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Click to view nishantk's profile Professional nishantk 13 posts since
Nov 9, 2007
15. Re: Healthcare benefit options for small businesses? Nov 9, 2007 2:10 PM

In addition to healthcare benefits, there are other benefits which will help you to keep your Talented Employees feel proud of their job and employer.

Check the link: http://wserver0.prepaidlegal.com/Multisite/Multisite?site=group&assoc=kumar50
Click to view mainstreetifs's profile Mogul mainstreetifs 34 posts since
Dec 20, 2007
16. Re: Healthcare benefit options for small businesses? Dec 22, 2007 4:00 AM
in response to: nishantk
Small business owners that don't want to deal with the hassle of benefits, HR issues, workers comp, 401K administration etc should look into employee leasing companies. Don't get this confused with staffing companies. Employee leasing companies like Administaff, ADP TotalSource, Gevity and Barrett Business Services can offer fortune 500 type benefits to small business owners without the headache of dealing with these issues. These services are not for everybody but they are very attractive for some business owners.
Click to view LUCKIEST's profile SCORE LUCKIEST 7,932 posts since
Aug 6, 2007
17. Re: Healthcare benefit options for small businesses? Dec 22, 2007 12:38 PM
Does this help, LUCKIEST

h3. Health Savings Accounts

Created in January 2004 as part of the Medicare prescription reform
law, health savings accounts (HSAs) are sometimes referred to as
medical IRAs. These plans are increasingly popular and, according to a
May 2005 study by American Health Insurance Plans, more than one
million people are now covered under HSA-based health plans.Many
insurance companies, local banks, as well as specialized administrators
offer HSAs, but be advised, the fees charged to run these plans vary
widely. For an online list of the top ten most affordable providers, go
to www.hsafinder.com/07-05_1.shtml

How do they work?
Like IRAs, individuals contribute pre-tax dollars into accounts that
are tied to a wide range of investment vehicles (savings accounts,
mutual funds or, in some cases, stocks). These accounts can accrue
interest and roll over any unused balances to the next year, unlike
standard Section 125 or “cafeteria” medical benefits plans. These funds
can be withdrawn from the HSA at any time, without penalty, to pay for
legitimate medical expenses not typically covered by the insurer, such
as office visit and prescription drug co-payments, vision expenses, and
dental work. To see a list of federally approved expenses, go to
www.irs.gov/pub/irs-pdf/p502.pdf

An important note: HSAs can only be used in conjunction with
health-insurance policies that have steep annual deductibles—between
$1,000 and $5,000 for individuals, or $2,000 and $10,000 for
families—but these plans typically cover 100% of expenses once this
limit has been met.

Click to view Lighthouse24's profile Mogul Lighthouse24 2,396 posts since
Oct 10, 2007
18. Re: Healthcare benefit options for small businesses? Dec 22, 2007 1:17 PM
in response to: LUCKIEST

Luckiest, high-deductible major medical coverage with an HSA is what I provide for my employees. I think it's the best solution for us, but I'd suggest that any business owner considering it be aware that it's a cost management challenge. The premiums escalate rapidly (zero claims, and yet our premiums had doubled after a year) -- so you have to periodically shop for a new provider if you want to keep the cost down. Of course, changing providers means you may change the provider network that serves your employees (i.e., they'll have to change doctors, pharmacies, etc.) which is understandably upsetting.

Being a small business, I make it a point to not to make that decision myself, but rather facilitate the EMPLOYEES making the decision (increase the deductible, increase the co-pay, pay a portion of the higher premium themselves, or change providers).

I agree that providing health care coverage is a key benefit, but it is a VERY expensive one. I think employees appreciate that more and can see that real value of what you're offering them (instead of complaining about what's wrong with the coverage) if they're aware of the whole picture and making the choices themselves. Larger firms can afford to offer better plans that we do, yet all their employees do it complain (I have one client where the union workers went on strike because in the new contract proposal, the company wanted them to kick in $12 a month to help pay for a zero deductible, full coverage plan for their families -- we should all be so lucky!).
Click to view mainstreetifs's profile Mogul mainstreetifs 34 posts since
Dec 20, 2007
19. Re: Healthcare benefit options for small businesses? Dec 23, 2007 6:20 PM
in response to: Lighthouse24
Lighthouse,

Good call on letting employees choose their coverage. In California there is a provider called CA Choice which will allow the employer to pick a plan they are willing to fully fund and if employees are not happy with it, they can choose their own plan but pay the difference. This program really cuts down on complaints to your HR people. If an employee wants a certain plan they can have it but I find most employees are fine with a HMO plan if they are the ones funding the difference. Most employees have no idea how expensive health insurance really is.

