1. What is group health insurance, and how does it work?
Employee benefits in Hanover, PA, group insurance, is coverage offered by an employer to a group of employees and, often, their dependents. The employer typically shares in the premium cost, and employees may pay their portion through pre-tax payroll deductions. Plans can be fully insured, self-funded, or part of a level-funded structure.
2. What types of benefits can be included in a group insurance package?
A comprehensive group benefits package may include:
- Health insurance (medical)
- Dental and vision insurance
- Life insurance
- Short and long-term disability
- Employee Assistance Programs (EAPs)
- Wellness incentives
- Flexible Spending Accounts (FSAs) or Health Savings Accounts (HSAs)
- Retirement plans such as 401(k)
3. How many employees are required to offer group insurance?
Most carriers require a minimum of two full-time eligible employees, though requirements may vary. Businesses with 50+ full-time employees must meet ACA mandates to offer health insurance that meets affordability and coverage standards.
4. What is the difference between fully insured and self-funded plans?
- Fully insured plans: The insurance carrier assumes the risk and handles claims.
- Self-funded plans: The employer assumes the risk and pays claims directly, often with the help of a third-party administrator (TPA).
Webb Insurance can help you evaluate which option makes the most sense based on your size and risk tolerance.
5. What are the employer's responsibilities under the ACA?
Employers with 50 or more full-time employees (or equivalents) must:
- Offer coverage that meets minimum essential and affordability standards
- File IRS Forms 1094-C and 1095-C annually
- Comply with nondiscrimination rules and notices
We help clients navigate these requirements and stay compliant.
6. Can we offer different employee benefits in Hanover, PA to different classes of employees?
Yes, many employers structure benefits based on employee classifications (e.g., full-time, part-time, management). However, plans must comply with nondiscrimination rules to avoid penalties. We can help you design compliant plan tiers.
7. What is a waiting period, and how does it affect enrollment?
A waiting period is the amount of time a new hire must wait before becoming eligible for benefits. The ACA limits this period to no more than 90 calendar days.
8. How can we control costs without sacrificing quality?
Strategies include:
- Offering high-deductible health plans (HDHPs) with HSAs
- Adding voluntary benefits (at no direct employer cost)
- Participating in purchasing coalitions or association health plans
- Conducting plan audits to remove inefficiencies
Our advisors help you find the right mix of cost and coverage.
9. What do we need to communicate to employees?
10. When should we start preparing for open enrollment?
Ideally, you should begin 90–120 days before your renewal date. This allows time for plan review, rate comparisons, carrier negotiation, and communication planning. Webb Insurance walks you through each step to ensure a smooth experience.
Need More Help Navigating Group Insurance?
We’re here to serve as your trusted partner in building benefits that attract, retain, and protect your team.
Contact Webb Insurance at 717-637-3670 or use our contact form to schedule a personalized consultation.