New for 2023: How Does Healthcare For Small Businesses Work?

New for 2023: How Does Healthcare For Small Businesses Work?

Healthcare for small business differs from healthcare for larger organizations in a number of ways. It’s important for those that manage small companies to become familiar with the various options that are available to them.

Healthcare for Small Businesses: the 101

There are a few options for healthcare for small businesses. It’s important to understand each type of benefit before ultimately making a big benefits decision on which is best for your small business.

Healthcare for small business options include:

Group Health Insurance: Small businesses can purchase group health insurance for their employees, which is often offered through insurance brokers or directly from insurance companies.
Health Savings Accounts (HSAs): HSAs allow employees to set aside money tax-free for medical expenses. Employers can contribute to their employees’ HSAs, which can reduce their own taxable income.
Health Reimbursement Arrangements (HRAs): HRAs are employer-funded accounts that can be used to reimburse employees for out-of-pocket medical expenses.

ICHRA and QSEHRA are two types of HRAs to be aware of.


Allows any size business to offer tax-free health reimbursement to employees who purchase individual health insurance.
Offers more flexibility and customization compared to QSEHRA, as employers can choose to reimburse different amounts for different categories of employees, such as full-time vs. part-time employees.
May be subject to ACA (Affordable Care Act) market reforms, including certain coverage mandates and restrictions on pre-existing condition exclusions.

QSEHRA, by contrast:

Is limited to small businesses with fewer than 50 full-time equivalent employees.
Provides tax-free reimbursement to employees for individual health insurance and qualified medical expenses, up to a set dollar amount per year.
Is not subject to ACA requirements for Applicable Large Employers 
Offers greater flexibility in terms of the plans it integrates with.

Health insurance for small business cost varies depending on several factors, including the number of employees enrolled and the specific types of plans offered. Employers can use a small business health insurance cost calculator to accurately predict the cost of insurance for their organizations. It can be helpful to view a health insurance calculator comparison to compare your options and see what different plans would cost you.

Ultimately, when it comes to health insurance for small businesses, there is no one-size-fits-all solution, and so it’s important for employers to do their research and thoroughly explore the options that are available to them. In doing so, they can find the right fit for their businesses.

Take Command allows employers to easily reimburse employees for health insurance. You start by designing your plan, and then introducing your team to that plan. Finally, you can start reimbursing them each month. With options for both QSEHRA and ICHRA, Take Command works closely with large and small employers alike to design reimbursement plans that meet their unique needs.

Best Health Insurance For Small Business

The best health insurance for small business depends on a number of factors. There’s a lot that employers need to consider when choosing insurance plans for their employees. Here’s what to keep in mind when selecting small business health insurance:

Coverage options: Make sure the plan covers essential health benefits and fits the needs of the majority of employees.
Cost: Consider the premium prices and any potential out-of-pocket expenses for employees.
Network of providers: Verify if the insurance network includes the medical facilities and providers your employees prefer to use.
Provider reputation: Check the insurance company’s reputation for paying claims promptly and fairly.
Plan flexibility: Look for a plan that offers flexibility in terms of choosing deductibles, copays, and coinsurance amounts.
Compliance with legal requirements: Ensure that the plan complies with all state and federal regulations, including the Affordable Care Act (ACA).
Employee contributions: Decide how much you, as the employer, will pay towards the premium and how much employees will pay.
Enrollment and administration process: Consider the ease of enrolling employees and the efficiency of the insurance company’s administrative processes.

While finding affordable health insurance for small business owners can be tricky, there are guides and resources available to help employers compare their options. This guide from Take Command explores health insurance for small business owners in depth, and can be extremely helpful for those trying to navigate the modern healthcare landscape.

When choosing employee health insurance for small business, employers should consider the short and long term. Just because a plan may fit your needs today doesn’t mean it’s going to provide adequate coverage forever. Consider the ways in which your business might grow in the future and whether or not you are likely to employ significantly more or less people down the road.

What are Small Business Health Insurance Costs?

