Texas Group Health Insurance Quotes

Employers in Texas are able to save, find, compare, and enroll in group health insurance with Sanus Benefits. All throughout Texas the Sanus Benefits Portal gives you access to unique, affordable and comprehensive health insurance options. In fact we even have Unique Association Health Plans avaliable in Texas such as the Association of General Contractors Health Plan. We include all plan types in our quoting such as: Fully Insured Health Plans, Level Self Funded Health Plans, Self Funded Health Plans, Limited Benefit Plans, and Reference Based Pricing Options. Depending on your group, any one of these options could be a good choice for you and your employees. Your personal local Texas Group Health Insurance consultant will be able to guide your group through quoting and insure you receive quotes from plan options that would most benefit your populace. Use the information provided below highlighting the Group Texas Health Insurance Market to make informed decisions and find cost effective solutions for your Group Health Insurance Options.

The first step in saving on your group health insurance is to get a quote. The quoting process is simple and easy for most Texas Employers. You will need to provide your census information, and claims/renewal information as well. Carriers sometimes differ on the requirements necessary to quote which is why it is paramount to have an experienced Texas Employee Benefits Consultant available to assist. Each health insurance carrier in Texas has a different sweet spot as far as group demographics and claim utlization. This leads to sometimes vastly different pricing, 10-15% in savings is nothing to balk at when it ends up being $100,000 or more a year. The fastest and most efficient way to quote across Texas is to use an online Employee Benefits quoting tool built for Texas Employers such as the Sanus Benefits Portal.
After you request a quote with Sanus Benefits, you will be brought to our unique health insurance quote page that allows you to compare all employee benefits carriers in Texas side by side. Along with hundreds of Texas Group Health Insurance Options, we also provide Texas Group Dental, Vision, Life, and Disability Insurance options as well. Even if you prefer not to use an Online Portal work with a Knowledgable Texas Employee Benefits Consultant the market changes vastly in different parts of the country.

Texas Employee Benefits Information

Below we delve into the various aspects of offering Group Health Insurance in Texas as an Employer. Keep in mind these are brief overviews of the various requirements and solutions but it gives you a good idea of what to expect. To get a definitive breakdown on what your group needs a Texas Employee Benefits Consultant will need to assess your group.

Texas Employee Benefits Compliance

When offering group Health Insurance in Texas there are certain mandates and reporting requirements you need to adhere to. The most notable of these mandates is the ACA (Affordable Care Act). The ACA requires all employers with 50 or more full time equivelent employees to offer health insurance to their employees. Notice it does say equivelent, part timers are added together for the purpose of calculating whether or not your group is considered a 'Large Group'. The ACA also requires that all plans offered to employees meet Minimum Essential Coverage standards. In addition to the ACA, there are other reporting and compliance requirements that need to be met. Such as 1094/1095 Reporting, HIPPA, Mandated Open Enrollment Notices, and much more. Automating these compliance requirements is becoming a necessity for Employers in Texas. Often groups with a large populace will find these task tedious, cumbersome, and difficult to keep up with. Unfortunetly, most of the HRIS, Payroll, and Benefit Adminstration systems across the country do not offer a solution to this problem.

This is one area Sanus Benefits sets a new standard. We are not here to capitlize on your lack of knowledge in this area with a basic CRUD app. We are here to provide a lasting solution to your Benefit needs and took every precaution in verifying the entirety of group's compliance needs are met. With our Industry expertiese and a team of HIPPA certified consultants we are able to provide a comprehensive solution difficult to find elsewhere in Texas. Here are just a small amount of our Compliance Features: Benefits Booklet w/ All Required Notices, Regular Compliance Updates, HIPPA certified Consultants Avaliable to Employer & Employees, Employee Coverage Tracking, and all other Compliance documents.

Health Network Of Texas Doctors And Plan Types

There are a variety of plan types and networks for groups across Texas. With the vast amount of options, it is difficult for employers to find the best Health Plan for their group. You generally get a good indiciation of your plan network from your plan type. There are PPO, HMO, and EPO plan types.

PPO Health Plans are the least restrictive of these options. PPO plans generally have affordable copays, and a wide network of medical providers as well as doctors. If your employees are adamant on using their doctor then I highly recommend a PPO option. Unlike the other options, PPO plan types even offer coverage for Out of Network Providers.

EPO plans generally have the same network size as PPO plans (They use the same in-network doctors). However EPO Plans, do not offer out of network coverage.

HMO plans are the most restrictive of the three plan options. HMO plans sometimes require employees to designate a primary care physician, and only go to specialist he/she refers them to. However, not all HMO options have this restriction. Either way, HMO networks are the smallest in comparison with EPO and PPO plans. In addition to having the smallest network, HMO plans like EPO plans do not offer coverage to out of-network providers. This is just a quick synopsis of differences.

