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Idaho's Group Health Insurance: What Employers and Employees Should Know

Chris Antrim, CLTC - Boise Health & Life Agency • Oct 29, 2023
Idaho Group Health Insurance

Idaho's Small Employer Health Insurance Availability Act ensures that all health insurance companies actively offer their health benefit plans to small employers in Idaho.


This act applies to businesses with at least two but no more than 50 eligible employees, the majority of whom are employed within Idaho.


It prevents insurance companies from denying coverage based on health conditions and provides access to affordable group health insurance plans.

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Key Takeaways

  • Idaho's Small Employer Health Insurance Availability Act mandates health insurance companies to offer their plans to small employers in Idaho.
  • Small employers are defined as businesses with at least two but no more than 50 eligible employees.
  • The act prevents insurance companies from denying coverage based on health conditions.
  • Idaho's insurance marketplace, Your Health Idaho, offers small employer health benefit plans.
  • Group health insurance provides affordable coverage options for both employers and employees.


Group Health Insurance Coverage and Benefits

Group health insurance coverage offers a range of benefits for employees, providing them with access to comprehensive medical and dental benefits, prescription drug coverage, and vision benefits. By opting for group health insurance, employers have the opportunity to contribute a portion of the premium for their employees, making it more affordable for them. Additionally, eligible employees may also be reimbursed for a portion of the premium by their employer. This shared responsibility model helps to ensure that employees have access to quality healthcare coverage without bearing the entire cost themselves.


One of the key advantages of group health insurance is the ability to access a network of healthcare providers. These networks consist of doctors, specialists, hospitals, and other medical facilities that have agreed to provide services at lower costs to members of the insurance plan. This not only makes it easier for employees to find a healthcare provider but also helps to reduce out-of-pocket expenses for medical treatments and services.


In terms of cost, group health insurance premiums can vary depending on several factors. These include the number of employees covered under the plan, their ages, the geographic location of the business, and the specific benefit options chosen. Employers should consider these factors when selecting a group health insurance plan that fits within their budget while also providing the necessary coverage for their employees. Comparing quotes from different insurance providers can help employers find the most affordable group health insurance plan that meets their specific needs.


Group Health Insurance Coverage and Benefits Summary

  • Group health insurance coverage includes medical, dental, prescription drug, and vision benefits.
  • Employers may choose to contribute a portion of the premium for their employees.
  • Eligible employees may be reimbursed for a portion of the premium by their employer.
  • Group health insurance provides access to a network of healthcare providers for lower-cost medical care.
  • The cost of group health insurance depends on factors such as the number of employees and benefit options chosen.
  • Employers can compare quotes from different insurance providers to find affordable group health insurance.
Group Health Insurance Coverage Benefits Cost
Medical Comprehensive coverage for medical treatments and services Varies depending on factors such as the number of employees and their ages
Dental Coverage for preventive, basic, and major dental treatments Depends on the chosen plan and the number of employees covered
Prescription Drug Access to a wide range of prescription medications Determined by the insurance provider and the specific plan
Vision Coverage for eye exams, glasses, and contact lenses Varies based on the chosen plan and the number of employees covered

Idaho's State Employee Group Health Insurance

Idaho offers a comprehensive group health insurance package for employees of state agencies, political subdivisions, universities, and colleges. Administered by the Department of Administration's Office of Group Insurance, this state employee group health insurance program provides a range of benefits to eligible employees. These benefits include medical, dental, life insurance, short and long-term disability, and flexible spending accounts.


Employees can expect a robust benefits package that covers their healthcare needs. The program also offers options for additional voluntary coverage, allowing employees to customize their insurance plan to suit their individual needs. However, it is important to note that the specific offerings may vary for school districts participating in the State of Idaho Health Plan, so employees should consult their HR office for more information.


Being a part of the state employee group health insurance program provides employees with access to a wide network of healthcare providers. This means that employees can receive quality medical care from trusted professionals. Furthermore, the program offers the added convenience of affordable healthcare services compared to individual plans, making it an attractive option for state employees in Idaho.

Benefits Details
Medical Coverage Comprehensive medical benefits for employees
Dental Coverage Includes preventive and restorative dental services
Life Insurance Provides financial protection for employees and their families
Short and Long-Term Disability Offers income protection in the event of disability
Flexible Spending Accounts Allows employees to set aside pre-tax dollars for eligible healthcare expenses

Finding Affordable Group Health Insurance in Idaho

When it comes to finding affordable group health insurance in Idaho, employers have several options to consider. One important step is to compare quotes from different insurance providers. This allows employers to assess the coverage options, network of healthcare providers, cost-sharing arrangements, and customer service provided by each insurance company.


To simplify the process, employers can reach out to local insurance brokers or directly contact insurance companies to request quotes. By gathering and comparing these quotes, employers can evaluate the benefits and costs of different group health insurance plans. It is essential to consider the specific needs and preferences of the employees, ensuring that the chosen insurance plan meets their requirements.


Working with a reputable insurance provider is highly recommended. Companies like Chris Antrim Insurance specialize in group health insurance and can provide personalized guidance throughout the selection process. Their expertise and knowledge of the insurance market in Idaho can help employers make informed decisions that balance affordability and comprehensive coverage for their employees.


Get Your Affordable Group Health Insurance with Chris Antrim Insurance

Group health insurance is a crucial benefit for employers and employees in Idaho, offering comprehensive healthcare coverage at affordable rates. By exploring the options provided under the Small Employer Health Insurance Availability Act and considering state employee group health insurance, employers can find a solution that meets their needs.


For employers, group health insurance allows them to attract and retain talented individuals by providing access to necessary medical services. It also offers flexibility in contribution amounts and a range of coverage options to suit different employee needs.

Employees benefit from group health insurance by gaining access to a network of healthcare providers and receiving medical care at lower costs compared to individual plans. The coverage typically includes medical, dental, prescription drug, and vision benefits, providing comprehensive healthcare support.


To find affordable group health insurance in Idaho, employers should compare quotes from different insurance providers, considering factors such as coverage options, cost-sharing arrangements, and customer service. Consulting reputable insurance providers, like Chris Antrim Insurance, specialized in group health insurance, can provide personalized guidance throughout the process. Contact us today!

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