Practice Health Insurance Options: QSEHRA

Historically, small businesses, including dental Practices, have met the need for employee insurance with a traditional group plan or providing an increase in salary to allow employees to purchase their own insurance. With the work of Congress, there is a new option in the marketplace. This option is the qualified small employer health reimbursement arrangement (QSEHRA).

Through QSEHRA, businesses with 50 employees or less are able to offer employees a monthly allowance of tax-free money. Sounds easy, right? Maybe. Employees then must choose and pay for their own health care, potentially including personal insurance policies, and the business reimburses them up to their allowance amount.

This allows businesses to keep control over their budget while offering a meaningful benefit to their employees. At first glance, Practice owners always love this option but the devil is in the details so, let’s review those.

How it works:

Step 1: Practices set the allowance. Practices choose a monthly, per-employee allowance of tax-free money to make available. Currently, there are no minimum contribution requirements and Practices are able to offer different allowance amounts based on an employee’s family status. In 2018, QSEHRA contribution limits allowed businesses to offer up to $420.83 a month for single employees and $854.16 a month for employees with a family.

Step 2: Employees make purchases. Employees with a QSEHA are permitted to buy what fits their personal health needs. There are a variety of expenses eligible for reimbursement, including personal health insurance premiums, copays, deductibles, prescription drugs, and many more.

Step 3: Employees submit proof of expenses. After incurring an eligible expense, employees are required to submit proof to the Practice through documents that include: a description of the product or service, the cost of the expense, and the date the employee incurred the expense.

Step 4: Practices review and reimburse employees’ expenses. After an employee submits an expense, the Practice or an approved third party should review the documentation and reimburse the employee from their monthly allowance.

With the QSEHRA, reimbursements are free of payroll tax for both the Practice and its employee. Reimbursements can be free of income tax for employees if the employee is covered by a policy providing minimum essential coverage (MEC).

Often, the QSEHRA is a good option for Practices to consider since it allows for complete personalization. Understanding your staff, their incentives, and their needs will be a priority when exploring this option.

If you have questions or would like to connect with a health insurance partner in your area, contact us today!

podcast

Fueling Deals Podcast: Acquisitions

John Bly, CEO of LBA Haynes Strand, is on Corey Kupfer’s Fueling Deals Podcast today sharing his deal-making strategy. “It wasn’t until my fifth acquisition that I ran into trouble. I enjoyed sharing my story and the importance of research with Corey,” describes John. Listen to the full podcast episode by clicking this link!

The Fueling Deals podcast showcases interviews of entrepreneurs and experts who have great stories about deals they have done or failed to do. Corey strives to have guests who are open, honest and authentic. Topics include negotiating, structuring, finding, valuing, closing and integrating deals. In addition, they discuss all the related issues, opportunities, benefits, pitfalls and lessons learned during the process.

John is a dynamic international business consulting speaker. In addition, he is the author of Cracking the Code: An Entrepreneur’s Guide to Growing Your Business Through Mergers and Acquisitions for Pennies on the Dollar. When you’re facing a complex business decision, John helps you determine the best possible outcome. He focuses on developing a strategic plan and works with you to take advantage of opportunities, overcome obstacles, and deliver the best results possible. John’s emphasis on being a proactive business partner empowers him to deliver insightful information and practical advice to circumvent challenges before they arise.

If you want more information on how John can support and guide you through a merger or acquisition, contact us today!

Practice Health Insurance Options: Association Health Plans

A new rule issued by the Department of Labor in 2018 expanded the availability of association health plans (AHPs) for small businesses. AHPs allow small businesses to band together within industries, professions, or geographic regions to either purchase large-group coverage or self-insure.

In North Carolina, this is a popular option and it exists in many state for Dental Associations. The NC Dental Society offers an Association plan that allows a Practice owner to open up “group” insurance to his or her staff. More information about the plan specifics can be found here

Once the benefit is in place, it works much like a regular group policy or self-funded health insurance benefit would. However, AHPs aren’t subject to the ACA’s rating rule, which prevents insurers from varying costs in a specific region based on things like sex, age, or health status. They also don’t need to cover the essential health benefits that ACA-compliant policies do.

Administration is typically done by the association, rather than by the small business members.

AHPs can help cut costs, often by between $1,900 and $4,100 per employee per year. However, AHPs achieve these cost savings not only by widening the risk pool, but also by cutting out standard coverage items. The AHP may not cover essential health benefits, such as prescription drugs, maternity care, or mental health services.

The NC Dental Society plans are competitive to group policies and offer a valid option for Practice owners. If you make the decision to offer the plan, you still need to understand your option on how you pay for the plan for employees and yourself – both of which have tax implications.

If you have questions or would like to connect with a health insurance partner in your area, contact us today!

Practice Health Insurance Options: Traditional Group

The traditional choice for most businesses is a group health insurance policy. This business chosen plan provides coverage to employees, and potentially, employees’ dependents. Depending on your Practice size, this traditional option may still be a good fit for you. However, for the majority of single doctor locations, this proves to be prohibitively expensive and is not the right solution. Practices that offer group health insurance pay a fixed premium for the policy, and then, pass on a portion of the premium cost to employees. For example, the employer may pay 50% of the premium and the employee is then responsible for paying 50%.

Where should you look for and acquire this type of insurance? There are 3 basic options:

Many Practices find that their staff likes the traditional option because it’s familiar to them. It is how many of us have had insurance for the majority of our lives. However, Practices also find the cost to be higher than one can afford. Your employee census and the benefits chosen will drive the cost. We suggest Practices at least consider this option and shop the pricing as a baseline to compare to other options discussed later.

If you have questions or would like to connect with a health insurance partner in your area, contact us today!

3 Ways Startups Benefit from Outsourced Accounting

The accounting function should be a main priority for startup businesses. According to the Small Business Administration (SBA) Office of Advocacy, about 80% of small businesses survive the first year. This seems like a high percentage considering the common belief is that most businesses fail within the first year. About half of those small businesses reach the five-year mark and only one in three makes it to 10 years. When starting a business, it is important to take advantage of every opportunity to help you become successful. By outsourcing your accounting, the financial portion of your business will be headed in the right direction from day one.

Correct Set-Up

If you start outsourcing your accounting from the beginning, you can feel confident knowing your business financials will be set up correctly. When you start by doing your own accounting, it becomes difficult and expensive to migrate your data to a firm later.

Save Time & Energy

As a new business owner, your time is valuable. You should focus your time and energy on ideas, employees, products, and services instead of finances. Having an expert on your side will help you make important decisions on what accounting software should be used and ensure you are complying with tax and accounting standards. In addition, your outsourced accounting team will guarantee that your books are maintained properly and provide you with support in case of an audit.

Team of Professionals

Hiring an in-house finance team is both expensive and time consuming. There are many factors that go into choosing how many employees to hire and what qualifications they should have. As a business owner, you would also be responsible for training and managing these employees. When you outsource your accounting, you avoid these costs and time spent on the hiring and training process. Outsourcing allows you to work with professionals who have years of industry experience and are able to provide valuable insight to help you make the best business decisions.

Want to learn more about the benefits of outsourced startup accounting? Click here to start the conversation about the future of your business with LBA Haynes Strand.