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California health insurance - Group Health Insurance - Best Values in the Market

Best Value for California Group Health Options

The group health market is under tremendous pressure to offset the increasing cost of offering benefits to employees. With the new mandates of the ACA health care law, group rates have seen very large increases for most groups and the bulk of companies will experience this transition late 2014.

So what can a company do to get the best value on the benefits market?

We have put together the best current options for California companies on one page to help you find the right fit for your needs. Let's get started!



ACA tax credits diagram showing premium subsidy savings for California group health insurance plansCovered California for Businesses

The core plans are not different within the Exchange but the possibility of having the government pay part of your premium needs to be examined first.

You may be able to get 50% of the health premiums subsidized

There are two main requirements:

  1. You employ 25 or less employees
  2. The average salary is less than $50K (not including owners/officers)

If you meet these two baseline requirements, call us or run your Group health quote right away.

Request Quote for Covered California for Small Business



CalChoice private exchange logo for California group health insurance marketplacePrivate California Exchange for Group Benefits

If we're not able to qualify for tax credits, we then look at Cal Choice, California's first and only private exchange for companies.

So what's the benefits there?

Cal-Choice allows companies to mix and match different plans from different carriers. We can establish a defined contribution from the company to protect a company's budget and then let the employees choose according to their needs and budget.

That alone is a cost effective option but the Cal Choice further offers lots of extras that companies generally pay for.

In fact, the POP 125 can actually save the company and employees real money.

Their Benefit Solutions is a huge find for employees and we can help you quote, navigate, and enroll in their private change with ease (and speed).

Request California Private Exchange Quote


Employer reviewing defined contribution health insurance plan options for California employeesThe Mini-Cafe Plan

If we're interested in the lowest price value on the market at a given benefit level (across the spectrum), the Mini-Cafe is the way to go.

You simply provide us:

  1. Your basic census information (dates of birth, zip code, and dependent make-up) and Your monthly budget (ether per employee for the company).
  2. We then quote the entire market (100's of health plans) to find the best value for your given benchmark. We can then provide worksheets and benefit comparisons by employee which shows their costs for multiple plans after the employer's contribution is subtracted.
  3. We find a better costs for similar (and occasionally better) benefits 70% of the time

Request Quote for Mini-Cafe Plan



Covered California for Small Business logo for group employee health insurance plansCancelling Group Benefits and Going to Covered California

What if you can no longer afford group health benefits or your company does not meet the eligibility requirements? We can help you investigate if tax credits are available to your employees on Covered California.


More and more companies are going this direction as the rate increases continue to pile up.

A company needs to be very careful when investigating this approach to avoid serious penalties from the IRS.

We can help you investigate this option. We have helped 1000's of Californians enroll in Covered Ca CORRECTLY. This is a huge deal since providing the wrong information can result in having to pay back $1000's in tax credits. The networks are also quite different so we'll need to evaluate doctor/hospitals needs.

Definitely do not jump into this without experienced guidance.

These are the main avenues of savings on the current group health market. We're happy to evaluate each one for your specific situation.

Our services are free to you but with 1000's of companies successfully enrolled, our experience is invaluable.

You can quickly Request your Group Health Bid for these options and we'll get right to work. Call 800-320-6269 with any questions!

Frequently Asked Questions
▸ What are the best value options for California group health insurance?
California employers typically have several paths to consider, including Covered California for Small Business (CCSB), private exchange arrangements, and alternative plan structures like defined contribution models. The right fit depends on group size, budget, and employee needs - a licensed agent can help compare options at no cost to you.
▸ What is Covered California for Small Business and how does it work?
Covered California for Small Business (CCSB) is the state-run marketplace where eligible small employers can offer employees a choice of plans from multiple carriers. Employers set a contribution level, and employees choose a plan that fits them - giving both sides cost predictability and flexibility.
▸ Can employees switch to Covered California individual plans if a company drops group benefits?
Losing employer-sponsored coverage is generally a qualifying life event that opens a Special Enrollment Period for individual Covered California plans. However, the transition involves important timing and coverage considerations, so getting experienced guidance before cancelling group benefits is strongly recommended. Get an individual or family quote to compare your options first.
▸ Does a company have to offer health insurance to employees in California?
Under the ACA, employers with 50 or more full-time equivalent employees are generally required to offer qualifying health coverage or face potential penalties. Smaller employers are not federally mandated to offer coverage, though doing so can be a valuable tool for attracting and retaining employees. See does a company have to offer health insurance in California for more detail.
▸ Is it cheaper to get health insurance through an employer or on your own in California?
It depends on factors like how much the employer contributes, your household income (which affects individual market subsidies), and the plans available in each market. Some individuals may find individual market options competitive, especially if subsidy-eligible, while others get better value through a well-funded group plan. Speaking with a licensed agent can help you compare both markets side by side.
The answers above are general information about California health insurance and may change as rates, plans, and rules are updated each year. They are not a substitute for personalized advice. For current, personalized guidance, please contact us, email help@calhealth.net, or call 800-320-6269. Serving California since 1994.
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