InoVentive Benefits Consulting’s Post

Millions of Americans rely on employer-sponsored health coverage, with California leading the way at nearly 18 million residents covered. However, navigating health plans can be challenging for employees. To help your workforce get the most out of their coverage, it's essential to provide clear guidance and resources that simplify the selection process. By doing so, you empower your employees to make the best choices for their health and financial well-being, ensuring they maximize the benefits available to them.

Employers sponsoring group health plans have some flexibility when deciding which groups of employees and dependents will be eligible for coverage. However, there are several crucial eligibility requirements employers should adhere to for health coverage. This Compliance Overview summarizes important eligibility “do’s” and “don’ts” for employers to follow. https://lnkd.in/e6yKdWqk

Employers sponsoring group health plans have some flexibility when deciding which groups of employees and dependents will be eligible for coverage. However, there are several crucial eligibility requirements employers should adhere to for health coverage. This Compliance Overview summarizes important eligibility “do’s” and “don’ts” for employers to follow.

Employees have spoken by prioritizing what future health plans should offer: lower costs and better benefits. Employers should respond by proactively delivering what current and potential employees want most: a robust, compassionate, and cost-saving plan from Vitori Health. A win-win for everyone!

Sponsored Content: Are you maximizing your health benefits for your employees? There are four key questions employers should ask their health plan to ensure they are getting the most value out of their coverage. Find out more with Anthem Blue Cross and Blue Shield https://ow.ly/sV3m50Rn5rF

When it comes to group health plans, experience shows that flexibility and cost-controlled coverage are 2 of the most important factors for employees. #preferredgrouphealth #bestgrouphealth #whatemployeeswant https://lnkd.in/gjiigWep

Looking for alternatives for your individual or group Health Plans? Let's talk about options that meet coverage needs but also budgets! Another creative way to achieve your health care benefits for yourself and employees.

📢 Important Update for Employers on 2026 Health Plan Out-of-Pocket Limits The Department of Health and Human Services has increased out-of-pocket maximum limits for non-grandfathered employer-sponsored health plans starting January 1, 2026. Employers should review and adjust their health plans accordingly. Learn more about these changes here: https://lnkd.in/eWQqmtuM #HealthPlans #EmployeeBenefits #OutOfPocket

Understanding your obligations: Does your business need to report employee health coverage? Certain employers are required to report information about employees’ health coverage. Is your business required to comply? “Applicable large employers” (ALEs) with 50 or more full-time employees must use Forms 1094-C and 1095-C to report information about offers of health coverage and enrollment in health coverage. Specifically, an ALE uses Form 1094-C to report each employee’s summary information and transmit Forms 1095-C to the IRS. A separate Form 1095-C is used to report information about each employee. In addition, 1094-C and 1095-C are used to determine whether an employer owes payments under the employer shared responsibility provisions (also referred to as the employer mandate). https://lnkd.in/eyqNNQry

Now is the time to evaluate all your options and select the best plan for your employees. When selecting a plan for your employees, ask yourself, “What is my employee population’s health like?” and “What are the costs associated with this plan and is it affordable for my employees?” Choose UPMC Health Plan and get more than group health coverage. You get a partner to help you administer your plan and identify your health benefit needs. And you get the satisfaction of knowing you’ve given your employees access to the care they deserve. Learn more: https://upmchp.us/3x9jOdz