NH Small Business Health Insurance Plans
New Hampshire Small Business Health Insurance Plans 2023. The following is an overview of the rules that govern small group health insurance plans in the State of New Hampshire.
The information that is discussed below includes the laws that have been mandated by the Affordable Care Act (ACA or "Obamacare"), as well as the laws that are required by New Hampshire State government.
If you own and operate a NH small business and you already offer small group health insurance or you're thinking about offering small group health insurance - this guide can help you better understand the regulations, requirements and available New Hampshire small business health insurance plans available.
Learn how to get New Hampshire small business health insurance plans for 1 to 50 employees. The best small business health insurance providers in NH offer affordable rates, flexible coverage options and access to a large network of medical providers.
Below are some answers to commonly asked NH small business health insurance plan questions:
- How Much Does New Hampshire Small Business Health Insurance Cost?
- What Are The Small Business Health Insurance Regulations In New Hampshire?
- Does New Hampshire Participate In The Affordable Care Act?
- What Are The Affordable Care Act Requirements For New Hampshire Small Businesses?
- How Are NH Health Insurance Premiums Are Determined?
- What Types Of Health Insurance Plans Are Available For New Hampshire Small Businesses?
How Much Does New Hampshire Small Business Health Insurance Cost?
The average price of a standard New Hampshire small business health insurance policy ranges from around $583 to over $1706 per employee per month based on; single or family, location, coverages offered, deductibles and more.
What Are The Small Business Health Insurance Regulations In New Hampshire?
In NH, there are fewer health insurance regulations than in many other US states. Nevertheless, if you are a small business owner, it is important to understand these regulations so that you can make the right New Hampshire small business health insurance plans choice for your employees.
Some of the most significant health insurance laws in New Hampshire are the laws that specifically impact health insurance policies. Firstly, all health insurance policies that are issued in the state must feature a guaranteed renewability provision that secure your right to renew your policy each year.
This guaranteed renewability provision depends on whether or not the policy's premiums are paid in a timely manner and whether or not accurate information has been provided, of course. Secondly, according to New Hampshire state law, health insurances policies are permitted to feature a 9 month exclusion period for pre-existing conditions that pertain to the group.
Once this time expires, the policy has to cover pre-existing conditions. Any medical conditions that were diagnosed or treated within that three months prior to the start of the policy is considered a pre-existing condition.
It's also important to note that if you are intended on switching your small group health insurance plan, the health insurance company can impose a new pre-existing condition exclusion; however, any pre-existing exclusion period that has already been successfully completed for a precious New Hampshire small group policy can be applied to your new policy's exclusion period.
According to New Hampshire's Federally Facilitated Health Insurance Marketplace website:
- Open Enrollment is the one time of year when you can enroll in health insurance coverage through the Exchange without having a qualifying life event.
- Open Enrollment begins November 1 and ends December 15.
- New plans will be effective on January 1, once the first premium payment has been made by the policyholder.
- After Open Enrollment ends on December 15, you will be able to enroll in an ACA-compliant plan only if you experience a qualifying life event. If you do not purchase insurance during the open enrollment period, you run the risk of not having coverage if you need medical services during 2021.
Does New Hampshire Participate In The Affordable Care Act?
In 2010, the Affordable Care Act (ACA or "ObamaCare") was passed by the United States Congress and was signed into law by Obama. Following its passage, provisions of the law have continued to be phased in, and as of January 1, 2014, the majority of American citizens and legal residents of the United States are required, by law, to have qualifying health care coverage.
If they fail to have coverage, they are responsible for paying an annual tax penalty for each month they aren't insured, which is known as the "individual mandate".
The cost of the penalty for failure to have qualifying coverage is $95 per adult and $47.50 per child, or 1% of your total taxable income; whichever amount is higher - as much as $285 per family. In 2017, the penalty increased, and has continued to increase thereafter.
