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Finest medical insurance firms for small companies

Increasingly more individuals are deciding to change into entrepreneurs. Roughly 19% of working-age adults within the U.S. had been within the technique of beginning a enterprise or operating a enterprise lower than 42 months previous, in keeping with the 2023 Global Entrepreneurship Monitor report.

As your corporation grows and also you convey on employees, you might want to offer advantages. Companies with fewer than 50 staff aren’t required by legislation to offer medical insurance advantages, however medical insurance is a highly-desired profit. To draw and preserve a proficient workforce, offering advantages could also be important. 

We recognized the main suppliers based mostly on their availability, plan choices and buyer satisfaction rankings (see our full methodology): 


The 5 greatest small enterprise medical insurance suppliers for 2024

  1. Finest General: Blue Cross Blue Shield
  2. Finest for Added Advantages: Kaiser Permanente
  3. Finest for Micro companies: UnitedHealthcare
  4. Finest for Small to Midsize Firms: Cigna
  5. Finest for Comparability Buying: Small Business Health Options Program (SHOP)

*Final up to date March 12, 2024


For those who’re searching for protection, discovering the suitable supplier might be daunting. That will help you slender down your choices, we chosen the 5 high suppliers of small enterprise medical insurance: 

Finest General: Blue Cross Blue Protect

About: Blue Cross Blue Protect (BCBS) is a company made up of 34 impartial and locally-operated BCBS firms. Mixed, BCBS offers protection for 114 million folks, or about one-third of Individuals. 

BCBS is a number one supplier for small enterprise medical insurance, giving protection to staff of 6.9 million small enterprise employers. 

  • Minimal variety of staff: Varies by state, however usually employers want at the very least one or two staff
  • Availability: 50 states
  • Buyer help: Buyer help is offered by the impartial BCBS group behind the well being plan. For instance, small companies in Florida can get protection by Florida Blue, and so they’d contact Florida Blue immediately for assist with insurance policies and funds. Buyer help is reachable by on-line portals or telephone. 

Our verdict

Blue Cross Blue Protect is likely one of the few suppliers that has insurance coverage choices in all 50 states, so it’s a good selection for companies nationwide. Its impartial BCBS firms usually have choices for small to midsize firms. Whether or not you’ve gotten one worker or 100, you possibly can seemingly get protection by BCBS, and you’ll select a community plan that matches your finances and worker wants. 

Finest for Added Advantages: Kaiser Permanente

About: Kaiser Permanente is likely one of the nation’s largest suppliers of not-for-profit well being plans, serving 12.5 million members. Kaiser isn’t accessible in every single place; its plans are solely accessible in California, Colorado, Georgia, Hawaii, Oregon, Virginia, Washington, and the District of Columbia. 

In states the place Kaiser is offered, it’s a top-ranked insurer for buyer satisfaction. J.D. Energy chosen Kaiser as the highest supplier in a number of states, and its plans are extremely rated by the Nationwide Committee for High quality Assurance. 

  • Minimal variety of staff: As little as one
  • Availability: 8 states and the District of Columbia
  • Buyer help: Customer support is offered by the Kaiser subsidiary serving your location, however you possibly can usually get assist by the web portal or by telephone. 

Our verdict 

For those who dwell in one of many states the place Kaiser Permanente operates, it may be a good selection for employers trying to supply strong protection to their staff as a recruitment or retention device. With its plans, you can provide your staff the comfort of telehealth visits and supplemental advantages, together with acupuncture, chiropractic care, and dental and imaginative and prescient protection. 

Finest for Micro Companies: UnitedHealthcare

About: UnitedHealthcare is a significant medical insurance supplier that insures 27.3 million folks. It has plan choices in all 50 states, together with plans for small enterprise house owners and people. Its small enterprise plans enable employers to offer staff a number of choices, and it has strong academic instruments on-line you need to use to study extra about insurance coverage protection for small companies. 

  • Minimal variety of staff: As little as two
  • Availability: 50 states
  • Buyer help: With UnitedHealthcare, there’s a small enterprise on-line portal you need to use to get quotes and think about plan choices. For those who proceed with buying protection in your staff, you’ll be related to a devoted service consultant, and you will get help by telephone or e mail. 

Our verdict

UnitedHealthcare is greatest for micro enterprise house owners, or those that personal a enterprise with fewer than 10 staff. Its small enterprise retailer is offered to small enterprise house owners with two to 50 staff, and you need to use the device to get quotes and see what deductible, copay and premium quantities are frequent in your space. For those who discover protection that fits your wants, you should purchase protection immediately by the shop. 

Finest for Small to Midsize Firms: Cigna

About: Cigna is a worldwide well being providers firm with medical insurance choices for small to mid-sized companies all through the nation. Its plans embrace medical, pharmacy and behavioral well being advantages, with a number of plan tiers. 

  • Minimal variety of staff: As little as two
  • Availability: 50 states
  • Buyer help: Cigna has an internet portal for employers, however you need to contact a Cigna Healthcare consultant through telephone to get particulars on pricing and plans in your space. 

Our verdict 

In case you have a rising enterprise, Cigna may very well be a helpful choice. Whereas some suppliers solely supply protection for employers with fewer than 50 staff, Cigna has choices for small to midsize companies, permitting you to get protection for as much as 499 staff. Its plans embrace advantages like digital care and it provides a number of plan tiers, together with high-deductible well being plans. 

