KATHY HOPE

Insurance Broker

CALIFORNIA
 LIC # 0793269

 

800-792-9114
 

        
 













                   


 

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SMALL BUSINESS
HEALTH  INSURANCE  CALIFORNIA

Types Of Small Business Group Insurance Plans 

  

Group Health Insurance Small Business comes in many packaged choices from each of the major providers. Each "choice" includes one or more of the types of plans listed here and detailed below.

Insurance Advisor's role is to first help you identify your company's needs and requirements. We then match the result to the best "packaged" group health insurance options available for you and your employees.

Small business health insurance California, although using the same types of plans available to individuals, provides the additional benefits of guaranteed issue of coverage ( no matter what pre-existing conditions exist),  tax advantages to the employer and overall lower costs to both employer and employee. 

F o r   Y o u r   R e v i e w  ...

SMALL BUSINESS HEALTH  INSURANCE PLANS

PPO - Preferred Provider Organization

This is a network of doctors and hospitals that has agreed to accept a discounted fee for their services from the plan. 
 
It just may be the plan for you if you like the freedom of choosing your own doctor and hospital and are willing to pay some of the costs. 

Some basics include:


You may go to any doctor in the network at any time without a referral, including all specialists.

A co-pay at doctor's office of $15 - $45.



You may go out-of-network "at will" to any top specialist for your serious problems. 

No claim forms or paperwork. 

Prescription coverage is included. 

HMO - Health Maintenance Organization

The most controlled type of plan as you must use the HMO's doctors and facilities.  Medical care outside the system is not covered.  
Some basics include

Lower out-of-pocket costs.

Lower deductibles and plan limits.

Low cost doctor visit co-pays of $15 -$45 

No paperwork or claim forms.

POS - Point of Service

This plan combines some of the features offered by HMO and PPO plans. A network of providers is included in the plan.  If you outside the network only partial coverage is provided and a deductible may apply.
Some basics include:

A Primary Care Physician is Selected

Preventive Care Visits are Covered

Non-Network Services Cost More.

HSA - Health Savings Account

Health savings accounts or HSA's were developed by the government to help provide low cost health insurance for both groups and self-employed persons. HSA's are one of the more popular California self-employed health insurance plans. 
 

According to the IRA...an HSA is a tax - exempt trust or custodial account established exclusively for the purpose of paying qualified medical expenses of the account beneficiary who, for the months for which contributions are made to an HSA, is covered under a high deductible health plan (HDHP).

 
In simpler language, a health savings account (HSA) is like a bank account that works with your health plan.  As money is added to your account, you can use it to pay for most health care expenses, as they are included within the HSA as health savings account eligible expenses. 

Examples of what might be considered health savings account eligible expenses are the money you may need to pay before your individual health plan begins to make payments - called deductible - or medical expenses not covered by your health plan such as dental, counseling, etc.

If you don't spend all of the money in your health savings account, the remaining balance rolls over to the following year earning tax-free interest.  You don't lose any money that you don't spend. 

HSA accounts belong to each employed or self - employed  individual, not the employer ... although employers may contribute to an HSA. 

*Note: An individual who contributes $1,000 each year starting in 2007 and makes catch-up contributions can accumulate:

$23,000 after 10 years
$47,000 after 20 years
$81,000 after 30 years
$127,000 after 40 years.

HRA - Health Reimbursement Arrangement

A Health Reimbursement Arrangement or HRA is an employer funded account, not pursuant to a salary reduction election, that provides tax-free reimbursement to employees for qualified medical expenses. 
The HRA Is Right For Employers:

Who want the most control of the plan.

Who want flexibility in plan design. 


Who can handle compliance and issues of substantiation. 


Who wishes to save money and improve employee retention and health. 

Who wants a lower cost plan. 


Who wishes to establish a bonus contribution for participating in smoking cessation programs. 

Insurance Advisors is happy to meet with you and match your California business with the best California group insurance plan for you and your employees or the best California self-employed health insurance plan for you alone. 

Companies with employees are now able to offer benefits like group insurance, health savings accounts and health reimbursement arrangements that are competitive with the larger companies. You can keep great employees and attract new talent to your small business with a group plan tailored for you.

If you have a California business, send us a list of all your   employees.  We will contact you with our group insurance recommendations.

 
Click Here For Census/Quote Form

 

Carriers We Often Recommend 
For California Residents

Blue Shield - Anthem Blue Cross - Healthnet
Pacificare - Aetna - United Health - Kaiser
Universal Health




 
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