We know choosing health coverage for your team can feel overwhelming. You want the best for your employees without endless confusion. That’s why we’re debunking common myths about employer-sponsored plans. These group health options let businesses offer coverage to staff, often with tax perks. Let’s clear up the facts so you feel confident.
Myth 1: Employer Plans Are Always More Expensive Than Individual Coverage
Many small business owners think group plans cost a fortune. In truth, they often save money. Employers can deduct premiums as business expenses. Plus, group rates spread risk across your team, lowering per-person costs.
Facts to know:
· Premiums average 10-20% less than individual plans.
· You control contributions, starting at 50% for tax credits.
· No need for each employee to shop alone.
Choose wisely, and you’ll cut overall expenses while boosting retention.
Myth 2: You Can’t Keep Your Doctor with a Group Plan
This myth scares many. People worry group plans limit choices. Actually, most let you pick from broad networks. PPOs (plans with flexible provider options) allow out-of-network care, though at higher costs.
Key facts:
· Check the plan’s provider directory before enrolling.
· Many include your current doctors if they’re in-network.
· Switch plans during open enrollment if needed.
You stay in control. We help match plans to your team’s preferred providers.
Myth 3: Small Businesses Can’t Afford to Offer Health Benefits
If you run a team of under 50, you might think benefits are out of reach. Not true. The Small Business Health Options Program (SHOP) makes it simple and affordable.
Clear facts:
· Tax credits cover up to 50% of premiums for eligible small groups.
· Start with basic plans and add options like dental later.
· Average cost per employee: $500-700 monthly, with employer share flexible.
Many small businesses start small and expand as they grow.
Myth 4: Employer Plans Are Only for Full-Time Employees
Part-time staff often get left out in myths. In reality, rules vary by state, but many plans include part-timers working 20+ hours weekly.
Important facts:
· Federal law requires offering to all full-timers (30+ hours).
· You decide on part-timers, but treat them consistently.
· Some states mandate inclusion for 20-hour workers.
This flexibility helps you support your whole team.
Myth 5: Changing Jobs Means Immediate Loss of Coverage
Fear of gaps stops some from switching roles. But COBRA (a law letting you keep group coverage temporarily) protects you for up to 18 months after leaving.
Debunking details:
· Pay the full premium yourself, but stay on the same plan.
· Mini-COBRA in some states covers small businesses.
· New job? Enroll in their plan without waiting periods.
You bridge coverage easily. We guide you through transitions.
Myth 6: Employers Must Cover Spouses and Dependents
Business owners sometimes assume family coverage is required. Not so. You choose what to offer—employee-only or family options.
Straight facts:
· Cover employees, but family add-ons are optional.
· If offered, employees pay their share for dependents.
· Tax perks apply only to your contributions.
This lets you tailor benefits to your budget.
Myth 7: Group Plans Don’t Cover Pre-Existing Conditions
Old fears linger from before ACA rules. Today, all group plans must cover pre-existing conditions from day one.
Reassuring facts:
· No denials or higher rates based on health history.
· Waiting periods apply only to enrollment, not conditions.
· Mental health and preventive care get equal treatment.
Everyone gets fair access. That’s peace of mind for your team.
Why Busting These Myths Matters
Clearing up misconceptions empowers you to offer strong benefits. Group plans build loyalty, reduce absenteeism, and give tax advantages. They cover essentials like hospital stays, prescriptions, and wellness visits. When you know the facts, decisions get easier.
Remember, rules can shift by state. Always check your local exchange for updates.
Next Step: Review Your Options Today
List your team size and current coverage. Then email us at support@simplestartinsurance.com or call (786) 730-9658. We’ll debunk myths specific to your business and find the right plan.
Your team deserves the best. Let’s make it happen together.