Finest for Comparability Buying: Small Enterprise Well being Choices Program (SHOP)

About: SHOP is a program that helps small enterprise house owners present well being and dental protection to their staff. It’s accessible to companies with between one and 50 full-time staff, and it provides you extra management; you possibly can determine to supply your staff one plan, otherwise you can provide them a selection of a number of choices. 

  • Minimal variety of staff: As little as one
  • Availability: 50 states
  • Buyer help: You may evaluate costs and plan on-line, or you possibly can contact a SHOP dealer for personalised help. 

Our verdict 

SHOP is a market that was created by the Reasonably priced Care Act (ACA). By SHOP, employers can evaluate plans and costs from main suppliers of their space. With SHOP, you possibly can management how a lot you pay towards worker premiums, and you might be eligible for worthwhile tax credit which might be solely accessible to employers who enroll in SHOP plans. 

What to learn about medical insurance for small companies

In case you are a enterprise proprietor with 50 or extra staff, the legislation requires you to supply protection to your staff. 

In contrast, these with fewer than 50 staff aren’t required to offer medical insurance. However even if you happen to aren’t legally obligated to offer protection, it may be a wise concept as a recruitment and retention device. In reality, research, together with one carried out by Avalere Health and funded by the U.S. Chamber of Commerce, have proven that providing medical insurance advantages produces a robust return on funding and elevated productiveness.  

You might also qualify for worthwhile tax credit if you happen to supply medical insurance advantages. The Small Business Health Care Tax Credit is price as much as 50% of the prices of your staff’ premiums. To qualify for the tax credit score, your corporation should meet the next standards: 

  • You’ve fewer than 25 full-time staff
  • The typical annual wage of your employees is about $56,000 or much less
  • You cowl at the very least 50% of your staff’ premiums 
  • You supply protection by SHOP to your entire full-time staff 

How to decide on a small enterprise medical insurance firm

When searching for a small enterprise medical insurance supplier, take into account the next variables: 

Worker measurement: Every supplier has its personal worker necessities. Typically, you’ll want between one and 50 staff to qualify for small enterprise medical insurance. 

Availability: Whereas some suppliers supply protection nationwide, others are extra restricted in scope, solely issuing insurance policies in sure states. Equally, some plans enable employees to obtain care in any state, however some plans have extra restrictive native networks. 

Buyer help instruments: Most insurance coverage suppliers require you to work with an agent or dealer to get particulars about value and plan choices. However some firms have on-line instruments and platforms that assist you to get quotes and think about your choices by yourself.

Networks: Insurance coverage suppliers supply plans with completely different community varieties. Relying on the supplier, you might be able to present your employees with the next choices:

  • Unique Supplier Group (EPO): EPOs are managed care plans that solely cowl providers if you happen to go to healthcare suppliers and hospitals inside the community. 
  • Well being Upkeep Group (HMO): With an HMO, you’re restricted to care inside the community, and you need to get a referral to go to a specialist. HMOs are usually the lowest-cost choice. 
  • Level of Service (POS): POS plans are cheaper if you happen to use in-network suppliers, however you want a referral to go to a specialist. 
  • Most popular Supplier Group (PPO): PPOs are sometimes dearer, however they offer coated individuals extra flexibility. In-network suppliers are cheaper, however you possibly can go to out-of-network suppliers, and you’ll see a specialist with no referral. 

There’s lots to think about relating to enterprise insurance coverage, not simply medical insurance for your corporation. Our comprehensive guide breaks down the forms of insurance coverage choices — from BOP’s to general liability and others — that will help you perceive which coverage watches your wants. We have now additionally compiled the best insurance companies for small businesses. For those who function a jewellery retail enterprise, you might wish to take into account Jewelers Mutual’s business insurance particularly designed for jewelers.

Continuously requested questions

Do I’ve to offer medical insurance to my staff? 

You solely have to offer medical insurance to your staff you probably have 50 or extra full-time employees. These with fewer than 50 staff aren’t legally required to supply protection, however you might be eligible for worthwhile tax advantages if you happen to do. 

What are the penalties for not providing well being advantages? 

Employers with 50 staff or extra that don’t supply protection that meets minimal worth and affordability requirements might incur penalties. Relying on what protection you supply, the penalty ranges from $247.50 to $371.67 monthly, per full-time worker. 

What do entrepreneurs do for medical insurance? 

For those who don’t have any staff, you received’t qualify for group plans from small enterprise insurance coverage suppliers. Nevertheless, you might be eligible for a person medical insurance plan by Healthcare.gov or your state medical insurance market. 

Our methodology 

We evaluated seven main suppliers and marketplaces of small enterprise medical insurance. To make our picks, we evaluated every firm on the next standards: 

  • Availability: Desire was given to firms working within the majority of states. 
  • Worker minimums: We appeared for firms with low worker minimums, providing protection to companies with only one or two staff. 
  • Product choices: We targeted on firms with a number of insurance policy, together with a number of community choices and tiers of protection. 
  • Buyer satisfaction: Precedence was given to firms with excessive rankings from the Nationwide Committee for High quality Assurance Scores.

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