Coverage Options

We understand different businesses have different needs. Our Group Benefits team has experience assisting small to large organizations find the best group health insurance plans available. 

Our team is dedicated to providing your business the customized service it deserves. 

More Options

 

When we shop for your group health insurance, we access all of our markets so we can find your organization the most robust and affordable health insurance options.

Personalized Service

Our Group Benefits team wants you to have your ideal scenario. We can manage your open enrollment meetings, and get your Human Resources team equipped with all the resources you need to have a successful open enrollment.

Capacity to Support You

We have the capacity to support small to large sized organizations with their Group Health insurance needs. Our Group Health Insurance team has experience managing group health for organizations with as little as 10 to over 1,000+ employees.

Group Health
Insurance

CARRIERS WE WORK WITH
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Terms You Should Know

Affordable Care Act (ACA):

US employers with 50 or more full-time employees were required to offer these full-time workers compliant health coverage.  Under ACA, an Applicable Large Employer’s (ALEs) health plan is considered affordable if the employee’s required contribution to the plan does not exceed 9.56% of the employee’s household income for the taxable year. out-of-pocket maximum to make sure it complies with the ACA’s limits for the 2018 plan year ($7,350 for self-only coverage and $14,700 for family coverage).

Employer Contribution:

As an employer who is shopping for benefits, you will be asked how much you want to contribute toward benefits for employees and their dependents. The amount you choose to contribute will determine your overall cost. In addition, you may have the option to contribute a different amount for individual employees and employees with dependents.
You will have the option to contribute with either a maximum dollar amount or a percentage of the total cost, per pay period.

Deductible:

A plan’s deductible is the amount that a member (and/or their dependents) is required to pay for covered in-network services each year before the plan will pay. There are separate in-network and out-of-net-work deductibles.

Coinsurance:

Coinsurance is a percentage that an employee pays of the allowed amount for covered health care services to providers who contract with Humana. In-network coinsurance usually costs an employee less than out-of-network coinsurance.

Co-Payment:

A plan’s office visit copay is a fixed amount ($20, for example) that a member pays for an office visit after you've paid your deductible.

Out-Of-Pocket Maximum:

This is the maximum amount a member will pay out-of-pocket for covered services in a single plan year. After an employee has spent this amount on deductibles, co-payments, and coinsurance, Humana pays 100% of the costs of covered benefits.

The out-of-pocket limit doesn't include monthly premiums. It also doesn't include anything spent for services the plan doesn't cover.

Prescription Co-Payment:

A medical plan’s Prescription copay is a fixed amount that an employee will pay toward the cost of each separate prescription fill or refill. The copay may vary based on the specific drug prescribed.


The out-of-pocket limit doesn't include monthly premiums. It also doesn't include anything spent for services the plan doesn't cover.

         PPO:

 

A Preferred Provider Organization (PPO) is another type of health benefit plan that gives employees the freedom to choose their own doctors and hospitals. Employees pay less if they use providers that belong to the plan’s network, and may use doctors, hospitals, and providers outside of the network for an additional cost.

         POS:

Point of Service (POS) plans are similar to a PPO in that an employee with a POS plan will pay less if they use providers that belong to the plan’s network, but may also use doctors, hospitals and providers out-side the network for an additional cost.


Compared to most PPO plans, a POS plan may offer improved dis-counts and a broader network of providers.

        HMO:

 

A Health Maintenance Organization (HMO) is a type of health benefit plan that usually limits coverage to care from doctors who work for or contract with the HMO. It generally won't cover out-of-network care except in an emergency.


An HMO may require employees to live or work in its service area to be eligible for coverage. 

PREFERRED PEO & PAYROLL PROVIDERS

We have partnered up with the top PEO & Payroll providers in the country to provide our clients the most competitive solutions for their Human Resources needs. Contact us today to learn more how you can bundle your Group Benefits, Workers Compensation and Payroll with one of our preferred providers.

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We Can Bundle Your Business Insurance Policies

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