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Group Health Insurance

Group health insurance is employer-sponsored health coverage for business owners, employees and often for dependents.

A majority of Americans have group health coverage through their own or a family member's employer-sponsored group plan. Employers and employees can share costs and there are special tax incentives available to businesses that provide group health insurance.

How does it work?

As an employer, you select a group health insurance plan and then invite your employees to enroll.

Typically, employers cover at least 50% of each employee's monthly premium, and can also contribute to dependent premiums. The remainder is paid for by the employee.

Is it right for my business?

If you want to provide health insurance benefits and you're able to contribute toward employee premiums, group health insurance is the way to go.

Offering group health insurance can help you hire and retain the best workers, and the amount you pay toward employee premiums may be tax-deductible. Since no one can be turned down based on medical history, group coverage also protects workers or family members who might otherwise go uninsured.

What are the benefits of providing group health insurance to my employees?

It's no secret that employees value health insurance benefits. Surveys have shown that workers value health insurance coverage second only to monetary compensation. By offering group health insurance benefits to your employees, you may find it easier to hire and retain the best workers for your company.

As a business owner, you may not have health insurance coverage yourself. Perhaps you've considered shopping for an individual health insurance plan for yourself and your family, but did you know that by obtaining insurance through a company, you may get better rates than through the individual market?

Additionally, there are various tax incentives available to you and your employees when you participate in a group health insurance plan. For example, businesses can generally deduct 100% of the premiums they pay on qualifying group health plans and, by offering group health insurance as part of a total compensation package, you may be able to reduce payroll taxes. Plus, your employees can pay their portion of the monthly insurance premium with pre-tax dollars. Make sure that you take these incentives into consideration when determining the affordability of a health insurance plan for you and your employees.

How do I know if my company qualifies for group health insurance?

Your company will probably be eligible for a small business plan if it meets the following criteria:

  1. Your company consists of at least two full-time owners, officers, partners and/or employees, as verified by officially-filed state quarterly wage and tax statements or annual federal tax return documents;
  2. Your company is a legitimate business entity (i.e., your company was formed for a purpose other than to obtain insurance), as verified by one of the following documents:
    • A business license or fictitious name filing (proprietorships and partnerships);
    • Articles of incorporation (corporations); or
    • Articles of organization (limited liability company).
  3. Your company meets the minimum employer contribution percentage set by the insurance company.

Please note that eligibility criteria may vary among insurance companies and by state.