Pembroke Pines Group Health Insurance & Employee Benefit Plans

Pembroke Pines FL Large Group Health Insurance Plans

The Affordable Care Act (ACA) requires all group health insurance plans to comply with standards for essential benefits. If a program doesn’t provide the specified elements, the sponsoring employer can be found non-compliant with ACA rules. The ten benefits that a large group health plan must cover are these:

1. Ambulatory patient services (outpatient care)
2. Emergency services
3. Hospitalization, including surgical and medical
4. Maternity and newborn care, including delivery
5. Mental health and substance use disorder services
6. Prescription drugs
7. Rehabilitative services and devices
8. Laboratory services
9. Preventative and wellness services, including chronic disease management
10. Pediatric services, including dental and vision care for children under the age of 19

One of the subscriber services that every plan must include is preventative care, along with wellness services and chronic disease management. These services must not be subject to a copayment. Preventive care typically includes vaccines, screenings for high blood pressure, cholesterol, and certain cancers. In addition, some employers add incentives for healthy activities like exercise, quitting smoking, and reducing stress. These incentives can be as simple as providing employees with an exercise monitor when they sign up to participate. Others have programs that include competitive teams, rewards for participation, and discounts for meeting specific goals.

Pembroke Pines FL Small Business Health Insurance Plans

Small businesses in Pembroke Pines aren’t obligated to provide health insurance to their employees. Since not every small company includes health insurance as a benefit, those that can may enjoy a recruiting advantage. However, small companies may struggle with the cost, which seems to increase yearly.

One way to maintain control over expenses is to share the premium expense with the employees and to offer a more cost-effective provider model. For example, a plan structure using PPO, HMO, or POS program, possibly with a higher deductible and copayment options, can reduce the premium cost for the company and the employees. PPOs (preferred provider organizations) are often more popular with workers because the subscribers aren’t limited to providers in a specific network as they are with an HMO. Another potential expense management tool is a high deductible plan paired with a health savings account. The deductible must be high enough to satisfy IRS standards, or the HSA will be disqualified. Ask your consultant if this might be a good fit for your business.

Pembroke Pines FL Employee Benefit Plans and Employee Benefit Packages

Employee benefits include various components, usually highlighted by health insurance and paid time off. Some of the more requested benefits include:

• Paid time off (vacation, holiday, and sick leave)
• Family leave
• Retirement support
• Health Insurance
• Dental and vision insurance
• Flexible working schedules
• Remote or hybrid location
• Childcare support (and elder care assistance)

Group Health Insurance and Employee Benefits

Group insurance is a form of insurance offered to specific groups of people working together. This could work well in organizations and companies where the employer picks a suitable plan for their employees.

Employee benefits, offered in addition to employees’ monthly salaries, could work as an incentive hence boosting morale in the workplace.

Who We Are

Located in San Jose, CA, Taylor Benefits has been providing group insurance and employee benefits plans for our nationwide customers since 1987. We offer group insurance and employee benefits plans for large and small businesses. Our company can be trusted to provide you with the right services to help you handle your premiums all year round.