Health Insurance Exchange FAQs
Get answers to questions that are frequently asked by HealthPass members.
Frequently Asked Questions
Employees of a small and medium size business are typically given very limited choice – usually only one or two options – when it comes to health insurance. Exchanges transform that dynamic by creating an organized and competitive marketplace that offers a choice of health benefit designs, health insurance carriers, and provider networks. Exchanges also provide the business owner with a comprehensive set of “back office” services that streamline employer-based health benefits administration while simultaneously supplying employees with personalized support to help them navigate their healthcare from initial sign-up to renewal.
Through HealthPass, each employee can choose a different insurance carrier and health plan design through the HealthPass Online Portal (HOP) or by using one universal enrollment form.
After electing HealthPass as their group coverage, employers select the premium tier structures, set a defined dollar contribution and designate which ancillary offerings will be made available to employees.
Employees then choose a medical carrier, health plan and ancillary products (if made available by their employer).
The employer receives one consolidated list invoice from HealthPass and makes one payment per month regardless of the number of different plan options chosen by employees.
Throughout the plan year, members can take advantage of robust in-house Client Services as well as health and medical cost advocacy services.
There are several ways HealthPass saves employers and their employees money. By setting a defined contribution (DC) amount for each employee, employers can easily set a benefits budget. Also, employees can choose a plan which meets their needs without overspending for unused benefits. With access to over 70,000 providers, collectively participating in our networks, employees are more likely to find their doctors in one of our carrier’s networks - thus reducing potential out of pocket costs.
- Groups must have at least one common law employee and the common law employee cannot be a spouse or a relative with ownership.
- Partnerships with no common law employee(s) are not considered a group.
- Corporations (LLCs, S and C Corporations) do not require a common law employee(s) so long as the corporation has at least two owners who are not married to each other.
- Full-time employees must work a minimum of 20 hours per week. The employer may choose to raise the minimum standard up to 40 hours per week but must remain consistent for all employees.
All of them! Through HealthPass, each employee can choose a different plan using the HealthPass Online Portal (HOP) or one universal enrollment form, while you get one invoice and make only one payment a month, regardless of the number of plans your employees choose.
EverGuard and EverGuard Plus are bundled security products offered by HealthPass through Guardian. The EverGuard family of products make it easy to offer your employees the personal protection they need at affordable rates. No medical evaluation is required and no industry is excluded.
- $1,000 per month of Disability Income
- $25,000 of Term Life Insurance
- $75,000 of Accidental Death & Dismemberment Insurance
- $1,500 per month Disability Income
- $50,000 of Term Life Insurance
- $100,000 of Accidental Death & Dismemberment Insurance