California-based employers with more than 50 employees are not
subject to many of the insurance rules that apply to smaller
groups. Larger groups, however, must submit to a process called
“underwriting,” which is a review of the employer’s employee
group and its health care utilization. That review determines
whether an insurer will agree to insure the group and the amount
of the premium.Larger groups tend to have more issues than
smaller groups, including the filing of a Form 5500 (for plans
covering more than 100 participants), and whether to consider
self-insurance and stop-loss coverage. Larger numbers of
participants make tax-saving programs more practicable, such as
Cafeteria Plan flexible spending accounts (FSAs), health
reimbursement arrangements (HRAs), Health Savings Accounts (HSAs)
and making available multiple insurance carrier choices.
Echelon can obtain the most competitive group health
proposals for large groups, provide helpful advice on the use
and practicality of HSAs, FSAs and other potentially useful plan
designs, and provide primary assistance with complying with
ERISA, COBRA, HIPAA and other employee benefit-related laws.

- Also read about Health Savings Accounts and
Cafeteria Plans
- Other Group Benefits
- Contact Us
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