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What are your employer groups doing about age banding? Going self funded if they can? Can the ER disproportionately help older EE's with rates? I don't think they can with contributions. Maybe bonuses or pay increases.
I have a small group renewal (23 on plan, 40 EE's) with about half of the EE's getting age related decreases in rates, the other half getting increases from 10% to 75% based on age.
I calculated how the ER could offer to put the difference in ER contribution from the rates for their current plan and the $5k deductible HSA plan into an HSA account for them. It's OK, but only cuts their increases in half at best.
Since it's a small company, there will be lots of pain all around if increases for some are so bad, while others get an equal amount of premium decrease.
Upside, no health questions for new employees. Downside of ACA rating rules, unintended consequences, this type of group premium arrangement is going to discourage employment of EE's over 50.
I have a small group renewal (23 on plan, 40 EE's) with about half of the EE's getting age related decreases in rates, the other half getting increases from 10% to 75% based on age.
I calculated how the ER could offer to put the difference in ER contribution from the rates for their current plan and the $5k deductible HSA plan into an HSA account for them. It's OK, but only cuts their increases in half at best.
Since it's a small company, there will be lots of pain all around if increases for some are so bad, while others get an equal amount of premium decrease.
Upside, no health questions for new employees. Downside of ACA rating rules, unintended consequences, this type of group premium arrangement is going to discourage employment of EE's over 50.
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