Our Small Group Division specializes in delivering services to hundreds of small employers. We offer a wide spectrum of insurance and related services. We can talk with you about your challenges and needs and work with you on specific solutions.
The Ultimate Small Business Challenge: Healthcare Reform
The rules have changed under the Affordable Care Act. They are different for small employers than they are for larger employers. Here are some important questions a small employer should be asking:
Defining Small Employer Groups Under the Affordable Care Act After 2013, each state will define a small group by one of three available methodologies. Generally, the definition of a small group is any group that has up to 50 eligible employees. However, the states of PA, NY, VA, KY, IL, SD, TX, and UT have adopted the average total number of employees or ATNE method of determining group size. This means that all employees who receive a W-2 from the employer group must be included in the total employee count. This includes full-time, part-time and seasonal employees. The total number of employees is then averaged over 12 months to determine the average total number of employees or ATNE. Small groups are not subject to pay or play penalties under healthcare reform but are required to offer essential benefits in their plans. It is extremely important that employers correctly calculate their average total number of employees to stay compliant under healthcare reform.
- Are we a small or large group under the Affordable Care Act?
- Are we required to offer medical coverage to our employees?
- What is modified community rating and how will it affect our medical plan rates in 2014 and beyond?
- What are “essential benefits” and how will they change what we offer to our employees?
- How will taxes impact our premium rates?
- What are “metal level” plans and what does that mean to our employees?
- Are there financial penalties that we should be aware of as a small business?
- Do we qualify for the small business tax credit and what do we need to do to take advantage of the savings?
- What are the pros and cons of dropping coverage for our employees altogether?
- What is the S.H.O.P. marketplace?
- Is self-funding a viable and safe alternative for our group even though we are a small employer?
- Has our insurance agent been out in front on these issues and provided our company with meaningful guidance?
The truth is, small business owners and executives have businesses to run. Most do not have the time to devote or interest in getting healthcare reform right. That’s where we come in. Benefits Network can quickly assess your situation and present you with viable choices.