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Small Business Plans
EssentialCare works with several small business health insurance carriers to ensure your needs are met quickly and professionally.
INTRODUCTION
Applications for small business health insurance are open any time during the year – no need to wait for an open enrollment period. Small business health insurance plans are a form of employer-sponsored health coverage and costs are typically shared between the employer and the employee (may be extended to dependents). In New York, small business insurance is pre-tax as the amount the business spends on insurance premiums is exempt from employer and employee taxes.
EssentialCare is a group of licensed professional insurance brokers who will simplify your choice in the complex New York small business health insurance market. We will find for your business the right health insurance plan from insurance carriers that offer coverage in your local region, as certain insurance carriers only participate in certain parts of the state (such as upstate vs downstate).
Eligibility
Small Business Health Care Tax Credit
• A tax credit is available to small businesses that offer insurance coverage to employees:
– Must have fewer than 25 FTE employees – With an average annual salary of $53k or less (As adjusted for inflation. Excludes the owner and his family) – Employer must contribute at least 50% of premium
• The tax credit amounts are as follows:
– Up to 50% of employer contribution for a traditional business (35% for tax-exempt) – The maximum tax credit of 50% may be claimed by businesses that have 10 or fewer employees with an average annual salary of $25k or less – As the number of employees and average salary increases, the credit decreases • Marketplace is the only place to access the tax credit
For more information on qualifying for and claiming the tax credit please visit the IRS resource page at https://www.irs.gov/affordable-care-act/employers/small-business-health-care-tax-credit-and-the-shop-marketplace
•To find a SBM-certified health plan, visit https://nystateofhealth.ny.gov/ employerand use the small employer shopping tool •To estimate if an employer qualifies for the tax credit, go to https://nystateofhealth.ny.gov/ employerand click on the "calculate your estimated tax credit" link
New York Small Business Health Insurance Coverage, Eligibility and Cost:
New York Health Insurance Coverage: There is a maximum 6-month look-back/12-month exclusionary period for pre-existing conditions on enrollees that do not have prior coverage. Benefits will vary depending on the chosen plan. Pre-existing health conditions covered.
New York Health Insurance Eligibility: Guaranteed coverage for companies with 2-50 employees. Eligible employees must work at least 30 hours a week. Owner can count as an employee. Owner's name on business license must draw wages from the company.
New York Health Insurance Monthly Cost: Cost depends on employer contribution and the + 20% of the Insurance company's Index rate.
Four Types of New York Small Business Health Insurance Plans
Looking at group health insurance, there are several different types of health plans available. The plan type that is best for you and your employees depends on what you and your employees want, and how much you are willing to spend. Here's a brief review of the four popular types of health insurance plans:
PPO Health Insurance Plans
The most common plans are "Preferred Provider Organization". Under a PPO plan covered employee need to get their medical care from doctors or hospitals on the insurance company's list of preferred providers in order for claims to be paid at the highest level.
"Health Maintenance Organization" plans offer a wide range of health care services through a network of providers who agree to provide services to members or that contract exclusively with the HMO. Employees participating in HMO plans will typically need to select a primary care physician ("PCP") to provide most of their health care and refer them onto HMO specialists as needed.
HMO Health Insurance Plans
HSA-Qualified Health Insurance Plans
PPO plans designed specifically for use with Health Savings Accounts (HSAs). An HSA is a special bank account that allows participants to save money – pre-tax – to be used specifically for medical expenses in the future.
Indemnity plans allow members to direct their own health care and generally visit any doctor or hospital. The insurance company then pays a set portion of the total charges. Employees may be required to pay for some services up front and then apply to the insurance company for reimbursement.
Available to provide free consultation and assistance over the phone, online, and in-person
Wide selection of major insurance companies.
Trained in the highly rated training institutes specializing in licensing insurance agents
We speak English, Russian, Tajik, and Ukrainian languages.
We can assist with selection of the most suitable insurance plan for you and your family
Have the most up to date knowledge of healthcare and health insurance industry
Customer service support
Fast and efficient enrollment
By phone or email or visit us.
We will do quick pre-approval to see which plan is best fit your needs.
You are enrolled. Your insurance card will be mailed soon.
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Rustam has been working with me to navigate through all kinds of insurance plans so that I can fully understand them and feel good about the choices I make. He is extremely patient and sits with you until you have exhausted all of your questions and he knows that you understand your options. I would highly recommend him and Essential Care to anyone!
