Group Health Insurance Plans

How Group Health Plans Work

The mechanics

In a group plan, the business owns the policy and employees enroll under it. Premiums are shared between employer and employee at whatever split you choose, and carriers typically require at least half of eligible employees to participate.

What drives your rate

• Team size and average age
• Location and the networks available there
• Plan tier: deductible, copays, and out-of-pocket maximums
• Your contribution strategy, which affects participation

Common employer contribution strategies

Many businesses cover 50 to 100 percent of the employee-only premium and let employees buy up for dependents. We model two or three contribution scenarios in real dollars so you can see exactly what each approach costs per month before you commit.