Real answers for your healthcare questions

How does employer sponsored health insurance work?

Answer

Employer sponsored health insurance is coverage offered through a job. The employer selects one or more group health plans and usually pays part of the premium, while employees who enroll pay the remaining share through payroll deductions.

What to Know

The plan may also cover spouses and dependents, although the employer's contribution can be different for family members. Employees still have deductibles, copays, coinsurance, networks, and other plan rules. Enrollment is usually limited to when you first become eligible, the employer's annual enrollment period, or certain qualifying life events.

What to Do Next

Review the employer's Summary of Benefits and Coverage and contribution amounts before enrolling. Compare the plan's total cost and network with any other coverage available to your household.

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