3 Things Every Employer Should Know Before They Pick A Health Insurance Plan


Annual health insurance enrollment is coming up soon and many employers are still struggling to find a commercial insurance health plan that will fit their needs. However, there are some things every entrepreneur should know before they pick a health plan for their employees. Here are a few of them.

Understand Which Options Are Open to You

There are many health insurance categories to choose from and many people are completely unaware of how they differ. Defined benefit plans, for instance, are usually what most people think about when they think about employer provided insurance.

With defined benefits plans, the employer offers a group plan to employees and the employee will be limited to the few service providers within the network. Defined contribution plans work differently. The employer will usually offer an allocation to its employees and the employee will then have the option of choosing which plan works the best for them.

With professional employer organizations, you can offer the same benefit rich plans as big companies offer without the scale. Professional employer organizations will usually co-opt your employees and transfer the savings they get through a variety of providers down to your employees. This is often the case with companies that offer short term health insurance.

Think About Wellness Programs

Yes, health insurance is one thing, but it would be nice to also have a solid prevention plan in place to reduce the chances of absenteeism and ensure that you have a healthy workforce. Having solid preventative measures in place is a surefire way to reduce healthcare costs and small business insurance. Implementing wellness programs with bonuses and tracking results with the use of fitness trackers is a growing trend at the moment and can work wonders on your employees’ morale.

Also, you could consider offering discounts to employees who enroll in your wellness program to encourage participation. However, make sure that everything is clearly stated in writing and part of the health insurance contract as some employers had to suffer legal action for not charging the same premiums to all their employees.

Understand the Differences between HMOs, PPOs and EPOs

It is very important for any employer to fully understand the difference between the type of plans they offer employees. Health maintenance organizations, or HMOs for short, will lower the costs your employees have to pay for healthcare, but will significantly limit the number of providers they have access to.

PPOs, or preferred provider organizations, are similar to HMOs, but they offer more payment protection options. In this case, employees don’t need referral to consult a doctor and can choose providers from outside the network. However, costs will usually be higher. Also, premiums for PPOs are usually higher than with HMOs.

EPOs, or exclusive provider organizations, are like a fusion of both. Employees will still be limited to a set group of providers within the network, but there will be no need for a referral to see a professional.


Choosing a good health plan is essential for the well being of your employees. Before you decide on a plan, it would be wise to see what your competitors are doing. This will give you a good indication of what you can afford and what works best in your line of business.

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