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Health Insurance Exchanges for Small Businesses: Features, Choices, and Communication

Discover the key features of health insurance exchanges that can attract small business customers. Explore the choices for employers, the role of brokers, and the importance of effective communication. Learn about services provided and the focus on prevention and wellness. Contact Small Business Majority for more information.

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Health Insurance Exchanges for Small Businesses: Features, Choices, and Communication

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  1. Features of Health Insurance Exchanges That Could Attract Small Business Customers Terry Gardiner Small Business Majority February 22 , 2012

  2. Small Business Challenges for Exchanges • 5.9 million employers with fewer than 100 employees employ 43 M nationally • 78% have fewer than 10 employees • 58% with fewer than 50 employees do not offer health coverage • Most small businesses are very small and lack sophisticated human resources departments • Average employer in Connecticut exchange has 8 employees

  3. Employer’s Have Health Coverage Choices • Purchase health coverage through the exchange • Purchase health coverage in the outsidemarket • Maintain a “grandfathered” health plan • Do not offer health coverage Will the exchange offer “value” – lower price; better coverage; better services?

  4. Communicating with Small Businesses is Complex • Only half of employers belong to a business group • Trusted Advisors – their brokers, accountants, peers • Communication Channels – business press, business groups, trade groups • Diversity of Businesses – in the office, in the field, languages

  5. The Critical Role of Brokers • Brokers will have ongoing role with small business • Initial launch and reception has proven critical for both employers and brokers • Successful models train and support brokers on an ongoing basis • Secure website access for broker • The exchange and employeechoice of health plans will be new for employer and employees - brokers have a key educationrole

  6. Single Point of Entry for Employers • All necessary information for employer and employees to make decisions on coverage • One application • One premiumpayment& detailed accounting • One source for enrollment changes

  7. One Stop Shopping: Services • Qualification and calculation of the small business tax credit; state programs • Coverage of out-of-stateemployees • Coordinating coverage of Medicare-eligibleemployees • Provides additional “HR” services such as COBRA administration, Section 125 service, HSA/FSA/HRA

  8. Exchange Roles in Prevention and Wellness • Provide workplace wellness through the program components of the health plans offered by insurers. • Directly provide workplace wellness services and programs that have a positive track record with other SHOP exchanges. • Educate and provide tools for insurance brokers about the business case for small employers. • Collaborate with insurers that are innovating workplace wellness programs • Establish a workplace wellness advisory group

  9. Thank You! Questions? Terry Gardiner VP of Policy & Strategy Small Business Majority • Contact us for more information. • Phone: (866) 597-7431 Email: national@smallbusinessmajority.org • Website: www.smallbusinessmajority.org

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