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Presentation by Terry Gardiner Small Business Majority Exchanges – Attracting Small Businesses.

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Presentation on theme: "Presentation by Terry Gardiner Small Business Majority Exchanges – Attracting Small Businesses."— Presentation transcript:

1 Presentation by Terry Gardiner Small Business Majority Exchanges – Attracting Small Businesses

2 Small Business Landscape 5.9 million employers with fewer than 100 employees employ 43 M nationally o 80% (4.8 M) have fewer than 10 employees o 54% (2.6 M) of employers with fewer than 10 employees do not offer health coverage Most small businesses are very small and lack sophisticated HR departments o Average employer in Connecticut exchange has 8 employees

3 Purchase health coverage through the exchange Purchase health coverage in the outside market Maintain a “grandfathered” health plan Do not offer health coverage Employer Health Coverage Choices Will the exchange offer “value” – lower price; better coverage; better services?

4 Only half of employers belong to a business group o IRS postcard helped make small business aware of the tax credit Effective Outreach & Education Trusted voices of peers – historical sources: o brokers, business groups, business media

5 Navigators in ACA can work for business o Massachusetts Fishing Partnership Health Plan lowered uninsured rates from 43% to 13% Focus groups & other direct contact in process to ensure needs of small employers are met Effective Outreach & Education

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

7 Qualification and calculation of the small business tax credit; state programs Coverage of out of state employees Coordinating coverage of Medicare-eligible employees Provides additional “HR” services such as Cobra administration, Section 125 service, HSA/FSA/HRA Single Point of Entry for Employers

8 Recognize different role of brokers (agents) for individual and small group markets Brokers will have ongoing role with small business selling other products Role of Insurance Brokers

9 Initial launch and reception has proven critical for both employers and brokers Balancing broker compensation and services with competitive cost to employers will be challenging Model – Washington Health Insurance Partnership o Role of Insurance Brokers

10 Defined benefits option – Utah & Montana Contributions by multiple employers – Utah Other Measures to Attract Business “Free choice” voucher Support of larger businesses

11 Frequently asked questions: Small business healthcare reform summary: biz.pdf Health Reform Info for Small Businesses For more information: Terry Gardiner National Policy Director


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