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TL;DR
Health insurance brokers are typically paid by commission from insurance carriers, so there's no upfront fee for your business
Brokers help you find the best plan, assist with tax credits, and reduce administrative tasks
Brokers can also connect you to multiple insurance carriers and offer cost-saving strategies like HSAs or telemedicine
Running a small business or working in benefits administration for a small business often means you wear a lot of hats, and your expertise may not be in the world of health insurance. You want to ensure your employees have access to the healthcare coverage they need at a price that works for your business. This is where a health insurance broker can really come in handy.
Health insurance brokers can be invaluable partners for small businesses seeking the right employee coverage. By offering expert advice, saving you time, and helping you navigate complex processes, brokers can ensure that your business gets the best possible health insurance plan—without the upfront costs. Read on to better understand what health insurance brokers for small businesses do and how they can save you time and money.
What is a health insurance broker?
A health insurance broker can help your small business find and enroll in a health insurance plan that meets the unique needs of your workforce and budget. How health insurance brokers work varies. Some represent a handful of insurance companies, but others work for just one health insurance company. Either way—working with a health insurance broker won’t cost you anything. The broker typically receives payment in the form of a commission.
If you decide to work with a health insurance broker, you can rest easy knowing that all states have strict licensing agreements. State law often requires the broker to act in the client's best interest.
In some cases, working with a health insurance broker can lead to savings or earning a premium tax credit. It’s always worth asking a health insurance broker about how they can potentially help you save money on coverage. (Healthcare.gov)
What do health insurance brokers do?
Individuals can work with health insurance brokers if they need to secure their own health insurance coverage outside of an employer, but many businesses also turn to these professionals to help find the perfect coverage fit for their employees.
A good health insurance broker should be able to help you with the following tasks:
Negotiate rates: Health insurance brokers negotiate rates by working with insurance companies and providers to find a balance between rising healthcare costs and fair service reimbursement. These negotiations often involve revisiting contracts to ensure providers are compensated enough to cover care costs while keeping premiums manageable for patients (The University of Kansas Health System)
Remain compliant: Health insurance brokers may assist with compliance by staying updated on laws like the ACA, ERISA, and COBRA, helping employers design benefit plans that meet legal standards, and providing accurate documentation, notices, and training. They also monitor for regulatory changes, conduct audits, and guide employers in adapting to evolving compliance requirements
Provide expert recommendations: Brokers can analyze your small business’s unique needs, budget, and employee demographics to help you compare prices, coverage options, and benefit structures, ultimately guiding you to the most suitable health plan
Assist with financial aid applications: Brokers are well-versed in cost-saving options like premium tax credits and subsidies. They are ready to help your business navigate the application process for financial assistance, ensuring they get the best possible deals on coverage
Streamline enrollment: Once you choose the right plan, brokers can assist with the entire enrollment process, ensuring all forms are completed accurately and on time. They can also handle employee communication and answer questions, simplifying what can otherwise be a tedious and confusing process
Offer ongoing support: Health insurance management doesn’t stop once the plan is in place. A good broker acts as a long-term resource for businesses, guiding on understanding plan details, adjusting coverage as needed, and addressing any issues that may arise throughout the year, such as claims or regulation changes. This ongoing support helps businesses avoid costly mistakes and ensures they continue to provide the best coverage for their employees (Experian)
How health insurance brokers can help employers
Working with a health insurance broker can help your business save time and money. Brokers can offer you expert support and bring institutional knowledge to the table that your small business may be lacking. Let’s take a closer look at some of the benefits of health insurance brokers for small businesses. (US Chamber of Commerce)
No upfront costs for your business
Your business can receive support without spending a penny because you don’t pay a fee to work with health insurance brokers. You can take work off your benefits administrator’s plate without adding to your budget. That being said, you may need to pay a fee down the road if you want ongoing advisory services or enrollment support. (US Chamber of Commerce)
Potential to earn tax credits
Brokers registered with the SHOP program can help businesses save money on health insurance. They can guide you in choosing the right plans and handle the paperwork for tax credits and deductions to lower costs. If you decide to work with a health insurance broker, make sure you inquire about whether or not you can qualify for the Small Business Health Care Tax Credit. (US Chamber of Commerce)
More variety of coverage options
Health insurance brokers can provide small businesses with a wider range of coverage options by connecting them to multiple insurance carriers. They can also recommend cost-saving strategies, such as using health savings accounts (HSAs), self-funded plans, or telemedicine services. (US Chamber of Commerce)
Increased access to technology
Some group health insurance brokers have access to helpful and expensive broker technology that makes navigating the enrollment and renewal process easier for your business. Many small businesses don’t have technology or support on this scale available to them unless they work with a broker. (US Chamber of Commerce)
Less administrative burden
Many small business owners and their HR staff have a lot of different roles and tasks to balance. Hiring a broker can help alleviate stress and lower your workload. Health insurance brokers simplify the health insurance process for small businesses by handling many of the administrative tasks. They can help identify suitable plans, guide employee enrollment, and provide clear information about plan details, reducing the time and effort required from employers to navigate and manage this process. (Experian)
For more healthcare options, sign up for a free demo of Thatch. Thatch can be your broker of record or can work with your current broker — all while helping you achieve your health insurance goals. Thatch can also help businesses save an average of $1,620 per employee annually while offering better, more flexible healthcare benefits.
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Jacqueline DeMarco is a freelance writer who lives in the Bay Area and tackles a wide variety of healthcare and wellness topics. She writes for healthcare publications such as Hoag Hospital Foundation, Whisper, Outcomes4Me, USA Today, Newsweek, and more.
Connect with JacquelineThis article is for general educational purposes and is not legal advice. The opinions shared here belong to the author and are not official statements from Thatch. For legal and tax questions, please feel free to consult with a qualified professional.