Larisa Shafir
Retired engineer
I would like to thank Rustam and Gulia for helping my wife. The biggest concern was to find insurance plan for my wife and not change her doctor. Gulia was able to quickly find the right plan and provide clear explanation. My wife got insurance just for $20 a month and didn't change her doctor to whom she goes for many years. I will definitely recommend Essential Care to all my friends!
Mikhail Papyan
District Manager
Essential Care Team did a phenomenal job for my business and family. The best service from A to Z. Rustam was available 24/7 to assist and to answer questions. Totally recommended!
Misha
Entertainment Agency
Rustam is always pleasant to work with. He goes above and beyond to meet the needs of members. Always hands on and available to answer questions anytime of the day.
Tatyana
Healthcare
Fast, clear, convenient. I will recommend to everyone! Thank you very much for the help!
Kiril Belov
Photographer
Rustam is amazing!!! I was looking for a great deal for insurance and he hooked me up and made everything so easy and flawless.
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Technical Recruiter
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Bakhtiyar (The Bullet) Eyubov
Professional Boxer
Working with EssentialCare is very easy. Just few minutes of discussion with Rustam and Gulia and all difficult questions are gone, as they have huge experience. You don't need to explain many times they understand you from the first minute of conversation and suggest you the best way to get benefits in the short period of time.
I am recommending them based on the experience of my company needs! They constantly helping me out with employees of Today's Home Care.
Mark Kharzis
Business Development Director at Today's Homecare, Inc.
Incredibly knowledgeable in their field. Came to see them not expecting the level of professionalism and dedication. They were able to find me the plan that has all my doctors and cost me a lot less than what some other insurances and brokers offered me. Very pleased and highly recommend! Great service! Thank you EssentialCare.
Dmitry R
Network/Voice Engineer
I recently had insurance issues during pandemic, I had many issues with the costumer service and the representatives who took a while to figure out the issue. I have contacted Rustam to help me out to get back on my plan. He patiently listened to all of the issues I was facing. He was a big professional who got me back on the plan as fast as possible.
Ilhom Huseynov
CEO transportation company
Rustam is an excellent specialist in his field,he has been helping me resolve all issues with my health insurance for the past six years! He is competent, attentive and responsive person, positive and sincere. He will always help to solve any issue and advise the best, I am very grateful to him for his help and support. I recommend him as a provider to my friends and acquaintances and to everyone who needs help in obtaining good health insurance and competent decisions and recommendations.
Inessa Alexis Green
Medical field
I am grateful to have such caring an attentive agent like Rustam. He took the time to listen to our needs and found a perfect plan for our family. We are grateful for his knowledge and attention. Highly recommend his services.
Eleina Pomerants
self employed
Выражаю особую благодарность Рустаму за его оперативную работу, обратную связь и отзывчивость! Его профессиональные навыки и большой опыт в своём деле помогли в кратчайшие сроки оформить необходимые для меня документы! Обратилась в первый раз по рекомендации друзей и не пожалела о своём выборе! Работа была выполнена качественно , быстро и аккуратно, при минимальном моем личном участии. Очень приятно, что вы заботитесь о своих клиентах и цените их время! Рустам, пусть Ваша компания и команда и дальше плодотворно развивается в своём направлении, успехов Вам в работе и благодарных клиентов!
Inara
Self Employed
Рустам и его команда - просто шикарнейшие профессионалы в области мед страхования! Могу смело порекомендовать их всем, кому нужна помощь знающих специалистов в этих вопросах. Так держать!
Вячеслав
Advertising manager
Rustam is very professional and helpful. Always find ways to help his clients. Very polite and respectful, fast responded. Highly recommend his service!
Polina
Billing
Phenomenally!!! Rustam and his team were extremely knowledgeable and kind to work with. They made the enrollment process so easy. Knowing they will provide their professional expertise for future needs is a wonderful service. I am very grateful!!! Recommend EssentialCare to everyone!
Svitlana
H+H Community Engagement
If you need to quickly make insurance and get answers to your questions, you can safely rely on the opinion of Rustam, a professional in his field, I will recommend as a good specialist to all my friends.
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permanent tattoo art
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Angela Shor
Manager in a medical office
Thanks Rustam for my insurance, it was ready very fast , he answered all my questions, polite man . I am glad very much now I can visit doctor and get my pills
Elvira
Tourist manager
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Manager in laser spa
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Stay at home mom
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