We’ll help you compare carriers, understand your options, and make the best decision for your company.
Group Benefits
Benefits To Fit Your Your Needs
Instead of anticipating your needs and giving you a cookie-cutter package option, we listen and learn what your challenges are in your current group benefits setup or in your efforts to obtain benefits. From there, we develop a strategy to help you meet your goals. When you work with Marc Sigmon Insurance, you aren’t limited by a single carrier. We can provide you with a package that includes multiple carriers like Kaiser and Sharp. At the very least, employee benefits can consist of health, dental, vision, disability, and life insurance.
We also provide you with three different options to pay for group benefits:
100% employer-provided
Employer contribution - You choose how much on a monthly basis to contribute based on a percentage or flat rate
Employee paid (voluntary) - Employees have to meet a minimum participation amount and there is no cost to the employer.
We then set up regular meetings to review the strategies we've implemented together to ensure that you are moving closer to meeting your goals. Many employers use their employee benefits packages to attract and retain valuable employees to keep their business thriving. We will work with you to develop strategies to ensure you are in line with your competition.
What are Group Benefits?
Group benefits or group medical coverage is a single policy that covers a company’s eligible employees and in most cases their dependents. With a group health insurance program, you pay either part or all of the cost of the monthly premiums for your employees, from which you typically gain certain tax benefits. It is often much less expensive than if each individual purchased an individual policy.
There is no right or wrong answer when it comes to insurance planning for your business because there are many variables to consider. We can help you determine the package that is right for you and then help you develop a strategy that is best for both your company and employees.
*Ask us about individual products such as dental, vision, cancer, retirement/401K or indemnity plans which are available alongside other lines of insurance.
Choosing a Health Insurance for Your Business
As a business owner, it is in your best interest to offer your employees a comprehensive benefits package, but how do you know what works and what doesn’t? Health insurance is a good place to start but there are so many options to choose from.
Offering the "right" health insurance plan is one of the most important decisions you can make as a business owner. Keeping employees happy and healthy will benefit you in the long run. But making sense of the complex health care system has become increasingly difficult for employers. We are here to help you understand and then, untangle, your group health insurance options.
Essential Health Benefits
Under the Affordable Care Act (ACA), fully insured small group and individual health plans on and off the Exchange/Marketplace must cover essential health benefits (EHB).
Essential health benefits are minimum requirements for all plans in the Marketplace. Plans may offer additional coverage. You will see exactly what each plan offers when you compare them side-by-side in the Marketplace.
Essential health benefits under the Patient Protection and Affordable Care Act will include the following general categories:
These essential health benefits include at least the following items and services:
Ambulatory patient services (outpatient care you get without being admitted to a hospital)
Emergency services
Hospitalization
Maternity and newborn care (care before and after your baby is born)
Mental health and substance use disorder services, including behavioral health treatment (this includes counseling and psychotherapy)
Prescription drugs
Rehabilitative and habilitative services and devices (services and devices to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills)
Laboratory services
Preventive and wellness services and chronic disease management
Pediatric services including oral and vision care
According to the Affordable Care Act, plans of all sizes that cover benefits designated as Essential Health Benefits, including self-funded plans, must cover these benefits with no annual limits or lifetime maximums.
Footnote: This is a brief overview of Essential Health Benefits required by the Affordable Care Act. You should read thoroughly and understand the benefits offered before purchasing any insurance policy.