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Texas Small Group 2-50 employees
Texas Small Group Health insurance 

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Texas insurance law allows a wide array of small employer health care coverage plans and packages.


This means that finding the right employee health plan at the right price can be challenging. But it also means that small employers who take the time to search carefully can find plans that suit their – and their employees’ – needs. When choosing a health plan for your small business, it pays to shop around.

In Texas, the term “small employer” as it relates to insurance means a business with two to 50 eligible employees. The law provides some added protections to these businesses, including a 15 percent annual cap on rate increases due to health factors, a state-enforced guarantee that carriers cannot arbitrarily discontinue coverage, and a cooperative purchasing provision that lets small employers pool their purchasing clout to negotiate lower rates.

For employees of small businesses, the law provides several ways to maintain benefits after leaving a job and limits the waiting period before a health plan will cover pre-existing conditions.

Beyond these requirements, small-employer carriers may offer a wide variety of plans, with virtually any combination of features and benefits.

We provide a wide-range of affordable insurance plans. Whether you have two employees or more, our coverage options are truly an excellent benefit for your staff.

If you would like a group quote select this link:
Small Employer Insurance group request

 

Group health plans

Group plans are commonly offered by employers as part of an employee benefits package.  Most Texans with health coverage are in employer-sponsored group plans, through either their own employer or their spouse’s employer. The state and federal laws for group plans are somewhat different depending on the size and nature of the group. Texas law contains special provisions for plans offered by small businesses. For instance, some state-mandated benefits that must be included in plans offered by large employers do not have to be included in small-employer plans.

Employers and groups aren’t required to offer health coverage to their employees and members. Those that do are not required to contribute toward plan premiums. Some carriers, however, may require employers to pay 50 percent or more of an employee’s premiums.

Small-employer plans are plans sponsored by businesses with between two and 50 eligible employees. Eligible employees must be full-time employees who usually work at least 30 hours a week. In addition, they may not have health coverage through some other source and must not be seasonal, part-time, or substitute workers. If a small employer offers a plan, it must be made available to all eligible employees equally.

 
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Are your Eligible?
Eligibility Tool can help you determine whether you qualify for Medicare.  Then you decide if you need a Medicare Supplement policy or Medigap Insurance.

2010 Choosing a Texas Medigap Policy:
A Guide to Health Insurance for People with Medicare. This is the official government guide with important information about: what a Medigap (Medicare Supplement Insurance) policy is, what Medigap policies cover, an individual's rights to buy a Medigap policy, steps to follow when he/she buys a Texas Medigap policy and switching Texas Medigap policies.
2010 Medicare & You:
This is the official government handbook with important information about the following: what's covered, preventive services, health plans, prescription plans, and member rights and appeals.
 

Small-Employer Coverage Eligibility
Texas businesses with two to 50 “eligible” employees may obtain small-employer coverage from either a traditional insurance company or a health maintenance organization (HMO). Eligible employees are those who usually work at least 30 hours per week; are not temporary, part-time, or seasonal; and are not already covered by another group health plan. Sole proprietors, partners, and independent contractors are also eligible employees if they are included as employees under a small employer’s coverage. A business’ owners count toward the employee total. Learn More

Types of Plans
Health plans are classified as either “state-mandated plans” or “consumer choice plans.” A state-mandated plan provides certain required minimum features and coverages. A consumer choice plan is any plan developed by a carrier that excludes some state-mandated benefits. You will generally have a lower premium for consumer choice plans. Learn More

Shopping for Coverage
Because premiums, deductibles, copayments, and coinsurance levels can vary widely from plan to plan, it pays to shop around. When shopping for coverage, keep these guidelines in mind:
w Be sure you understand the full extent of each plan’s coverage when comparing plans and rates. If you decide to go with a consumer choice health benefit plan over one with all the state-mandated benefits, the carrier or agent is required to explain in writing which coverages you don’t have.
w Plans with higher deductibles, copayments, and employee share of coinsurance generally will have lower premiums. Keep in mind, however, that your employees will also have to pay more out of pocket when they access services or benefits.
Learn more

Employee Signup and Waiting Periods
New employees must be given at least 31 days from their start date to enroll in a plan. After this time, they may be required to wait up to one year for the next “open enrollment period” to join. Carriers must offer a 31-day open enrollment period annually.  You can choose to require your employees who enroll in a plan to wait up to 90 days before being eligible for benefits. During this period, the carrier may not charge you or the employee a premium. Learn more

How Small Employer Plan Premiums are Calculated
The rates for any given small employer plan are not solely determined by the benefits and deductibles of the plan itself. Certain objective “case characteristics,” along with any health status-related factors of your employees, may also be components in determining the premium rate for the small employer group. Case characteristics consist of age, gender, group size, industry, and geography. Carriers can use some or all of these five objective criteria: wAge of employees wGender  wNumber of plan participants  wIndustry wGeographic area  Learn More

We provide a wide-range
of affordable insurance plans.
Whether you have two employees
or more,
our coverage options are truly
an excellent benefit for your staff.

If you would like a group quote select this link:
Small Employer Insurance group request

 

 
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Areas we serve best:
Allen Texas; Argyle Texas; Arlington Texas; Austin Texas; Bartonville Texas;
Health Insurance Carrollton Texas; Health Insurance Coppell Texas; Copper Canyon Texas; Corral City Texas; Corinth Texas; Corpus Christi Texas;  Health Insurance Dallas Texas; Double Oak Texas; El Paso Texas; Farmers Branch Texas; Health Insurance Flower Mound Texas;  ance Fort Worth Texas; Health Insurance Frisco Texas; Garland Texas; Grapevine Texas; Hackberry Texas; Hickory Creek Texas; Highland Village Texas; Houston Texas; Health Insurance Irving Texas; Keller Texas; Lake Dallas Texas; Lakewood Village Texas; Health Insurance Lewisville Texas; Lantana Texas; Little Elm Texas; Lubbock Texas; McKinney Texas; Northlake Texas;  Oak Point Texas; Health Insurance Plano Texas; Richardson Texas; San Antonio Texas; Shady Shores Texas; Southlake Texas; The Colony Texas; Health Insurance Valley Ranch Texas; Westlake Texas; or anywhere in Texas.  No matter where you are in Texas if you are looking for affordable major medical health insurance quote for individuals, seniors or looking for life insurance or dental insurance we can help you!

Disclaimer: All information deemed reliable but not guaranteed. All quotes are subject to underwriting review and no guarantee of insurance implied by applying. Your application may be accepted as preferred, with waivers, rated up, another plan offer may be offered or you may be declined based on your medical history. Before selecting a plan be sure to read the plan summary, actual policy, check to see if your provider is in the network, read the exclusions and limitations and ask any questions that you have. This website and attached links provide a brief description of coverage, but it is not a statement of contract. Neither Susan Speciale, agent(s), insurance company nor information provider(s) shall be responsible for any typographical errors, misinformation, misprints and shall be held totally harmless and do not endorse and cannot guarantee the accuracy of the websites in this directory. Information is provided for consumers personal, non-commercial use and may not be used for any purpose other than to identify prospective insurance plans consumers may be interested in purchasing.