2016 Small Group Plans (1-50 Employees)
Video Series Features Small Employers
Group Health has a video series for employers who want to better understand the value of offering a health plan. In this series, you'll hear directly from small employers like you, and their employees.
Small employers video series
1. Learn About Our Plans
Our 2016 choice-driven Access PPO plans combined with our value-driven Core network plans give your employees the options they need to find the right solution. We've got 16 options for small groups of every size, from 1 to 50.
Note: To be eligible for a small group plan, a group must have at least one common law employee.
2016 Core Network Plans
2016 Access PPO Network Plans
2. Determine Whether You Will Offer 1 or 2 Plans
To offer two plans:
- Group must have between 10 and 50 employees.
- Any combination of Core network and Access PPO plans is available.
- Groups with 10-24 employees must have at least 3 employees enrolled in each plan.
- Groups with 25-50 employees must have at least 5 employees enrolled in each plan.
3. Decide Which Provider Network to Offer
Thousands of quality providers and facilities, including:
Hundreds of thousands of providers and facilities nationwide, including:
|More than 1,000 providers* at Group Health Medical Centers
||Group Health Medical Centers clinics and pharmacies
|25 Group Health Medical Centers clinics and pharmacies
||Most providers and designated pharmacies in our service area, including UW Medicine, Swedish Physicians, MultiCare, CHI Franciscan, PeaceHealth, Providence, and more
|More than 9,000 additional network providers and facilities
||First Choice Health network providers for Oregon, Alaska, Montana, Idaho, and Washington
||First Health Network providers for all other states in the United States
||OptumRx network pharmacies
See the Access PPO Network (PDF)
Read the Access PPO FAQ (PDF)
4. Choose the Right Coverage Level
All our plans include the same benefits. The main differences are seen in the monthly premiums versus the member's cost shares.
Cost to members when they get care (Copays, deductible, coinsurance)
5. Consider Dental Coverage
We work with Delta Dental of Washington to offer your employees dental coverage when paired with one of our 2016 medical plans. There are two optional plans to select from—Basic and Standard—that include coverage for your employees and their families.
If your employees choose to purchase either of these Delta Dental plans, both plans fulfill the federal mandate to provide pediatric coverage for members up to age 19. If not, the employee's medical plan will automatically be paired with a pediatric-only dental plan offered by Delta Dental.
Adult/Family Dental Summary of Benefits (PDF)
Pediatric-Only Dental Summary of Benefits (PDF)