I can also relate to your story about unions. I saved a local firefighters district $300k per year (our tax dollars) on their premiums and actually improved their network but their office copay went up from $5-$10. The union went ballistic and accused me of being unamerican in the wake of 9/11... LOL.. I was fired the next year and they placed their coverage with Aetna direct for $400k more but with $0 office copay. That is what I get for trying to save the fire district some money.
Click to view Concerns's profile Start-up Concerns 4 posts since
Dec 23, 2007
20. Re: Healthcare benefit options for small businesses? Dec 26, 2007 1:41 AM
in response to: mainstreetifs
I personally like the copay options of group plans rather than the HSA plans even if the deductible is higher w/ the copay. Having said that, the copay benefits of small group plans vary from state to state and policy to policy even w/in the same company. I love the small group health insurance plans w/ copay benefit richest plans. This way emergency visits can be covered w/ copay only, doctors' office surgery and lab/x-ray can be covered w/ doctors' office copay. The deductible and any-coinsurance applies to hospitalization and/or perhaps major services done outside of doctor's office w/ such plans...again plans vary from state to state so talk to your local independent broker or make phone calls to various providers....also there're HSA plans that have rate guarantee of up to three years and most providers allow you to offer dual options to your group...agai each stat mandates its own policy so the options and benefits can differ from one state to another....
Click to view CA-Ins-Finder's profile Start-up CA-Ins-Finder 4 posts since
Jan 11, 2008
21. Re: Healthcare benefit options for small businesses? Jan 13, 2008 11:43 AM
Yes, you can offer benefits to any W2 employees. The good news is that the carriers are now offering different levels of coverage to meet small business's budgets. There are plans like HSA plans that are just catastrophic. Then there are plans with generic only Rx and limited office coverage. Some plans even package dental/vision.
The more benefits that are added to the policy the higher the price goes. Please feel free to go to our web site for quotes and information and I will be in the office tomorrow. You reach us at 877-840-0554 and ask for Don
Click to view Concerns's profile Start-up Concerns 4 posts since
Dec 23, 2007
22. Re: Healthcare benefit options for small business? Jan 15, 2008 4:03 PM
in response to: travelmom
Travelmom,

Benefit Plans are not Insurance plans. Benefit plans are discount plans and have no "insurance". I have had few clients who were convinced to drop their insruance plans and replaced it w/ benefit plans. Customers would come back to me with high bills especially those who incurred high bills. Comprehensive health insurance plans pay all eligible expenses up to the pre-defined limits, ususally about $5,000,0000---once you meet any of you shared cost be it copay, deductible &/or coinsurance. Benefit plans are 'discount' plans or 'negotiated benefits' with the appropriate provider(s). These discount plans are similar to the health insurance company's in-network rates with the appropriate providers.

As for the many health insruance plans, buy health insruance for its health insruance benefits that is appropriate for your group. Independent health insurance brokers can usually walk you through your appropriate options since there're policies and/companies that catter best to different situations...the premiums usually depend ont he age, industry, & overall health of your group. I just had a 2-life small group whose premium was $265 a month & some that're paying $1,600 for 2-lives. So it really just dependes on your census info & your group's final rates. You can always offer dual option plans. For those w/o prior coverage, HMO plans are typically a great option...in some states POS plans have similar privillages where they've the best of both worlds, that of HMO & PPO plans. Some get high deductible non-HSA plans--Rx copay is important! My customers who do save on the doctor's office premium, tend to make arrangements w/ health providers to curve their out of pocket expenses, yet they're covered for catasrophics.

Insurance is about risk management. If you need to run ideas, you can call me at 512-246-0007.
Click to view CorpCons08's profile Mogul CorpCons08 1,128 posts since
Nov 14, 2007
23. Re: Healthcare benefit options for small business? Jan 16, 2008 12:29 AM
in response to: Concerns
Concerns,

Thank you for clarifying this.
I asked twice and got no answer from travelmom.

CC08
Click to view CorpCons08's profile Mogul CorpCons08 1,128 posts since
Nov 14, 2007
24. Re: Healthcare benefit options for small business? Jan 16, 2008 12:31 AM
in response to: Concerns
What states do you work with for insurance programs?
I am in the market for a new group health insurance plan in NY.

