Everyone knows that issues change. Nevertheless, whereas we would imagine that “nothing is definite however loss of life and taxes” because the proverb goes, even taxes change from 12 months to 12 months.

And that is equally true in relation to the main points, advantages, and necessities of small group medical insurance.

Annually issues change, prices usually go up, some features or options are added, whereas others go away. Sadly for the customarily overworked and excessively busy small enterprise proprietor, small group well being protection isn’t actually a “get it and neglect it” product.

As we transfer into the 12 months 2023 and are within the throes of open enrollment, the annual interval when individuals can enroll in a medical insurance plan for the following calendar 12 months, adjustments might should be made.

Take into account that certified small enterprise house owners can get hold of small enterprise well being insurance policies any time in the course of the 12 months, in contrast to particular person well being plans. In different phrases, there is no such thing as a standardized “open enrollment” interval for small enterprise medical insurance.

Nevertheless, yearly, normally throughout open enrollment, your plan’s premiums or advantages might come up for renewal. If and when this occurs, it’s all the time a good suggestion to check costs.



Whereas there are definitely some features of healthcare which might be considerably subjective, corresponding to high quality of care and customer support, most elements relating to healthcare suppliers and plans are measurable. 

Annually, numerous entities take it upon themselves to rank or price medical insurance suppliers to assist shoppers decide the “greatest” by way of numerous classes. These are usually ranked based on greatest worth, greatest general, highest high quality, and so forth. 

Here’s a transient overview of one of the best medical insurance corporations for 2023 primarily based on the collective outcomes of assorted sources.

  • Finest Total: Blue Cross Blue Defend
  • Finest Worth Plans: Oscar
  • Highest High quality Plans: Kaiser Permanente
  • Finest Low-Value Plans: Kaiser Permanente
  • Finest Buyer Service: Humana
  • Finest for Transparency: UnitedHealthcare

One other supply listed what they decided to be the highest small enterprise medical insurance suppliers throughout the board:

  1. UnitedHealthcare
  2. Blue Cross Blue Defend
  3. Anthem
  4. Humana
  5. Kaiser Permanente
  6. Aetna

Yet one more useful resource, the nationwide Chamber of Commerce supplied this rating of what they thought-about to be the 5 greatest small enterprise medical insurance in 2022:

  1. Finest small enterprise medical insurance: Aetna
  2. Humana: High quality medical insurance for native companies
  3. Kaiser Permanente plans for small companies
  4. UnitedHealthcare plans for small companies
  5. BlueCross BlueShield plans for small companies

After all, the “greatest” of something in relation to well being protection is essentially depending on the wants and preferences of these using the providers supplied. 

For instance, as Investopedia reviews

“In the end, your choices are restricted by the supply of plans in your state and the medicine and providers you want coated. However when you’re searching for well-administered plans and a constructive member expertise, Blue Cross Blue Defend gives worth alongside sturdy scores.”



It’s fairly potential that, after reviewing the plans and suppliers obtainable for small group well being protection, it’s possible you’ll wish to contemplate different choices to guard your staff at little or no expense to your organization.

The commonest choice different for house owners is to direct staff to their state’s particular person medical insurance alternate market, corresponding to Coated California, for instance. In case you select to take action, you may as well reimburse some or the entire prices incurred by your staff.

In accordance with,

“If an worker pays the premiums on personally owned medical insurance or incurs medical prices and is reimbursed by the employer, the reimbursement usually is excluded from the worker’s gross revenue and never taxed beneath each federal and state tax regulation. This consists of premiums for tax dependents and opposite-sex spouses. Nevertheless, there are some circumstances by which the reimbursement is taxable revenue, together with the next:

  • If an employer merely pays the worker an additional quantity and doesn’t specify in writing that the quantity should be used to pay the well being protection premium, it is going to be taxable to the worker as revenue.
  • If the employer is self-employed, any reimbursements for their very own or their dependents’ well being care prices are taxable revenue to the self-employed employer.”

As a enterprise proprietor contemplating this selection, it would be best to speak along with your CPA or a tax skilled beforehand.

An alternative choice is to supply your staff what is called a Certified Small Employer Well being Reimbursement Association (QSEHRA). That is an association that permits many small employers to contribute to their worker’s well being care prices. explains it this manner,

“A QSEHRA permits small employers to supply non-taxed reimbursement of sure well being care bills, like medical insurance premiums and coinsurance, to staff who keep minimal important protection, together with a person Market plan. In lots of states, QSEHRAs permit small employers to supply their staff extra plan decisions with out managing group well being plan protection.”

For a small enterprise to qualify for a QSEHRA, an employer usually should:

  • Have fewer than 50 full-time staff
  • Present the association on the identical phrases to all full-time staff (reimbursement quantities might solely fluctuate primarily based on age and the variety of people coated)
  • Not provide a bunch well being plan, like SHOP protection or a versatile spending account (FSA)

When it comes to typical prices with a QSEHRA, an employer can resolve what quantity to contribute to their staff’ well being care prices, with an annual most that’s set by the IRS.

For instance, in 2022 the utmost employee-only contribution is $5,450 ($454.17 month-to-month), whereas the utmost for workers and households is $11,050 ($920.83 month-to-month).


J.C. Lewis Insurance coverage is well-established and family-owned agency of skilled brokers that has been in enterprise right here in Sonoma County for greater than 4 a long time. We provide small group medical insurance plans from most of the main medical insurance carriers licensed to supply insurance coverage in California.

As well as, we’re totally licensed and authorized by every of those insurance coverage carriers to supply protection to small group employers. J.C. Lewis Insurance coverage Providers offers providers for Medicare supplemental and prescription drug plans for seniors.

In case you’re a small enterprise proprietor contemplating medical insurance and even imaginative and prescient and dental insurance coverage on your staff – or simply for you and your loved ones – you’ll doubtless have many questions and considerations.

At J.C. Lewis, we perceive the wants and challenges of small companies, and we all know that offering California medical insurance choices on your staff is usually a daunting and sophisticated endeavor. Ideally, it would be best to discover a stability between protecting prices inexpensive for you, whereas providing one of the best choices obtainable to your staff.


J.C. Lewis Insurance coverage Providers welcomes your questions relating to insurance coverage protection, and you’ll be assured that we are going to assist you discover the appropriate answer.


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