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Small Business Health Insurance - HELP REQUESTED!

Posted on 10/26/23 at 3:28 pm
Posted by yankfand
Baton Rouge, Louisiana
Member since Dec 2010
333 posts
Posted on 10/26/23 at 3:28 pm
Small business owner with 6 employees, 3 of which are not located in Louisiana. We pay 100% of our employees premium. Getting absolutely raked over the coals by BCBS and United Healthcare through brokers like Arthur J Gallagher, Horton Group, Costco, etc.

We pay a crazy amount for our employee health insurance, and at the end of the day it is not even good coverage.

Do any of you have any suggestions of groups, associations, or any other means of providing *quality* healthcare coverage to our employees at a reasonable cost? Any and all suggestions are greatly appreciated!

If you would like to email me your thoughts, my email is yankfand@aol.com

Posted by BottomlandBrew
Member since Aug 2010
27094 posts
Posted on 10/26/23 at 3:47 pm to
Sarcastically, I want to answer by saying the way to solve it is to get more employees

It's such a shitshow for small business medical insurance, especially the smaller small businesses. I feel you on it. I've struggled for a while with it and found no good answers. We never had good options until we got over 50 employees, and that comes with a whole other set of shite to deal with.
Posted by PHNBK
Member since Nov 2020
145 posts
Posted on 10/26/23 at 4:27 pm to
From my experience, most of the high rates are due to the community rating for small businesses and the rates being a direct factor to average costs per employee age. So younger employee is much cheaper than older employees.

Once over 50 employees, they can't do that anymore and must be group rated...
Posted by LSUFanHouston
NOLA
Member since Jul 2009
37088 posts
Posted on 10/26/23 at 7:53 pm to
Have you looked into a PEO / co-employment?
Posted by Weekend Warrior79
Member since Aug 2014
16370 posts
Posted on 10/27/23 at 11:33 am to
Damn, my go to is to ask if you checked out
quote:

raked over the coals by BCBS and United Healthcare through brokers like Arthur J Gallagher, Horton Group, Costco, etc.

Have you looked into the costs to have the employees shop their own insurance and you pay their premiums? Won't help the non-LA employees, but the Ochsner only plan with BCBS has been a favorite of several of our employees.
Posted by wiltznucs
Apollo Beach, FL
Member since Sep 2005
8965 posts
Posted on 10/27/23 at 11:54 am to
I feel your pain bro…. Unfortunately; I don’t have a solution for you.

I’m paying $30K per year for BCBS for my family of four and it’s an absolutely shite policy. Went up $4K from last year.
Posted by yankfand
Baton Rouge, Louisiana
Member since Dec 2010
333 posts
Posted on 10/27/23 at 12:21 pm to
Thanks for the replies everyone, if nothing else you are making me feel better that I am not alone in this uphill battle!

I don't know that we will ever hit 50+ employees as we are just a small distributor with limited market potential, but we will shoot for the stars!

I did a little research on co-employment and it seems over-complicated for trying to solve just a medical insurance issue.

Keep the suggestions coming if you have them, they are appreciated!!
Posted by soupboy10
Member since Feb 2016
71 posts
Posted on 10/27/23 at 12:42 pm to
I am no expert on health insurance but I have clients who go through industry associations that can help bundle the policies to get rates down. Just an idea!!
Posted by Fat Bastard
coach, investor, gambler
Member since Mar 2009
72620 posts
Posted on 10/27/23 at 1:36 pm to
quote:

I’m paying $30K per year for BCBS for my family of four and it’s an absolutely shite policy. Went up $4K from last year.


through employer or health.gov?

proves my points that is not AFFORDABLE. that is car or down payment money for RE.
Posted by yankfand
Baton Rouge, Louisiana
Member since Dec 2010
333 posts
Posted on 10/27/23 at 1:53 pm to
quote:

I am no expert on health insurance but I have clients who go through industry associations that can help bundle the policies to get rates down. Just an idea!!


