(512) 203-7315 Round Rock, TX

Group Health Insurance,

Group Health Insurance

Origin Insurance Agency - Your Group Health Insurance Professionals

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Here at Origin Insurance Agency, we work with a diverse group of employers across several industries.  Some of our clients are even other insurance agents!
 
We build benefit solutions to fit the unique needs of each organization.   A well-structured benefit package can ease the impact of some of life’s most common issues.  Once we’ve come up with the right solutions for your team, we will work with you every step of the way to implement the plan.  We can be as “hands-on” as you would like us to be.

  • Open Enrollment services, including individual sessions with each employee with one of our Professional Benefits Counselors
  • Prompt service & communication, at inception and throughout the plan year
  • Compliance Resources for measures like ERISA, COBRA, etc.
     

Employer Compliance


State regulations and a federal law called COBRA (Consolidated Omnibus Budget Reconciliation Act) allow employees to maintain benefits for a time after leaving a job. COBRA doesn’t apply to all small employers with under 20 employees, but state continuation requirements do. Employers are required to tell employees about their rights to continue coverage. Former employees who choose to continue their coverage through COBRA or state continuation must pay the full cost of the plan.  This will be included in your ERISA SPD/Wrap documents.

How Insurers Calculate Premiums for Small-Employers


Insurance companies base the rates employers pay on an Adjusted Community Rate (ACR). The health status of employees won’t impact rates.  Rates are filed with the Department of Insurance based on:
  • Age of employees. Older people usually have more expensive and more frequent health-related claims. Generally, the older your workforce, the more your plan will cost. However, federal law prevents insurers from charging more than three times more for older employees than they charge for younger employees.
  • Geographic area. Health care costs vary by region because of differences in the cost of living and the number of providers in the area. Most plans use either the county or ZIP code of the employer’s business address to base rates.
  • Tobacco use. Federal law allows health plans to charge tobacco users up to 50 percent more. Texas law requires that rating factors related to health status be spread across the employer group. A group with more tobacco users will pay higher rates than a group with fewer tobacco users.

Federal Health Care Reform Requirements


Small businesses with more than 50 full-time plus employees face a penalty if they don’t provide health insurance to their employees.
Federal law defines a full-time employee as one who works at least 30 hours during a typical week. The law counts each 120 hours worked by part-time employees in a month as one full-time equivalent employee.
If you are unsure if your company might be an Applicable Large Employer (ALE), please reach out for a free consultation.

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