Many nonprofit organizations want to offer healthcare benefits to take care of their employees. In addition, healthcare benefits are a vital part of compensation packages that nonprofit organizations offer to staff. Since many nonprofit organizations have limited capital and tight budgets, they may feel like they don’t have many options when it comes to offering healthcare to employees. While they want to take care of their employees, many are unable to afford traditional group health insurance, or cannot meet the minimum participation requirements.
1. Work with a Health Insurance Broker
A licensed health insurance broker can be very helpful to educate you about the different health insurance plans and options for your nonprofit organization. In addition, they can help you pick a health insurance options that fits into the tight budget.
Since health insurance brokers are independent and sell for multiple companies, they can typically provide a variety options and a broad view of the different insurers. A broker will work with your nonprofit to evaluate the major insurance carriers in the area on plan designs and cost. In addition, purchasing a policy through a broker typically doesn't cost any more than purchasing it on your own, as most health insurance brokers are compensated by the insurance carriers.
2. Evaluate Group Health Insurance vs. Individual Health Insurance
While the options may seem endless and overwhelming, there are really two ways to purchase health insurance. One way is to purchase an individual insurance policy and the other way is to purchase a group health insurance policy.
Individual Health Insurance: is a policy purchased by an individual for themselves and their family based upon personal needs and budget -- just like car insurance. Individuals can select from a wide variety of plan types and coverage levels. Policies can be purchased through a licensed health insurance agent or through the health insurance marketplace. Purchasing an individual health insurance policy has never been easier.
Group Health Insurance: is a type of health insurance policy that is purchased by an employer and is offered to eligible employees of the company, and to eligible dependents of employees. With group health insurance, the employer selects the plan (or plans) to offer to the employees. The premium cost is often split between the employee and the employer, and there is a minimum percentage rate the employer must contribute.
3. Consider Your Options on the Health Insurance Marketplace
Due to changes enacted by the Affordable Care Act (ACA), individual health insurance offers more choice and control to employees by allowing them to choose a plan that fits their own needs, including coverage level and network. Employees can choose their own plans to work with their budget. These plans can be customized to individual circumstances and age.
For example, if a young employee is relatively healthy and on a tight budget, a plan with a lower premium and higher deductible may be the right choice. On the other hand, for older employees or employees with more healthcare needs, a plan with a higher premium and lower deductible may be the better plan.
It may also be worth it to check out the Small Business Health Options Program (SHOP) Marketplace. The ACA designed the SHOP Marketplace to provide small employers and nonprofits with more choices for their healthcare plan. Part of the appeal of the SHOP is access to the small employer health care tax credit. Since this has been reduced for tax-exempt employers, it may not fit into the financial needs of your nonprofit organization.
4. Consider Reimbursing Your Employees’ Health Insurance Premiums
Instead of offering pricy group health insurance, many nonprofit organizations are offering tax-free healthcare allowances as part of their compensation packages to recruit and retain the best employees.
With this type of arrangement, employees have more choice of coverage and doctors to best fit their family’s needs. The cost savings and fiscal control are the biggest reason nonprofit organizations are choosing healthcare allowances over group health insurance.
Reimbursing employees’ individual health insurance allows many nonprofits to offer healthcare benefits for the first time. In addition, having predictable and controllable costs year to year adds much needed stability to the tight budget, and provides accountability to the board and funders of the organization.