A Lot to Consider Before Moving to a PEO

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There’s been a very interesting development in the PEO (Professional Employer Organization) market: New York’s Governor Andrew Cuomo has introduced language in his budget bill to create a look-through for entities acquiring health insurance coverage through a large-group PEO. Basically, if the group has 30 employees, it will be treated as a 30 employee group for purposes of premium rating under ACA. This seems fair since many PEOs asked medical questions in determining whether employers [...] Read more »

Think Your Small Business Sidesteps the Employer Mandate? Think Again

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Many small businesses may think they are clearly exempt from PPACA’s requirement to provide health insurance coverage. Not so fast. Consider this. A small business has 41 employees and thinks: The PPACA mandate doesn’t apply since I fall below the 50 employee threshold. Think again. There are two traps for the unwary. The first involves “Full-Time Equivalent” employees. When determining if a company has 50 or more employees, employees are considered full-time if they work [...] Read more »

Small Business Will Feel PPACA’s Impact on Small Group Carriers

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PPACA is creating new pressures on small group carriers with the launch of the state health insurance exchanges in 2014. As the insurers respond, small businesses will feel the impact. Market consolidation has already reduced choices for small businesses. Now, in the New York tri-state region, carriers are trimming the number of products they offer and requiring higher co-payments and deductibles. At the beginning of 2012, Empire BCBS offered up to 10 classifications of medical [...] Read more »

Five Tips for Small Business Benefits Success

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Yes. Small business owners have more limitations than large business in medical plan products. No. That doesn’t mean there is nothing to be done to improve productivity and lower cost. The trick is to know the territory and keep alert for opportunity. These five tips will help you make more informed choices. 1. Know Your Participation Requirements Health insurers in many states are not allowed to factor age, gender or health in underwriting a new policy. In [...] Read more »