Topics For Employers
Small Group Medical
Large Group Medical
Health Savings Accounts
Cafeteria Plans
COBRA
ERISA Requirements
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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
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