self-funded employee benefits refer to a system where, instead of paying premiums to an insurance company, an employer directly assumes the financial risk of providing healthcare benefits to its employees. Under this model, the company pays for each claim as it arises, typically setting aside a pool of funds for this purpose initially and then by adding employee monthly payments throughout the year. The company would be protected from large claims by the insurer and could qualify for a premium rebate at the end of the year.
Defined contribution—employers select how much money to contribute to employees, up to the allowed annual 2024 limit of $5,850 for individuals and $11,800 for households.
Generally, small employers with fewer than 50 employees (other than certain owners or their spouses) who don't offer other group health plan coverage.
Employees can generally choose how they use a QSEHRA as long as they use it for qualifying health care expenses, and they also have qualifying health coverage, like a plan from the Individual Marketplace.
QSEHRA reimbursements aren't taxed to the employee. If the QSEHRA is unaffordable (we can calculate this for you), the employee must reduce the amount of the advance payment of the premium tax credit (APTC) by the QSEHRA amount.
Defined contribution—employers select how much money to contribute to employees and, if the employer chooses, to employees’ dependents.
Employers of any size with at least one employee (other than certain owners or their spouses).
Employees can generally choose how they use a ICHRA as long as they use it for qualifying health care expenses, and they also have qualifying health coverage, like a plan from the Individual Marketplace.
ICHRA's aren't taxed to the employee. If an employee accepts the individual coverage HRA offer, no premium tax credit is allowed for the employee's Marketplace coverage. If the employee declined the coverage because it is "unaffordable" (we can calculate this for you), they may qualify for a premium tax credit for Marketplace coverage, if they are otherwise eligible.
Complete your initial consultation and fill out your New Business Intake Form.
We will complete your assessment within 72 business hours of receiving your form.
Once we've completed your assessment, we will reach out to you for a good time to go over your recommendations and proposal.
At this point you will select your plan or plan(s) and you'll pick a start date.
You will need to decide who's eligible to enroll in the plan
Decide your contribution amounts - allowance
Gather all legal IRS documents (we can help with this step)
Communicate your new benefits package to your staff
Provide the resources necessary for all eligible employees to enroll in your new plan.
Complete a Full Needs Assessment For Your Company
200+ Carriers Competing for Your Business
Hands-On and Technology Driven Results
Health Plan Set Up and Compliance
Employer & Employee Online Portal For Easy Administration
Member / Carrier Communication Liaison
Employer and Staff On-Going Communication & Support