Qualifying Exemptions For The Individual Mandate
Individuals who meet one of the following are exempt from the individual mandate and the associated tax penalties in NH:
- Illegal aliens
- Jailed individuals
- Religious objections
- The cost of health insurance coverage is higher than 8% of your household income
- Those who aren't covered for less than three months during the calendar year
- Those who have hardship waivers
- Your income level is blow the 100% poverty level
What Are The Affordable Care Act Requirements For New Hampshire Small Businesses?
If you're a small business owner in New Hampshire, you must provide your employees with insurance. This is a requirement that was put into place by the Affordable Care Act.
Referred to as the Employer Shared Responsibility provision, all employers must offer their employees at least one of the ACA-compliant New Hampshire small business health insurance plans, otherwise then can face fines of up to $2,000 per employee.
New Hampshire small business owners can purchase coverage for their employees through the state's Small Health Option Program (SHOP) exchange, or from a private insurance agent or broker.
Affordable Care Act Standardized Essential Health Benefits
As per the ACA, all qualifying health insurance plans must offer 10 standardized essential benefits.
Depending on the state, additional benefits may also be required. The 10 ACA standardized essential benefits are as follows:
- Ambulatory patient services (medical care that is offered without being admitted to a hospital)
- Emergency services
- Hospitalizations, such as overnight stays and surgical procedures
- Lab services
- Mental health and substance abuse disorder services, including behavioral health treatments, such as psychotherapy and counseling
- Pediatric health care services, including vision and oral care; however, adult vision and dental coverage aren't essential health benefits under ACA
- Pregnancy, maternity, and newborn care, including before and after birth
- Prescription pharmaceuticals
- Preventative and wellness services, as well as management for chronic diseases
- Rehabilitative and habilitative services and devices, including services and devices for injuries, disabilities, and chronic health conditions
Additional Health Benefits Mandated In New Hampshire
In addition to the ACA standardized essential health benefits outlined above, in New Hampshire, health insurance policies must also include the following mandated benefits:
- Bariatric surgeries for obesity and morbid obesity treatments
- Bone marrow transplant and testing
- Coverage for qualified clinical trials
- Diabetes care management services and supplies
- Durable medical equipment, including artificial limb and scalp hair prostheses
- Off-label prescription pharmaceuticals
- Reconstructive surgery following mastectomies
Standardized New Hampshire Small Business Health Insurance Plans
In order to make it easier to compare costs and benefits, the Affordable Care Act has designated all qualifying New Hampshire small business health insurance plans to be one of four metal colors, including Bronze, Silver, Gold, and Platinum.
Each of these designations is based on the average amount of health care costs that the plan will cover, which is illustrates at percentages of how much the insurance company will cover for health care, as well as the amount the insured will have to pay out-of-pocket.
All insurance companies that are participating in the federal or state health care exchange program must offer at least the Silver and Gold New Hampshire small business health insurance plans.
All four of the metal plans have a shared maximum out-of-pocked amount that the insured can be charged during any calendar year. The following table illustrates this information:
|Metal Plan||Insurer Pays / Insured Pays|
|Bronze||60% / 40%|
|Silver||70% / 30%|
|Gold||80% / 20%|
|Platinum||90% / 10%|
As per the ACA, individuals cannot be denied coverage or charged higher premiums because of their past health history, or their gender.
Additionally, look-back and waiting periods cannot be imposed. Additionally, policies are effective when they are issued and all coverage is renewable if the individual chooses to renew the policy.
However, plans can be canceled if the individual fails to pay their premiums or commits fraud.
How Are NH Health Insurance Premiums Determined?
A premium is the amount the insured must pay out-of-pocket in order to maintain their health insurance policy. The premiums that are charged for any of the qualifying metal plans can be based on the following:
- Age of the individual
- Whether or not the individual uses tobacco
- Where the individual lives, based on a rating area
- The number of family members who will be enrolling
What Types Of Health Insurance Plans Are Available For New Hampshire Small Businesses?