Small business health insurance costs vary based on the needs of each organization. In the case of a small business with 1 employee, costs can be higher than for a business with multiple employees because the risk of claims is spread across a larger pool in the latter scenario. However, affordable health insurance for small businesses with one employee do exist—you may just need to look around. 

In some states, a sole proprietor can buy individual health insurance on the marketplace and may be eligible for premium tax credits if their income is below a certain threshold. Additionally, some states have high-risk pools that provide health insurance to individuals with pre-existing medical conditions who are unable to obtain coverage through the private market.

Another option for small business owners is a health reimbursement arrangement (HRA), which is an employer-funded plan that reimburses employees for out-of-pocket medical expenses. This type of plan can be less expensive than a traditional group health insurance plan and may be a good fit for a small business with just one employee.

Small business owners that employ multiple people should consider how much it will cost to add each person to their plan. Small business health insurance costs per employee can range from a couple hundred to several hundred dollars a month. Again, though, this varies a lot, and costs can be significantly higher or lower than that depending on the specific needs and requirements of your company and employees.

Determining how to reduce small business health insurance costs can save employers money. The following are some of the ways that employers can reduce costs associated with healthcare:

Shop around: Compare quotes from multiple insurance providers and consider both the premium and potential out-of-pocket costs for employees. 
Offer high-deductible health plans (HDHPs): HDHPs typically have lower premiums but higher deductibles, which can result in lower overall costs for the business.
Participate in a health savings account (HSA) or health reimbursement arrangement (HRA): These types of plans allow employees to set aside pre-tax dollars to pay for out-of-pocket medical expenses and can reduce the cost of health insurance for the business.
Encourage preventive care: By promoting preventive care and wellness programs, small businesses can help employees stay healthy and avoid costly medical treatments.

Are there Rules For Offering Health Insurance to Employees?

Yes! Understanding the rules for offering health insurance to employees is critical for employers. By taking the time to research and explore their options, they can provide quality, affordable plans and ensure compliance with laws and regulations. Here are a few rules that employers should be aware of:

Affordable Care Act (ACA): Under the ACA, employers with 50 or more full-time equivalent employees are required to offer affordable health insurance coverage or face potential penalties.
ERISA: The Employee Retirement Income Security Act (ERISA) regulates employee benefit plans, including group health insurance plans offered by small businesses. Employers must provide employees with a summary plan description and follow certain reporting and disclosure requirements under ERISA.
COBRA: The Consolidated Omnibus Budget Reconciliation Act (COBRA) requires employers to offer continuation of health coverage to employees and their dependents in the event of a qualifying event, such as termination of employment or reduction in hours.
HIPAA: The Health Insurance Portability and Accountability Act (HIPAA) regulates the privacy and security of health information, and sets standards for health plans to protect the privacy of personal health information.
Whether you’re interested in small business health insurance options or are looking to implement self-employed health insurance, it’s important to read the fine print and understand what is required for different types of plans.

Health Insurance For Business Owners

Business health insurance covers a wide range of needs and budgets. For example, self-employed health insurance offers many of the same benefits of regular insurance, such as HSAs and HRAs. Health insurance for LLC owners also includes these types of plans.

When it comes to health insurance for small business owners with no employees, owners should look specifically at individual and self-insured plans. It’s important to note too that premiums for these plans can be deducted as a business expense, subject to certain limitations.  Also, unlike businesses with employees, those with no employees are exempt from COBRA, as it only applies to group health plans.

At the end of the day, health insurance is a critical consideration for business owners, regardless of the size of their business or the number of employees. Business owners have several options for obtaining health insurance coverage, including individual health insurance plans, group health insurance, Health Savings Accounts, self-insured health plans, and Health Reimbursement Arrangements. 

It is important for employers to understand the rules and requirements associated with their chosen health insurance option and to seek professional advice as needed. A well-designed health insurance plan can help business owners attract and retain employees, manage their healthcare costs, and provide peace of mind for themselves and their families.