To get exact details on your plan I would recommend reviewing the SBC (Summary Of Benefits And Coverage). That way you can see your specific provider network name and information. Never rely on just the plan type to gauge a plan's network. Sometimes even PPO options with the same Carrier differ in the networks they utilize. Again this is why its important to find a consulant well versed in the Texas Employee Benefits Market such as Sanus Benefits. The last thing you want is network confusion or issues. Some carriers have a larger network than others and some have access to premimer providers in a certain area while others do not. The Sanus Benefits Quote Tool will allow you to quickly access each plans network for an indepth comparison. This will insure you and your staff are looking at all the correct details as far as Network and Plan Information in an simplified accessible format.

Texas Health Insurance Carriers Quoted

The Texas Health Insurance industry is very competitive and complex. The most affordable Health Plan in Austin, Texas can very well be the highest costing plan in Houston, Texas. Price is not the only difference, some carriers are not available statewide or use an alternative network when out of their coverage area. Like Memorial Hermann for example, they offer coverage to only Houston headquartered businesses. If employees are outside of Houston, they use the PHCS network. However, a given percentage of their populace must reside within the Greater Houston Area. There are numerous various regional factors to consider for groups in San Antonio, Houston, Dallas, Austin and everywhere in between. Also, you should make careful note of how many carriers you receive quotes on and why. 10 years ago this was a non important factor, because there were only 4 carriers avaliable. Now most Texas Employers have access to around 8, and in some areas even more. They all use different underwriting methods and various plan options, unqiue cost saving features, different networks and other exclusive benefits. As I have reiterated in this Article, with the increased complexity in administering employee benefits, and the increased competition in the Texas Health Insurance Market, it is important to utilize a system built and tailored for adminstering Employee Benefits for Texas Employers such as the Sanus Benefits Portal.

Our comprehensive Texas Employer Health Insurance Market Reivew via our group quoting portal will include these details and more to make sure you receive the best deal for your wallet as well as your health.

Health Plan Types and Funding Options for Texas Employers

Not only do employers need to be aware of the plan types (PPO, HMO, EPO) they also need to be cognizant of the funding type. This is a term you do not hear from most consultants but it is very important. In Texas, there are Fully Insured plans, Level Self Funded Plans, Self Funded Plans, and Reference Based Pricing plan options. All of them can meet the ACA coverage requirements some have more customization then others. What are the main differences with these funding options?

Fully Insured Plan Options

  -   these options comply with both state and federal mandated benefits. Meaning all plan options are required to offer all State and Federal coverage requirements. These plans are subject to community rating on groups under 50 employees. Community rating means that your group is strictly rated based off census information (Age/Gender/Residential Zip Code) that is it. Because of the limitations in information they can gather, the rates sky rocket. There is no way to differentiate a healthy group from a sick group using this option. This leads to extremely high premiums for very crappy plans.

Level Self Funded Plan Options

  -   involves the employer taking on more risk for claims than a fully insured plan. However, it provides more financial predictability and lesser risk than paying claims directly, like a typical self-funded plan. To quote this plan option, an actuarial firm reviews an employers prior claim experience, and generates a rate for the group based off claim estimations for the next year. This rate includes a claim fund, administrative expenses, and network costs. These plan options often offer a refund at the end of the year if your group has lower claims than anticipated. They are also generally more affordable than fully insured options for groups under 50 employees, or groups over 50 with limited participation.

Self Funded Plan Options

  -   these options are often best suited for employers with a substantial amount of savings set aside for claim payments. These plans offer the most flexibility with coverage types, and plan set up. As well as offer claim details that you are unable to pull from the carrier directly. However they do require more work to maintain. There are numerous cogs so to say in a self funded plan option. You will need to 'Rent a Network', find a reliable Claim Administrator, Quote various Stop Loss options (As well as understand what stop loss coverage is), assess the amount of risk your employer is willing to take on, and find a reliable broker that quotes these various options year to year to verify you are still receiving the best price (Sanus Benefits). We also offer a quarterly review to discuss prior claims and simple strategies self funded employers can take to lower future claim costs.

Reference Based Pricing Plan Options

  -   these are plans without a network. Instead of paying set network prices, they pay at a percentage of Medicaid. According to carriers that offer these options, 95% of providers take the payment without issue. In the case of a provider not accepting the slightly higher percentage of what medicaid pays, the carrier has a negotiation team that calls and works out the lowest price they are willing to accept. While this option offers the most saving potential, they are often too difficult to administer.

This is just a quick summary of each funding option. To review some of the larger carrier plan types avaliable review below. *Please note this is not all carriers avaliable in Texas. If you would like to see all Carriers create an account.

