Veritas Risk Management & Insurance Services Blog

Large Group Health Insurance in Tennessee

Written by Andrew Darlington | August 9, 2024 at 2:52 PM

Large businesses in Tennessee can use large group health plans to give their employees complete health coverage. These plans are appealing because they save money, have great benefits, and include specific eligibility requirements. In this blog, we'll talk about what makes these plans special, how they help companies out, and what you need to qualify for them.

Understanding Large Group Health Plans

Large group health insurance plans in Tennessee are for employers with 50 or more employees. The plans can be PPO, HMO, or POS and offer wellness programs, telemedicine services, maternity coverage, and pharmacy benefits. In California, New York, and Vermont, the minimum requirement is 101 employees. Employers can benefit their employees by offering group plan coverage with lower premiums and additional benefits.

Key Features of Large Group Health Insurance

This includes standard items like maternity, pharmacy, and annual checkups, but they also will include things like Wellness Programs, Biometric Screenings, Onsite Nurses or Doctors, Worksite Wellness Seminars, Onsite Health Coaching, and other benefits that are cost savings for employers and employees that standard small group health insurance plans do not.

Benefits of Large Group Health Insurance for Businesses

Large group health plans provide advantages for businesses and their employees. They offer broad coverage and access to larger premium discounts, ensuring workers receive the care they need. These plans are underwritten and can negotiate with providers to lower rates, saving costs for both employers and employees. Small businesses can join association plans at lower costs too. These plans include pharmacy coverage and wellness programs that make medications more affordable and promote employee health. Telemedicine services also meet the healthcare needs of large employers with dispersed workers.

What are the criteria for Large Group Coverage?

Tennessee businesses with at least 50 eligible employees can qualify for a large group health plan.

Navigating Association Health Plans

Large group health plans give smaller companies access to cost savings and comprehensive benefits. There are only a handful of these in Tennessee. Association health plans are when insurance companies allow small businesses to join forces for their health care. Generally, these businesses will all be in the same industry, but they tend to fail regularly.

Association Health Plans' Impact on Small Businesses

Association health plans could significantly influence small businesses' medical insurance costs in Tennessee, impacting the small group market and healthcare options for smaller companies. The problem is that generally, these associations are not able to be sustainable for employee benefits.

What are the Health Benefits of Large Group Plans in Tennessee?

In Tennessee, large group health plans offer benefits such as maternity coverage, emergency services, mental health, and pharmacy coverage. Telemedicine, although convenient, is not considered an essential benefit. The state's "benchmark" plan has additional criteria for each benefit category.

Conclusion

Large group health insurance in Tennessee is good for businesses and employees. It covers essential health benefits and can be customized to suit different needs. Small businesses can also access affordable coverage through association health plans. To make an informed decision, it is important to understand the qualifying criteria and complexities involved. Opting for a large group health plan shows that a business values employee well-being and wants to stay competitive.

Author Bio

Andrew's impressive 26-year journey in the insurance sector started in 1997 and led to the founding of his successful agency in 2009. He holds several professional certifications, including CBIA, CIC, CRM, and AAI, showcasing his ability to keep pace with the industry's changes. Andrew places a high value on building client relationships, having worked with thousands of clients. He strongly believes in ongoing education to keep up with industry developments. His website acts as a detailed portfolio of his knowledge, filled with insights, real-world cases, and credible references, highlighting his dedication to offering customized insurance solutions and upholding his professional integrity.