Provided by an employer to employees and sometimes their spouses, partners, and legal dependents. Employer-paid premiums are generally tax-deductible. Each state sets minimum participation requirements needed to offer group health insurance to a company.
Partially Self-Funded Plans
The employer assumes some of the financial risk for providing health care benefits to employees.
Fully Insured Plans
The employer pays a fixed premium rate based on the number of employees enrolled in the plan to the insurance carrier.
High Deductible Health Plans (HDHP)
Feature higher deductibles than traditional insurance plans, but can be combined with Health Savings Accounts (HSAs) or Health Reimbursement Arrangements (HRAs) that allow employees to pay for qualified out-of-pocket medical expenses with pretax earnings.
Physician-Hospital Organization (PHO)
An alliance of physicians and hospitals who sell their services to managed care companies or directly to employers.
Provides incentives for employees to use in-network and out-of-network physicians and hospitals – common plans include Preferred Provider Organizations (PPOs) or Health Maintenance Organizations (HMOs).