Texas Employer Health Plan Types Avaliable

Carrier	Available Statewide	Fully Insured Plans	Level Self Funded Plans	RBP* Plans
Blue Cross Blue Shield	Yes	Yes	Yes (Blue Balance)	No
United Healthcare	Yes	Yes	Yes (All Savers)	No
Humana	No	No	No	No
Aetna	Yes	Yes	Yes	No
Cigna	Yes	Yes	Yes	No
All State	Yes	Yes	Yes	Yes
Curative	Yes	Yes	Yes	No
Gravie	Yes	No	Yes	No
Angle	Yes	No	Yes	No
Memorial Hermann	No *Houston	Yes	No	No
Association of General Contractors Health Plan	Yes	Yes	Yes	No

*RBP - Reference Based Pricing

Texas & US Employer Health Insurance Statistics

Below you will find a table demostrating the changes in Employer Health Insurance from 2009 to 2020. The data is based on the Kaiser Family Foundation Employer Health Benefits Survey. It is broken down into Small Employers (1-199 Employees) and Large Employers (200+ Employees). In comparison at the bottom is the rate of change year to year for Sanus Benefits Portal Users. Giving a clear picture of how Sanus Benefits assists groups throughout Texas in saving on their Health Insurance.

*Based on Kaiser Family Foundation 2019 Employer Health Insurance Stats
**Based on Sanus Benefits Current Clients.

Texas Employer Medical Premium Fluctuations

Groups across the state are having difficulty keeping a lid on premium increases. In fact, this growth in cost is unsustainable for all groups the cost increases surpass the rate of inflation. The 2019 Employer Health Benefits Survey by Kaiser Family Foundation, found that premiums are increasing by an average of 4-5% each year. Texas groups are staving off these increases by increasing their deductible and cutting their plan offerings. Which leads to employee frustration and a decrease in employee satisfaction.

Of course cutting benefits should never be your solution to lower cost. Providing your team with a resource to educate and allow them to better utilize their coverages should be one of the top line items as a cost containment strategy. Making your deductible higher, or plan more difficult to use exasperates already problematic health issues. Health that detoriates without continuous care leads to claim spikes that will cost your group for years to come. This is another reason why Online Employee Benefit Portals are important such as the Sanus Benefits Portal. With Sanus Benefits, employees and administrators have access to benefit consultants day or night. Helping individuals understand their options in more detail and the best path for their health moving forward. If we put an emphasis on a healthier populace through education, preperation, and accessiblity the affordability aspect seems to fix itsself.

Fastest And Easiest Way To Find Employee Medical Coverage

The fastest way Texas Groups can lower their health insurance is by using the Sanus Benefits Portal. Our quoting process takes an average of 0-7 business days. We then come out to discuss the market review options in detail or you can review online and hold a meeting via zoom to discuss options. Our Employee Benefits Quoting Portal has details and plan specs that are essential in making benefits decision as detailed in this article. As well as giving you direct comparisons to your current options for a quick and easy decision. This portal does not just save Texas Employers on Health Insurance but also Dental, Vision, Life, and Disability. To start the quoting process please click the quote request button below, and you can follow the easy steps in requesting a quote within 10 minutes from all avaliable carriers in your market.

Tips to Search Group Health Insurance Throughout Texas

As I said earlier in the article. Each area of Texas differs in network size and options avaliable. Groups in Houston can access Memorial Hermann. While Group Health Plans being offered in Austin, San Antonio, Dallas can work with Scott and White, and El Paso has Providence. These are local hospital systems that offer their own coverage directly. Of course all throughout Texas you have access to the carriers with a larger network as well such as Blue Cross, Aetna, Cigna, All State, Angle, Gravie, Sana, and Much More. However, you need to even verify that the larger carriers have a network in you area of Texas that satisfies your populace. These are just a few examples of the differences in the Texas Market Options throughout the State. The days of finding the best option via paper spreadsheets are done. There are too many variables at play when reviewing Group Health Options, and to think this can be done without specialized knowledge is a mistake. The only constant across the State of Texas is Sanus Benefits is the best option for quoting out your Employee Benefits. Our specialized platform was built to give you unbiased information and allow you to truly compare options with a seasoned licensed professional. The days of using your payroll company, your P&C agent, your PEO company, or even your old family friend are over. Our platform is specialized for this purpose and we have the best consultants in the market to help you with your quoting process. Click Here to review more about the Benefits Portal and the improvents it will bring to your current Employee Benefits Workflow. Or you can click the quote button below to get started on seeing the difference first hand. All Texas employers gain automatic access to the Employee Benefits Portal with Sanus Benefits at no charge.