The Latest Small-Group Health Plan News

group health plans

For your Redlands-based small business, of one to one hundred employees, finding the right health plan can be a challenge. Amid so many options, fluctuating circumstances, and things to consider, the choice is often overwhelming. However, with informed guidance and attentive counsel, you and your employees will benefit from the security of a quality health insurance plan. This is where we at Bernardini and Donovan come in. We are here to provide you with expert advice as you make this critical decision for your valued team members. And before you finalize your choices, take note of these health insurance updates.

Latest small group health insurance news:

  1. In the fourth quarter of this year, those who are renewing their policies will notice a rate increase. This is caused by an added component of the Affordable Care Act called the Health Insurance Tax (HIT). Though it was anticipated to be repealed, it is now driving up costs. These price increases vary in severity ranging from three to four percent to 15 percent. As we anticipate this upcoming tax, there are some opportunities to offset these costs with other insurers. Though this option will not exempt you of this tax, it will alleviate it, so it is not so harsh.
  2. Rates seem to fluctuate with every quarter. That’s why in light of these increases, we can look forward to a rumored rate decrease in the first quarter of next year. Take note though that group plans are dependent upon their renewal date. This is the point at which your rate will be fixed for the next 12 months. And so, these changes will not affect your policy if it’s locked into what is called your rate guarantee.
  3. There is a new coverage option, specifically helpful for the small employer who is concerned that they will not have enough participants. The Portfolio Plan does not require any number of participants, making this one of our most competitive options and an excellent choice for small business owners.
  1. As you consider these updates and search for your ideal plan, keep in mind the value of your insurance broker’s customer service. While the price of a health coverage plan will remain the same across the board, the quality of your broker’s service is what really matters. So, look for a provider that will be there when you need them, who will help you care for your employees, and make sure to keep you compliant. These are the most valuable services a broker can provide. And these are what we at Bernardini and Donovan are proud to offer our clients right here in Redlands. If you are in search of a health coverage plan in any capacity, please do not hesitate to reach out. We are prepared to offer our expertise as we assist you in this complex decision-making process.

5 Small Business Health Insurance Pitfalls

small business health insurance

Redlands small businesses face several challenges when it comes to employee health insurance. However, this must be made available for the benefit of each employee and the success of your company. Offering health insurance makes your employees more likely to stick around, keeps them happy and healthy, and can even save you money. So, while it may seem like a daunting endeavor, we advise that no matter the size of your company, you consider offering health insurance.

There are a few mistakes when implementing a health care plan for your employees of which to take note. Make sure that you are aware of their threat and of the ways these pitfalls can be avoided. And rest assured that, even when issues arise, there are often simple solutions.

California health insurance
  1. A misunderstanding of eligibility requirements. 
    There are a few things that might keep an individual from partaking in their employer’s health care insurance plan. That’s because a group insurance plan does not automatically prompt eligibility for every employee. Typically, employees are required to work a minimum of 30 hours a week and must fulfill a distinguished waiting period to gain eligibility. This all depends on your state, your insurance provider, and your particular policy. Make sure that upon implementing a new plan, your employees are aware of these requirements.
  2. Miscommunication about the waiting period.  The waiting period indicates the number of consecutive days an employee must work to gain eligibility for the health insurance plan. This number should be decided based on the time you believe is required to discern an employee’s loyalty to the company. And you must communicate this exact amount clearly to your new employees to avoid miscommunication and confusion.
  3. Paperwork mishaps.  Paperwork is something about which we can all commiserate. But despite its world-renowned nuisance, this is the paperwork you cannot overlook. Incomplete or untimely paperwork will cause several complications in your health insurance plan. So make sure that it is submitted with complete accuracy and on time. And be assured that if an employee is terminated, added, or needs to make changes to their coverage, their corresponding paperwork is updated correctly.
  4. Failing to reconcile carrier bills. If an employee is wrongly included or missing from a bill, you face the issue of someone either not receiving coverage or being overcharged. And while these bills are typically accurate, you ought to review them regularly for assurance.
  5. Neglecting to take action when something goes wrong. The Explanation of Benefits or EOB lists the date of service, cost, negotiated discount and deductible accounting and amount for which the patient is responsible. This must coincide with the patient’s medical bills. So if these are mismatched, or demonstrate an issue, be sure to take action immediately. There is often an easy solution to this problem, but it is best solved with urgency.

