How to set up a new health insurance plan | Gusto
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- [Jacklyn] Hey there,
Jaclyn here to show you
how to build a great benefits package
that employees will love
starting with health insurance.
On the benefits tab, go to
medical, dental, and vision.
If the company already offers benefits,
you can integrate them with
Gusto by selecting yes.
To set up a new benefits
package, select no.
Tell us a little more about the business
so we can suggest a few
plans that are just right.
Start by selecting employee status,
full-time employees are
automatically eligible.
In most states, this means someone
who works 30 hours or more a week.
One of Gusto's licensed benefits advisors
can help you determine how
your state defines this.
Most carriers also allow employers
to cover part-time employees
who average 20 to 29 hours per week.
To add an owner or officer
who is not on payroll
but needs benefits,
click here to add in
their account information.
Select benefits for the team
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including medical,
dental, vision, and more.
Each category has its own levels
of coverage to choose from.
Keep in mind that it takes about 30 day
to set up coverage with most carriers.
Let's start with medical.
Medical plans are
categorized by the government
into four tiers, bronze,
silver, gold, and platinum.
All tiers offer the same
essential health benefits
but as you move from bronze upwards,
the monthly premium increases
and the cost of individual
medical services goes down.
You may want to adjust
the company contribution
to employees and their dependents.
Our licensed benefits
advisors can help you
check on any applicable regulations.
Next, you'll choose a base plan,
this plan should fit your budget
and cover the needs of most employees.
There's different types
of plans to choose from
including PPO, HMO, and POS
which we can help you navigate.
In the plan details you'll see
monthly premiums for the
company and coverage details.
You can also view this per employee.
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You can add richer plan options
that employees can opt
into at their own expense
which could include
higher tiers of coverage,
and alternate network types.
Employers can even offer buy down plans
which cost employees
less than the base plan.
Complete the package by adding
any other health benefits.
This is optional but
employees have come to expect
additional benefits and are
not too expensive to offer.
Next, tell us a bit
more about the company,
like when new hires should
start getting benefits.
Under company information,
let us know if there's
an active worker's compensation policy.
This is required by most
health insurance companies.
If you don't have one,
Gusto's got your back,
visit the stay compliant
tab to get started.
We also need to know whether the company
files taxes as a S-corp
and how you'll contribute
towards owner's premiums.
And finally select company status.
The business must be active
with the Secretary of State
in the state where the company is located.
Review the benefits package
to make sure that lines up
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and then submit.
Upload if a few documents
to verify the companies eligibility
and provide you E-Signature
so we can submit your request to carriers.
You're in great hands, we'll send an email
to summarize your health
benefits selection
and contact you in a few
days to answer questions.
And once we're squared away
we'll reach out to employees
to kick off open enrollment.
Health benefits with Gusto
means that payroll deductions
happen automatically and we
take care of the administration
and compliance support at no extra charge.
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