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How To Choose Your California Group Health Plan

As simple as the question is, the answers to choosing your group health insurance plan are complex and many.

Since "it depends" doesn't really help much, let's look at some key issues in the choice and see if we can at least narrow the options.

As luck would have it, the best approach is not to pick a plan at all but choose a carrier and a great option that offers flexibility and budgetary control.

Protect your business and your career. If you are a business owner or a professional, contact our team and get a FREE quote and THE BEST COVERAGE!

Choosing A Small Group Health Plan Based On Company Budget

The easiest approach is to decide on your monthly Company benefits budget and choose a plan that fits within this budget.

You can either pick a plan that the company will pay 100% of according to the monthly budget or a plan in which a company will pay a percentage (California Guaranteed issue mandates at least 50% of the employee's premium) of that plan.

Essentially, you are trying to choose the richest plan that stays within your budget. This works if you have designated budget that you absolutely must stay within.

Choosing A Group Health Plan Based On Type Of Industry And Employees.

For some employers, the budget issue is not so concrete as to narrow options.

In this case, it's important to look at the type of industry your company is in and also, the type of employees you are looking to acquire and retain. The major health insurance carriers typically have a suite of HMO, PPO, and HSA plans with different price points and benefit levels. For example, on the PPO side, there may be a $10 Copay, $20 Copay, and so on down to the high deductible plans.

The deductible, coinsurance percentage, max out of pocket, prescription costs and of course, monthly premium changes as you go up the scale. The HMO's and HSA's usually have this graduated approach as well.

The level you would choose depends on what type of employee are trying to retain. If you are in the high-tech arena, employees may expect richer benefit packages as they are coming from larger companies and are used to such a level.

We usually see $10 or $20 copay plans in this situation.

For a small service or manufacturing company, the $30 or $40 might be adequate. Some employers wish to offer richer benefits to offset lower wages in a given industry.

Completing The Benefits Package With Dental And/Or Vision.

An inexpensive way to complement your choice of Group health insurance plan is to offer dental and/or vision.

Dental and vision is actually quite valued by employees even though health insurance is covering the real risk. Dental and especially vision benefits can be very inexpensive relative to the perceived value from the employees.

The same requirements for participation and contribution levels apply to Dental insurance.

Vision typically requires 100% participation. The Employee Elect option above can also apply to the dental suite of plans as well.

In the end, there are dozens of plans on the market.

Since employers are typically not analyzing and choosing Group health benefits all the time, it can be confusing.

Protect your business and your career. If you are a business owner or a professional, contact our team and get a FREE quote and THE BEST COVERAGE!


EPIA inc. is a private Insurance Agency with no ties with legal entities. The information contained in this article is based on information provided by the Medicare Official Website.

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