Group question Vrse ACA

[vic120]

I have a referral for ACA that I will speak to on Monday

However I am told she is trying to decide if she should do ACA or group through her buis, which she has a quote for
However her buis is only her and her daughter are partners no employees

I was told for me I would need to have a few employees to buy ins, as a group from the buis

Am I missing something? or has something changed? can someone get group with only 2 owners now?
Is this just state specific, this is SC

 

[scagnt83]

I have a referral for ACA that I will speak to on Monday

However I am told she is trying to decide if she should do ACA or group through her buis, which she has a quote for
However her buis is only her and her daughter are partners no employees

I was told for me I would need to have a few employees to buy ins, as a group from the buis

Am I missing something? or has something changed? can someone get group with only 2 owners now?
Is this just state specific, this is SC

You can def do a 2 person groups in SC. BCBS even allows 1 person "group" plans now.

 

[LH Happy]

Or you could do ICHRA if there is at least one W-2 employee.

 

[vic120]

You can def do a 2 person groups in SC. BCBS even allows 1 person "group" plans now.

So it is a state specific thing

Is it competitive to ACA especially if there is a 50% subsidy

 

[vic120]

Or you could do ICHRA if there is at least one W-2 employee.

No W-2 employees

 

[LeeV]

vic120, yes, there are group plans that will go down to 2 lives in SC both fully insured and self-funded. Each state is different.

No one can determine if competitive until you request a quote.

Hope this helps.

 

[DNicholsIns]

Generally, for group health insurance, you typically need more than just the business owners usually at least one employee. However, some states or insurers may offer exceptions for small businesses, especially if it's just the owners and a family member, like in this case with the daughter.

 

[scagnt83]

So it is a state specific thing

Is it competitive to ACA especially if there is a 50% subsidy

Yes, state specific. And carrier specific as well to an extent.

For Fully Insured, against a 50% ACA subsidy, I would not expect it to be competitive.

A Level Self Funded plan against 50% ACA subsidy, could very well be competitive. But that is assuming Self Funded is suitable for them. If they have low utilization, it could be a good fit.

 

[vic120]

Yes, state specific. And carrier specific as well to an extent.

For Fully Insured, against a 50% ACA subsidy, I would not expect it to be competitive.

A Level Self Funded plan against 50% ACA subsidy, could very well be competitive. But that is assuming Self Funded is suitable for them. If they have low utilization, it could be a good fit.

Hmm Interesting, Thank you

 

[Jim Wright]

If there are subsidies available, going to the marketplace is probably less expensive AND they won't have to administer the group plan.