Enrolling in a small business health insurance plan can be a tedious task, especially if you aren’t prepared with the right documents it takes to be successful. Having all the necessary information will help streamline your journey to health coverage. By the end of this article, you will have a thorough understanding of the Blue Cross Blue Shield of Texas (BCBSTX) enrollment process for small business health insurance.
Before you start thinking about enrolling in a health insurance plan, you must first find out if you qualify. Guidelines vary across states, but there are a few standard requirements small business owners must meet before purchasing a health care plan:
You can apply for healthcare coverage any time of the year. Effective for the entire year, any changes to your plan will need to be made on the anniversary of your coverage start date. However, if you purchase a plan between November 1 and December 15, known as the Waiver Period, some of the requirements previously mentioned above are waived.
During the Waiver Period, plans themselves are not cheaper. The only difference is two standard conditions are waived; you no longer need 75% of employee participation nor is there a minimum premium contribution.
Still have questions? Consult our FAQs or review the insurance basics! If you already match the qualifications, then you’re ready to begin selecting a group health insurance plan!
You can find available, affordable, and attainable coverage options in your area by requesting a free personalized small business quote . Some general information is collected:
After populating your credentials, you will enter the age and gender of each of your employees manually or by importing an existing file. Health insurance plans available in your area will be presented with a summary of benefits and estimated costs.
You should evaluate your coverage options by comparing various expenses and filtering for plan types, plan option tiers, and deductible ranges. The estimated monthly costs are calculated based on the assumption that all employees opt for the chosen plan with employee-only coverage. More information, such as adding dependents and chosen premium contributions, will be collected later in the process to tailor a more specific monthly estimate.
After you’ve selected a plan(s) that fit your budget and suits your employees’ needs, you are ready to create an account. Once you’ve registered, your progress is saved, and you are directed to the more comprehensive part of the quoting process where further employee/business details are required.
When inputting your additional employee details, this is where you designate dependents for each employee, helping to create a more precise estimate of premium costs. Regardless of whether an employee is waiving coverage, they should still be included in this step.
Cost estimates are broken down based on the provided employee information. For contribution strategy, you can contribute a percentage or a flat dollar amount. Either option must meet the minimum 50% contribution rule (that is, if you are not enrolling during the Waiver Period). This requirement applies to employee coverage only; you may choose to contribute to dependent coverage, although it is optional.
So far so good, right? Once you’ve reviewed your customized quote, you may proceed to enrollment. Let’s dive into the documents you will need.
To complete the enrollment process, you will need to provide proof of wages documentation for all eligible employees, including yourself. Acceptable wages documentation includes the following:
If you’re missing any of the above documents or they are unavailable, the following may be considered as alternatives:
Have employees who are already insured through an individual plan or elsewhere in the marketplace? After employee details are finalized, the next step is to specify the anticipated enrollment status for each employee. If an employee is declining coverage, a reason must be provided.
After uploading your proof of wages documentation and electronically signing your group coverage application, your application will be submitted for review, and you’ll be notified of any status changes.
A BCBSTX coverage advisor may reach back out for additional information. If you have questions or need to make a change to an already submitted application, you can call 1-833-923-1785.
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