CC08
Click to view Concerns's profile Start-up Concerns 4 posts since
Dec 23, 2007
25. Re: Healthcare benefit options for small business? Jan 16, 2008 1:01 PM
in response to: CorpCons08

CorpCons08,

I am currently licensed to write in NY and handful other states such as Florida, CA, TX & a few more. You can find my contact info at http://www.concerns4retirement.com/.

I didn't mention yesterday about the HSA-qualified plans. They seem to be highly endorsed on this forum. There's certainly a niche market for HSA plans, but your main reason for getting HSA qualified health insurance plans should not be tax shelter purposes. Some of my customers are on HSA plans. There're no-fee, more comprehensive and prudent tax shelter financial vehicles than HSA plans if tax shelter is your main concern. There're are prudent safe and guaranteed financial vehicles with automatic tax, creditor and lawsuit immunity. I've written a research paper--which turned out to be more like a thesus paper. The financial & heath care insurance world is increasingly getting intertwined. For example, once you qualify for Medicare, your Medicare part B premium can increase and your Social Security income check can be taxed based on your muni-bond and other modified AGI income. You can minimize this premium increases and taxation by positioning your funds early on. Starting 2010, I believe, non-qualfied funds w/in specialty designed financial policies can have tax-free benefit towards long term care expenses.... Planning early can also lower your reinvestment risk & secure that your funds become as liquid as a cash account w/in safe, guaranteed, tax & legally sheltered environment for as long as you want with an option for prduent life time income. Examples of 'life time income" streams are social security & defined benefit pension plan life time income checks.

To those who've Medicare qualified employees, you can likely benefit from the latest trend in group privatized-Medicare policies. For individuals, I still like the traditional Medicae supp plans for their stable and secure traditional benefits. If you opt out of traditional Medicare supp plan to buy into privatized-Medicare health insurance plan, you have a year to go back into any traditional Medigap plan w/o having to go through underwriting qualification. The "underwriting" with the privatized-Medicare plans are not nearly as strict.

If you have a true independent broker who's research oriented--and not restricted either by non-compete or "compliance" to offer you some of our industry's top providers. If I were you, I would request that such broker would provide me a free and no-obligation workshop and then portfolio analysis. At least once every 2 years, I would have'em review my portfolio to make sure I've a most suitable health care insuance plan to financial portfolio. (Unless you're w/in a guaranteed rate period, most health insurance premiums tend to increase their premium annually. New plan designs for both financial and health care side come out on jregular basis.)
Click to view CorpCons08's profile Mogul CorpCons08 1,128 posts since
Nov 14, 2007
26. Re: Healthcare benefit options for small business? Jan 16, 2008 1:43 PM
in response to: Concerns
Thank you for the follow up.
I will get in touch with you early next week about this.

Thanks again,

CC08
Click to view jeffriesjn's profile Start-up jeffriesjn 1 posts since
Jan 30, 2008
27. Re: Healthcare benefit options for small businesses? Jan 30, 2008 8:46 AM
Techie,

The best solution is to work with an insurance broker who knows the area and industry. As a small business their services are usually free to you as they are paid by the insurance carriers they work with. My company provides employee benefit and HR consulting. Depending on which state you are located I could assist or refer you to someone in your area who could help. Feel free to touch base with me at jjeffries@ihradvisors.com or jjeffries@ebg.com.
Click to view travelmom's profile Authority travelmom 8 posts since
Jan 15, 2008
28. Re: Healthcare benefit options for small business? Jan 30, 2008 10:22 AM
in response to: CorpCons08
Hi there, I amahealth care promotor. there is no deductible on doctor visit this is a health care savings plan.. Its like a discountcard you present this card and you get the savings up front. If you go to the emergency pay only $100 and that it nothing else. you pay $30 a month per person for small business.
call 1877-483-1830 referral code 212894
Click to view Anthony's profile Start-up Anthony 1 posts since
Feb 22, 2008
29. Re: Healthcare benefit options for small businesses? Feb 22, 2008 7:34 PM
Hello Techie-

I work for a company called IAB (International Association of Benefits). My company offers insured benefits through a group blanket policy for its members. IAB has been in business since 1982. These are insured benefits. These can be used at any doctor, dentist or hospital. There are also discounted benefits through the Beech Street network. The plans range in price from $69.95 for the entire family up to $273.95. My company is very ideal for small business owners like yourself to offer employee benefits at a very affordable price. For more information, please visit: www.iabweb.com/viglietta

I can be reached at: (845) 427-7100

Thanks and good luck!

Anthony Viglietta
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