For the Employer

Small Group Health Insurance Overview

Each state has their own set of regulations that determines what size of business falls into the classification of "small business," making them eligible for small group health insurance. The common size for a small group classification is between 2 and 50 employees. In some cases, an insurance company may market a small group health insurance plan to a single individual that is self-employed. However, these one-man groups may not qualify for certain guarantees or regulations that apply to groups of greater numbers.

One of the primary advantages offered to a company that is classified as a small group is that their health insurance coverage is guaranteed by the health insurance carrier. This means that if a company meets the requirements of qualifying as a "small group," the insurance company must approve the application for coverage, regardless of the current or past health history of any of the employees. This is what is referred to as guaranteed issue coverage. The insurance company may ask health questions, but this is only done for the purpose of rating the premium to charge for the group health coverage.

To qualify for a small group health insurance policy there will be certain eligibility requirements. You may need to prove that you are a legitimate business and have been in operation for a specific period of time. Business tax returns, a business license, a tax payer identification number, payroll records or other documents of proof may be required. This is done to prevent a group of people from calling themselves a small business solely for the purpose of obtaining guaranteed issue health insurance coverage. You may not need to have a paid employee to qualify for a small business health insurance policy. Partnerships may also be eligible by providing a copy of the partnership agreement along with other required documentation.

If a small business is able to provide the proper documentation and meet the qualifications to fall into this classification, their issuance of coverage is guaranteed. The insurance company may not decline for health reasons, regardless of the seriousness of the illness or the health care required for maintaining and treating this illness.
When helping you shop for a small group health insurance policy, we will make sure to review the plan offerings and rate quotes from several different insurance companies. As an independent insurance agency we will not only be able to provide you with quotes from multiple insurance companies, but also assist you in understanding the differences.  Let us do the work for you.  Click here for a Free, no obligation, Quote!

Mid-Size Group Health Insurance Overview

Also referred to as "mid-market" group health insurance by some insurance companies, mid-size group health insurance may offer more plan choices than those offered to small groups. Each health insurance company may have their own requirements on the number of employees required to fall into mid-size group health insurance, however, the mid-sized classification is usually the next level of benefits offered after a company exceeds the 50 employee maximum for small business health insurance. A larger portfolio of plans is available under this classification and some of the plans may have greater benefits than those offered to smaller groups.
In researching an insurance company that offers mid-size group health insurance in your state, we will help you consider several of the options that are available.  We will help you to make a comfortable and informative decision that will best suit your business.  Let us do the shopping for you. Click here for a Free, no obligation, Quote!

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For more information please call (203) 237-7900 or click here
 

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