Debunking 4 Myths on Healthcare for SMBs

It is essential to separate fact from fiction when considering providing employees in small businesses with the valuable gift of healthcare.

Making healthcare available to your small business employees can be a daunting prospect. Procuring employee benefits can be costly and confusing to a non-expert in the field. However, it is essential to separate fact from fiction when considering providing your small business employees with the valuable gift of healthcare. Here are four commonly believed myths about healthcare for small businesses: My employees have medical issues; I probably can’t even afford to offer health insurance. For small group health plans, prices vary based on employee age, location and carrier. The health of your employees is not a determining factor. Small business fully insured plans are “guaranteed issue,” which means that qualified employees, regardless of health status, can get coverage. While employee benefits can be pricey, employers do not have to subsidize the entire amount. Depending on the budget, business owners can determine how much they are willing to contribute. Most employers contribute anywhere from 50% to 100% of the employee-only cost. There is a plethora of health plan options available for a wide range of budgets. See also: What SMBs Want in Group Insurance   Employee benefits are too hard to understand. A study recently found that 4% of Americans couldn’t correctly define the four key health insurance terms necessary for a basic knowledge of healthcare (deductible, copay, coinsurance, out-of-pocket maximum). Even if you’ve never offered employee benefits before, lack of familiarity with healthcare-related language shouldn’t stand in the way of making sure your company is covered. Resources are available to help demystify insurance for small business owners. Licensed brokers are available in a variety of formats to answer any questions you may have. There is also a multitude of explanatory collateral easily accessible online for free breaking down health insurance terminology and preparing small business owners to purchase health insurance plans for their employees. I can’t get insurance. I missed the open enrollment period. Small business owners can make employee benefits available to their employees all year. For the majority of states, the open enrollment period for 2019 was from Nov. 1 to Dec. 15, 2018, with some jurisdictions (like the District of Columbia and New York) extending their deadlines to the end of January. However, the open enrollment periods only apply to individual plans and Medicare, meaning that you are not bound by the open enrollment periods. Most insurance companies offer effective dates on the first or the 15th of every month for new benefits. I shouldn’t have to provide insurance to my employees if it isn’t legally required. Under the Affordable Care Act (ACA), employers that have fewer than 50 employees are not legally required to offer health insurance. Employees with 50 or more full-time employees may face a penalty for not providing coverage. However, even if your small business isn’t bound by law to offer employee health insurance, doing so benefits your employees and their families -- and your business. Employees are far more likely to choose and stay with a company if they are satisfied with the health benefits. In a recent AHIP study, 56% of American adults whose employers sponsored their health benefits reported that whether they liked their job’s health coverage was a key in deciding to stay at their current position, while 46% said health insurance was either the deciding factor or a positive influence in choosing their current position. Furthermore, employees who are insured are more productive while at work. See also: Digital Insurance 2.0: Benefits   No small business is too small to offer benefits. Under federal law, a small business must have at least one full-time equivalent employee other than the owner, spouse or family member to qualify as a small business and obtain health insurance. As long as your company qualifies as a small business under the ACA, you can provide your employees with healthcare. There’s often confusion surrounding small business health insurance that may prevent a small business owner from taking the crucial steps to make sure the team is covered. Shopping for and purchasing employee benefits has modernized and become easier over time thanks in great part to continuously improving technology. With all of this information and technology at your fingertips, you can feel confident in taking the next steps to provide health insurance to your employees.

Sally Poblete

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Sally Poblete

Sally Poblete has been a leader and innovator in the health care industry for over 20 years. She founded Wellthie in 2013 out of a deep passion for making health insurance more simple and approachable for consumers. She had a successful career leading product development at Anthem, one of the nation’s largest health insurance companies.


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