Can you give an idea of what industry associations do this? I have looked and looked but cannot find some that do. I found some that have a partner that shops the coverage, but it is just the open market price minus 3%-5%.
Posted by wiltznucs
Apollo Beach, FL
Member since Sep 2005
8965 posts
Posted on 10/28/23 at 11:07 am to
quote:

through employer or health.gov?


I own a small business for which I’m the only FT employee. My wife works 2 PT gigs for some Physicians and doesn’t qualify for benefits at either.

So we have to get a policy on the open market. Currently paying $2,500 a month to provide bare bones medical coverage. No dental or vision. Paying cash out of pocket for dental. It sucks…
This post was edited on 10/28/23 at 11:08 am
Posted by frogtown
Member since Aug 2017
5007 posts
Posted on 10/28/23 at 2:25 pm to
quote:

Can you give an idea of what industry associations do this?


In my hometown, we go through the Chamber of Commerce to get a better rate. They pool all the small business together.
Posted by tiger91
In my own little world
Member since Nov 2005
36706 posts
Posted on 10/28/23 at 6:55 pm to
Damn .. husband and I are both self employed. We have a BCBS-LA plan and are grandfathered in. We're down to one child on it and she's now graduated from college and we could drop her which we soon will.

Our current cost if right over $1300 per month -- I'm told it'll go down by ~$300 when we drop her. Hers if free now through her employer BUT we wanted to make sure that it all starts out ok for her.

We have a $5600 ded for the family .. everything goes to that .. once met we have I think $10K oop total. YES it sucks BUT at least we're not paying what you are.

FYI we're 54 and 53, few meds for each of us.
Posted by Jag_Warrior
Virginia
Member since May 2015
4090 posts
Posted on 10/29/23 at 6:22 am to
quote:

In my hometown, we go through the Chamber of Commerce to get a better rate. They pool all the small business together.


Pretty amazing deal. I wish that was available in my area. Do you mind sharing some rate and type of coverage information?
Posted by The Torch
DFW The Dub
Member since Aug 2014
19286 posts
Posted on 10/29/23 at 7:49 am to
You may start letting the employee pay 1/3 of the premium like everyone else does.

I work for a large corporation with 3,000 + employees, I pay $500.00 a month for me and 1 kid.

They pay the other 2/3 rds

You can thank Obama for this bullshite
Posted by frogtown
Member since Aug 2017
5007 posts
Posted on 10/29/23 at 9:02 am to
quote:

Pretty amazing deal. I wish that was available in my area. Do you mind sharing some rate and type of coverage information?





I am assuming you live in Virginia.

In most of these you have to have 2 to 50 employees.

Virginia

Here is the Georgia Chamber of Commerce SMART Plan.

Georgia
This post was edited on 10/29/23 at 9:27 am
Posted by Jag_Warrior
Virginia
Member since May 2015
4090 posts
Posted on 10/29/23 at 12:03 pm to
Yes, I’m a Virginia resident. Thank you for that information.
Posted by yankfand
Baton Rouge, Louisiana
Member since Dec 2010
333 posts
Posted on 10/30/23 at 4:31 pm to
quote:

I am assuming you live in Virginia.

In most of these you have to have 2 to 50 employees.

Virginia

Here is the Georgia Chamber of Commerce SMART Plan.

Georgia


I have looked for something similar in Louisiana but haven't been successful. Do you know of one in Louisiana?
Posted by dgnx6
Baton Rouge
Member since Feb 2006
68593 posts
Posted on 10/30/23 at 4:32 pm to
We get screwed too thanks to Obama

Im not involved in it, but they met with a few people today to try and move us to something else.
Posted by dovehunter
Baton Rouge
Member since Sep 2014
1222 posts
Posted on 10/30/23 at 6:55 pm to
Have you looked at the high deductible HSA plans? We’ve done that with BSBC for 25+ years. We had 4-5 employees back then. We have excellent insurance and the HSA’s allow you to really grow your tax deferred money.
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