While these issues may pose significant setbacks to your business, choosing a local Redlands broker like Bernardini and Donovan will help alleviate their severity and prevalence. We are prepared to assist your choice in plans and to provide exceptional customer services as it is administered.

Health insurance is a vital aspect of one’s well being. It assures that upon unforeseen medical circumstances, an individual will be financially covered. This confidence, as one faces inevitable unknowns, is crucial to living well and happily. So, as a small business owner, be sure to provide insurance to your employees for their peace of mind and the benefit of your company. Please do not hesitate to reach out to us today for a simplified and seamless experience.

California Vaccination Rates Dropping: What You Need to Know

California Vaccination Rates Dropping: What You Need to Know

For 3,000 years, smallpox was among the world’s most feared diseases. Over 80 percent of children faced an early death with the foreboding diagnosis. But in 1796, Edward Jenner developed the first successful vaccine against smallpox. And upon his discovery, millions of lives were spared from this deadly disease. So today, we celebrate Jenner’s genius and the worldwide eradication of smallpox.

Since 1796, 14 more diseases have been held at bay or made less-prominent by the invention and wide administration of vaccines. They are now generally non-threatening to western civilization. These diseases include polio, tetanus, flu, hepatitis B, hepatitis A, rubella, Hib, measles, whooping cough, pneumococcal disease, rotavirus, mumps, chickenpox, and diphtheria. While they still exist, each of these is far less common in the United States. Today, our society is healthier and safer thanks to modern medicine the contributions of vaccines.

smallpoxWhile vaccines are essential to the prosperity of humankind, communities of non-medical skeptics have turned against immunizations. Anti-vaccine groups strongly oppose these preventative measures, causing some regression in societal health in recent years. Just this year, we’ve seen the repercussions of this dangerous anti-vaccine sentiment. According to the California Department of Public Health, the 2018-2019 school year’s vaccine rate among California kindergarteners dropped from 95.1 percent to 94.8 percent. This drop is likely due to the 70 percent increase in medical vaccine exemptions obtained by parents this past year.

While medical exemptions were distributed, physicians are suspicious that in such a short period, so many people developed new illnesses, keeping them from receiving vaccinations. It is more likely that these exemptions were given for the patients’ personal beliefs, which under California law, is illegal.

This is frightening. While the vaccination rate among kindergarteners has dropped less than one percentage point (.9%), the concentration of unprotected people is what is concerning. According to physicians, 95 percent of people near one another must be immunized to prevent the spread of disease. This is called herd immunity. So, if a few people are not vaccinated, there is no significant threat. However, an entire community could be at higher risk for disease outbreak if it contains multiple low-vaccine-rate schools. And several California communities fit these alarming criteria.

According to data collected by the L.A. Times, about 1,500 schools in California reported a kindergarten vaccine rate under the safe limit of 95 percent. And 400 of these schools can be found in Los Angeles county, half of which are located within a half-mile of each other. So, in the case of disease outbreak, entire communities could be at serious risk.

What to do…

Be sure that you and your children are up to date on required immunizations, including the yearly flu shot. These preventative measures will not only impact your own health but that of those around you. And if you are concerned about the vaccination rate at your school, check out Shots for School to see how your’s is doing. Take care and stay up-to-date on your vaccines!

We at Bernardini and Donovan strive to promote the health of you and your family. We are here for your health insurance needs and prepared to assist your particular requirements. Do not hesitate to call on us for unmatched health insurance services.