Now is an opportune moment to establish a group health plan, and the process may be more straightforward than anticipated. Consider this: for January 1 effective dates, small employers are exempt from participation guidelines. This presents a unique opportunity, and we are here to assist you in making the most of it. Explore the details of the Special Enrollment Period for Small Employers to ensure a seamless and timely implementation of your health plan.

From November 1 to December 15, a Special Enrollment Period is available for small employers (1–50), granting them an exemption from participation and contribution requirements. This less-known provision of the Affordable Care Act mandates health insurance companies to provide an annual Special Enrollment Period for January 1 effective dates. FYI – You do need to have at least one 1099 or W2 in addition to yourself.

During this period, employers are not obligated to meet the standard 75% participation requirement or adhere to the 50% premium contribution rule. Whether there is one interested employee out of 20 or a different contribution setup, the flexibility is yours to decide.

The advantages of offering a group health plan include mitigating the impact of rising individual market prices, , providing multiple plan choices, and enhancing attraction and retention of talent.

Moreover, the employer's 100% tax-deductible contribution is a business expense, and employees can pay their portion with pre-tax dollars, leading to tax savings for both parties. To seize this opportunity and establish yourself as an Employer of Choice, act promptly.

We recognize the distinctiveness of each business entity. In our dedicated efforts to craft policies and services that enhance the well-being of your organization, we remain mindful of your unique culture, goals, and budgetary considerations. The significance of our consultative approach lies in its critical role throughout the entire process. Whether exploring fully insured, self-funded, or level funded options, we extend our expertise to large groups of 50 or more.