Group Health Insurance Quote

Looking for a group health insurance quote? With our large group of over 50,000 insured, we’ve been able to negotiate excellent group health insurance plans. To learn more or get a quote, call (903) 463-4000, or fill out our online application below.

Building a successful business is hard work. Finding the affordable, quality health insurance you need doesn’t have to be. Whether you’re self-employed and working out of your garage or the owner of a small business with multiple employees, you face special challenges when it comes to finding and getting health coverage. With the new ACA (Affordable Care Act) reform legislation provides you with special opportunities too. We can help answer your questions, assess your needs, and provide you the best health insurance solution for your company.

The Value of Health Insurance

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In order to make a smart health insurance buying decision, it helps to understand the value of health insurance and why you need it. It may sound obvious, but many people don’t properly understand the basic purpose of health insurance or how it works. In brief, health insurance helps protect self-employed persons and small business owners in the following ways:

1. Health insurance protects your finances
   • It entitles you to discounted rates for medical care – Insurance companies negotiate rates with health care providers. Without coverage, the fee charged for a regular office visit can be twice as high.
   • It shields you from unexpected medical costs – Even if your health plan requires you to pay certain costs out of pocket, being covered can help save you from bankruptcy in case of injury or hospitalization.
2. Health insurance protects your health
   • It improves your access to quality care – As a member of a health insurance plan, you have access to a broad network of health care providers.
   • It provides you critical care – While uninsured patients will often get emergency-room care and be billed afterwards, they may not get important treatment for a life-threatening chronic condition without an up-front payment.
   • It encourages a healthier lifestyle – You may be more likely to take advantage of regular checkups and preventive care if you know it won’t cost you an arm and a leg.
3. Health insurance can help protect your business too
   • It shields your business from personal medical costs – As a self-employed person or small business owner, unexpected personal medical expenses can cripple your business. By limiting your personal liability for medical costs, health insurance can help keep your business afloat.
   • It helps you hire and retain the best workers – Employer-sponsored group health insurance coverage is a valuable enticement in a total compensation package.

Top Four Health Plan Types

1. PPO: PPO or “Preferred Provider Organization” plans are the most popular in the individual and family market. Like the name implies, persons covered under a PPO plan need to get their medical care from doctors or hospitals on the insurance company’s list of preferred providers in order for claims to be paid at the highest level. It’s your responsibility to make sure that the health care providers you visit participate in the PPO. Services rendered by out-of-network providers may not be covered or may be paid at a lower level.
   • A PPO plan may be right for you if:
     • Your favorite doctor already participates in the PPO.
     • You want some freedom to direct your own health care but don’t mind working within a list of preferred providers
2. HMO: HMO stands for “Health Maintenance Organization.” HMO plans offer a wide range of health care services through a network of providers that contract exclusively with the HMO, or who agree to provide services to members. Members of HMO plans will typically need to select a primary care physician (“PCP”) to provide most of their health care and refer them on to HMO specialists as needed. Health care services obtained outside of the HMO are typically not covered, though there may be exceptions in case of an emergency.
   • An HMO plan may be right for you if:
     • You’re willing to play by the rules and coordinate your care through a primary care physician
     • You value preventive care services: coverage for checkups, immunizations and similar services are often emphasized by HMOs
3. HSA-eligible Plans: These are usually PPO plans with higher deductibles, designed specially for use with Health Savings Accounts (“HSAs”). Similar to a flexible spending account (FSA) or 401(k), an HSA is a special bank account that allows participants to save money – pre-tax – to be used specifically for medical expenses in the future. Unlike FSAs, the money in an HSA rolls over every year and can also gain interest. By pairing a qualifying high-deductible health plan with an HSA, participants can save money on health care and earn a tax write-off.
   • An HSA-eligible plan may be right for you if:
     • You would like to pay for health care expenses with pre-tax dollars
     • You’re relatively young and healthy and don’t often visit the doctor
     • You prefer a cheaper monthly premium even if it means having a higher deductible in case of unexpected injury or illness
4. Indemnity: Indemnity plans allow members to direct their own health care and visit most any doctor or hospital they like. The insurance company then pays a set portion of the total charges. Members may be required to pay for some services up front and then apply to the insurance company for reimbursement. Because of the freedom they allow members, Indemnity plans are sometimes more expensive than other types of plans.
   • An Indemnity plan may be right for you if:
     • You want the greatest level of freedom possible in choosing which doctors or hospitals to visit
     • You don’t mind coordinating the billing and reimbursement of your claims yourself

Understanding Health Reform

Not all self-employed persons and small businesses are affected by health reform in the same way. We can help get your company compliant and help you with your reporting needs. If you choose to participate in our PEO or ASO programs, we will do all the reporting for you.

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