The number of employees you have in your company not only affects the health plans available to you and it can and will affect your rates as well. It is important to understand how your company size affects group health coverage for your company.
California is unique in that it passed AB 1672 in 1999.
AB 1672 has important rules and regulations for companies with 1-50 employees.
Essentially, within AB 1672, there are protections for this size group in regards to guaranteed issue, guaranteed renewal, and rate increase limits. Larger than 50 employees is deemed "Large Group" and the plan options are completely different than those with 1-50 employees. One note...by 1-50 "employees", this includes owners and officers as well.
Keep in mind that the majority of companies in California have an average of 3-5 employees.
Small Groups are the base for our economy. There are also many single person
groups (sole proprietors for example) but the group market options are not
extended to them.
A quick synopsis of the main protections provided by AB 1672 for Small Group with Employees of 2-50 employees/owners
Guaranteed Issue. Basically, this states that a company cannot be declined or denied coverage if they meet the eligibility requirements regardless of health or type of industry.
Guaranteed Renewal states that a California group health insurance carrier must renew a group health plan for a small business, as long as two conditions are met:
1. There has been no fraud with the policy and
2. All the premiums have been paid.
Since the ACA law passed, there are no longer RAF or Risk Adjustment Factors. Before, a carrier could increase or decrease this factor by 10% based on the size and health of the group.
That no longer applies.
Every company has one rate basis now.
Some carriers have the option to offer multiple group health plans to each employee in a group.
For example, Anthem Blue Cross's Employee Elect allows Small Groups to offer most of suite of plans to each employee all the way down to 2 employees.
Other carriers only offer this flexibility for certain size groups. Employee Elect has really been hard to beat on the market as it can provide a fixed budget for the employer and complete flexibility and choice of health coverage to each employee based on his/her health needs
YOUR GROUP PROPOSAL
One Form...Multiple Options:
Enter Basic Census Info Today!
PAYING INDIVIDUAL PLANS
Be Careful - $100/Employee/Day!
Call to Enroll over the Phone in 15 Minutes
Make sure you have the best options
"My sincere thanks for making a miracle happen- 2014 health insurance !! Many thanks for your expertise and advice yesterday !!"
"Thanks again for your help - I had absolutely no idea how to get this done when I got up this morning. You've made it remarkably easier than I expected. I hope you're not stuck at the office all night..."
"Anyway, I hope you got some time off this past week! Thank you again for your help and efforts on my behalf! I was very lucky to find you."
"I thank you very much for the time that you have invested in handling everything
"I truly appreciate the quick response and will think of you in the future if I need to make any changes to my insurance plans."
"You are awesome... takes a huge worry off my back, thank you for your kind. thanks for your time and kindness. !!"
"Wow, I can't thank you guys enough for your help...I couldn't imagine trying to tackle this on my own!"
"You are my new best friend. A HUGE thank you again.
20 years of experience in the California health insurance market has taught us one thing...Competent and experienced guidance is Invaluable
We can quickly (very important) size up your health insurance needs and clearly explain the options available to you. Our focus is finding the most coverage at the best cost to you.
We are licensed Covered Ca agents with in-depth knowledge of their plans, process, and tax credits.
Call us...you will be Pleasantly Surprised. 866-486-6551
We'll quickly see if you have the best priced plan available and if you qualify for a tax credit866-486-6551
This website is owned and operated by Goodacre Insurance Services, which is solely responsible for its content. This site is not maintained by or associated with Covered California, and Covered California bears no responsibility for its content. The email address and phone numbers that appear throughout the site belong to Goodacre Insurance Services, and cannot be used to contact Covered California.