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Friday, December 1, 2023


Medical health insurance protection might be pricey, and the price appears to go up from one yr to the following, with some years extra so than others. It’s dangerous sufficient for the person or head of a household to purchase their very own insurance coverage. It’s a fiscal problem that’s multiplied tens of instances over for companies.

Regardless of optimistic guarantees from authorities officers and others, insurance coverage premiums did go up and have continued to take action for the reason that passage of the Reasonably priced Care Act, generally known as Obamacare.

One examine by The Heritage Basis famous that Obamacare greater than doubled medical health insurance prices for staff and households, with the nationwide common premium growing by 129 % from 2013 to 2019.

And the Kaiser Household Basis (KFF) has decided that whereas premiums for this yr had been totally on par with final yr’s, this might change considerably going into 2023.

“In 2022, the common annual premiums for employer-sponsored medical health insurance are $7,911 for single protection and $22,463 for household protection. These quantities are every much like the common premiums in 2021. In distinction to the dearth of premium progress in 2022, staff’ wages elevated 6.7% and inflation elevated 8%. This distinction could also be resulting from the truth that most of the premiums for 2022 had been finalized within the fall of 2021, earlier than the extent of rising costs turned clear. As inflation continues to develop at comparatively excessive ranges, we might doubtlessly observe the next improve in common premiums for 2023 than we’ve got seen lately.”

In addition they famous that the common premium for household protection has elevated 20 % over the past 5 years and 43 % over the past ten years.



The Heritage Basis report famous, as effectively, that the nationwide common month-to-month premium paid within the particular person market in 2013 was $244, whereas by 2019 it was $558 – greater than doubling with a 129 % improve from 2013 to 2019. In distinction, over the identical interval, the common month-to-month premium paid within the large-group employer market elevated by solely 29 %, from $363 in 2013 to $468 in 2019.

An article at NerdWallet factors out that,

“Companies with fewer than 50 full-time equal staff might select to offer medical health insurance to their staff utilizing small-group medical health insurance plans. Small-group insurance coverage suppliers assess danger for a pool of staff somewhat than one particular person. This permits them to supply decrease premiums than many staff would be capable to get in the event that they bought medical health insurance independently.”

And, whereas companies with fewer than 50 staff will not be legally required to supply medical health insurance, an estimated 53 % of those measurement companies did so in 2020. As well as, 48 % of these companies with simply three to 9 staff additionally provided medical health insurance protection.

Additionally, a fiscal benefit for these actually small companies is potential tax advantages.

Based on the Reasonably priced Care Act, employers with fewer than 25 staff that earn common wages of $52,000 or much less – and pay for a minimum of half of their staff’ medical health insurance premiums – could also be eligible for tax credit that may assist offset the price of small enterprise medical health insurance.

These tax credit can doubtlessly add as much as 50 % of your prices to your staff’ premiums.

On the HealthCare.gov web site, small enterprise homeowners are suggested that enrolling in a Small Enterprise Well being Choices Program (SHOP) plan is often the one method for a small enterprise (or non-profit) to say the Small Enterprise Well being Care Tax Credit score.

The positioning goes on to notice that, to qualify for the tax credit score, the entire following should apply:

  • You could have fewer than 25 full-time equivalents (FTE) staff
  • Your common worker wage is about $56,000 per yr or much less
  • You pay a minimum of 50% of your full-time staff’ premium prices
  • You provide SHOP protection to your whole full-time staff. (You don’t have to supply it to dependents or staff working fewer than 30 hours per week to qualify for the tax credit score.)



One positive approach to cut back your prices and get monetary savings is to work with an skilled dealer.

Working with a agency like J.C. Lewis means we’re working with you, not the insurance coverage firms. We’re in a position to evaluate the protection of assorted insurers present in order to seek out you the most effective charges and protection available in the market.

Merely put, we are going to give you essentially the most unbiased, cost-effective, and best-fit well being protection coverage suggestions.

J.C. Lewis Insurance coverage is a family-owned agency that has been based mostly in Sonoma County since 1979. Our skilled brokers provide small enterprise insurance policy, and our mission is to offer skilled recommendation and help to small enterprise homeowners for group medical health insurance and group medical plans.

As well as, our agency solely supplies small enterprise medical health insurance plans from the main medical health insurance carriers licensed to do enterprise within the states the place we function.

As a crew of skilled, skilled brokers, we’re licensed and authorized by every insurance coverage provider to supply protection to small-group employers along with Medicare supplemental and prescription drug plans for seniors.

Whenever you’re considering of buying medical health insurance for your self and your staff, and probably imaginative and prescient and dental protection, you’ll seemingly have a number of questions and issues.

At J.C. Lewis Insurance coverage Companies, we’re pleased to reply all of your questions on medical health insurance protection. And you may be assured that we are going to allow you to discover the appropriate answer.


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