While there are several types of health insurance plans to choose from, the following plans are the most popular among NH small business owners:
Health Maintenance Organization - Simply known as an "HMO", this type of plan offers a variety of health-related services via a network of health care providers and hospitals that exclusively contract with the HMO, or who agree to offer their services to members of the HMO. Employees who participate in this type of plan usually have to choose a primary care physician (PCP), and receive most of their care from this physician. If a specialist is needed, the PCP will recommend one that is affiliated with the HMO.
Preferred Provider Organization - More commonly referred to simply as "PPO", this type of health insurance plan is the most common among New Hampshire small business owners. The insurance company provides a preferred list of health care providers, and employees must receive their medical care from the doctors and hospitals on that list for their claims to be paid at the highest level possible - but they also have the flexibility to see any other provider anywhere in or out of state.
Point-of-Service Plan - Known as a (POS), this type of health insurance plan provides access to health care services at a lower overall cost, but with fewer choices. Members can access care from in-network or out-of-network providers and facilities, but coverage is better when you stay in-network. POS plans may vary, but generally, plans are considered a blend of HMO and PPO plans - offering more flexibility than HMOs, but less than PPOs.
Health Savings Account - A health savings account (HSA) is a special type of bank account that allows participants in the insurance plan to save money that can be used specifically for the medical care they require in the future. HSA-qualified health insurance plans are usually PPO plans that are specifically designed to be used with an HSA.
Indemnity Health Insurance - This type of health insurance plan allows members to control their own health care and to visit any doctor or hospital they choose. The insurance company would then pay a pre-determined percentage of the total charges for the services that were rendered. Employees may have to pay for some types of services up-front and then they can submit a request for reimbursement with the insurance company.
New Hampshire Small Business Health Insurance Plans - The Bottom Line
We strongly advise business owners to speak with a CPA and a NH health insurance broker before jumping in and getting any type of the New Hampshire small business health insurance plans available.
Make sure that you know exactly what each option can do for your company and the potential drawbacks associated with it.
Request a free New Hampshire small business health insurance plans quote in these other NH cities: Allenstown, Alton, Amherst, Atkinson, Auburn, Barnstead, Barrington, Bedford, Belmont, Berlin, Boscawen, Bow, Brentwood, Brookline, Canaan, Candia, Charlestown, Chester, Claremont, Concord, Conway, Danville, Deerfield, Derry, Dover, Durham, Enfield, Epping, Epsom, Exeter, Farmington, Franklin, Fremont, Gilford, Goffstown, Greenland, Hampstead, Hampton, Hanover, Haverhill, Henniker, Hillsborough, Hinsdale, Hollis, Hooksett, Hopkinton, Hudson, Jaffrey, Keene, Kingston, Laconia, Lebanon, Lee, Litchfield, Littleton, Londonderry, Loudon, Manchester, Meredith, Merrimack, Milford, Milton, Moultonborough, Nashua, New Boston, New Ipswich, New London, Newmarket, Newport, Newton, North Hampton, Northfield, Northwood, Nottingham, Ossipee, Pelham, Pembroke, Peterborough, Pittsfield, Plaistow, Plymouth, Portsmouth, Raymond, Rindge, Rochester, Rye, Salem, Sandown, Seabrook, Somersworth, Strafford, Stratham, Swanzey, Wakefield, Walpole, Weare, Wilton, Winchester, Windham, Wolfeboro and all other NH cities & New Hampshire counties near me in The Granite State.
Learn about New Hampshire small business insurance requirements for general liability, business property, commercial auto & workers compensation including NH business insurance costs. Call us (603) 601-4771.
Small Business Health Insurance Plans By State
You can find more state specific small business health insurance information including requirments and coverage by clicking on the state below:
- North Carolina
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Dakota
- Rhode Island
- South Carolina
- South Dakota
- Washington D.C.
- West Virginia