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Wednesday, Jun 19, 2024

CFO Awards 2018 Nominees: Seven Ways to Save Money on Small Business Health Insurance

There’s one thing we can all agree on when it comes to health insurance: it’s expensive. Last year, employers spent an average of 7.6% of their total annual budget on employee health care costs, which averaged $6,435 for an individual plan and $12,865 for a family plan per employee. And even with generous employer premium contributions, health insurance can cost a lot for employees, too.

As a business owner, it’s easy to feel conflicted about providing employee insurance. You have a budget to manage, and health benefits are a big line item cost. At the same time, you care about your staff’s health and want them to be protected in the event of a medical emergency. Is it possible to offer health benefits without breaking the bank?

With a little savvy and insider strategy, you can keep costs down for you and your employees – and make sure everyone stays covered. Check out these 7 practical ways for employers and employees to save money on health care.


Health insurance prices change every year. It’s always a smart idea to see what plans are available in your area for the upcoming coverage period. You may be able to save money by:

  • Switching to a different health insurer. Some insurers might increase their rates substantially year-over-year, while others may have a more modest increase (or even decrease their rates).
  • Changing to a new health plan type (like an EPO or HMO, which are usually cheaper than PPOs). EPOs have a curated network of doctors, but don’t require referrals. HMOs are usually built around a single medical system and require referrals to see specialists. Both types of plans are able to drive cost savings with doctors and medical groups – and pass along those savings to you.
  • Selecting a different set of plan tiers. More options are not always helpful – studies have shown that employees often over insure themselves when choosing between several plans.


A Health Savings Account (HSA) is a long-term account an employee sets up to pay for their health care expenses. HSAs can only be used with specific HSA-compatible insurance plans that usually have high annual deductibles and lower monthly premiums. These types of plans can help you save on premium contributions while still providing health coverage for your employees.


If you have a relatively healthy employee base, level funding might be a good option to explore. Level funding is a group health insurance product that behaves like a fully-insured product but gives more opportunity for cost savings.

Here’s how level funding works:

  • You pay a fixed monthly premium into an account.
  • This money is used to pay claims for employee health care.
  • If there’s any money left in the account at the end of the plan year, it goes back to your business.
  • If employee claims spending exceeds the funds in your account, your health insurer covers the difference.
  • Talk to your broker to learn more about level funding plans available to your business.


Healthy employees who don’t go to the doctor often can save money with a lower premium, higher deductible plan. Others who have ongoing health needs can save money by opting for a higher premium, lower deductible plan. Make sure to provide a variety of plan options so everyone can get the coverage they need (without paying for what they won’t use).

Ideally, every plan option should include benefits like wellness rewards, telemedicine, free annual physicals and flu shots, and great customer service to keep employees happy and healthy year-round.


If you don’t understand how insurance works, it’s easy to make costly mistakes when it comes to choosing and using your plan. Educating employees on how health insurance works is a low-cost way to help them save.

Education can take a variety of different forms, including:

  • In-office trainings leading up to Open Enrollment.
  • Easy-to-understand plan and benefits materials from your insurer.
  • Monthly or bi monthly emails with educational health insurance content.
  • An in-house or external insurance guru employees can go to with questions. This could be your HR administrator, an insurance broker, or someone else.


Employees can set aside money to pay for health care through a Flexible Spending Account (FSA) you set up. They can put in money pre-tax from their paycheck and decide what health care bills to pay from their account throughout the year.

During Open Enrollment, give your employees a chance to opt into a FSA, and remind your staff to use their FSA dollars before they expire at the end of the plan year!


Many health plans now include free or low-cost telemedicine options that let you talk to a doctor by phone or video instead of visiting a clinic in person. For routine medical issues such as colds, rashes, UTIs, and pink eye, telemedicine can be a great way to get treated by a medical professional while saving time and money in the process.

This article was provided by Oscar. For more information about money-saving health insurance options, visit the Oscar for Business page on hioscar.com/business for details.

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