Employee Medical Insurance

Building a successful business is hard work. Finding the affordable, quality health insurance you need doesn’t have to be. Whether you’re working out of your garage or the owner of a small business with multiple employees, you face special challenges when it comes to finding and getting health coverage.

CAKE CAN HELP!​

Small Businesses Health Insurance Process

If you’re a business owner with at least one full-time employee other than yourself, the following information is designed to help you understand your health insurance choices and find the right match for your personal needs and budget. While many of your choices will be the same as those faced by self-employed persons, small business owners have options. For example, the money you spend on health insurance for your employees is most likely be tax-deductible.

Below is a four-step process designed to help you find the coverage you need, and to manage your policy effectively once you’ve purchased it.

Comparing Your Health Insurance Options

Choosing a Health Insurance Plan:
Five key features to help you determine which plans best match your needs:
  1. Monthly premiums: What do you and your employees want to pay on a monthly basis to maintain your coverage? Employers are usually required to share the cost (in CA it’s 50% of your employees premiums). You can share more. Spread the wealth and health!
  2. Deductibles, co-payments and coinsurance: These forms of cost-sharing only come into play when you receive medical care. If you and your crew are not visiting the doc much consider reducing monthly premiums by paying more for the occasional stuff. More money in your pocket.
  3. Medical provider networks: The same plan may have large or small provider network options. The smaller the network the cheaper the plan but the less access to doctors and hospitals your prefer.
  4. Prescription drug coverage: Some plans cover different prescription drugs than others, or pay more toward them for a cost. We’ll help you choose.
  5. Coverage add-ons: Health insurance plans typically don’t cover dental or vision care. At CAKE you can add these to your purchase to build a total benefits package for yourself and your employees.

Get Health Insurance Quotes

​If you want to save money and make the most of your health insurance dollars you’ll need the broadest possible view of the health plans available. Get free health insurance quotes and personal advice from CAKE!

CAKE BENEFITS is licensed to sell health insurance in California, Georgia, New York and Wyoming. We have years of experience matching small businesses with the group health insurance plans best suited to their needs. CAKE makes it easy to find the right health insurance plan for your needs and budget. Your state is not listed? Give us a call we may still be able to help!

Call us toll-free at 877-449-CAKE (2253) to learn more about your options.

Applying for Health Insurance Coverage

Completing your application
Once you’ve selected a health insurance plan that you’d like to apply for, CAKE BENEFITS can help you through the application process. Be sure to answer all questions honestly to the best of your knowledge. You may find that you’ll need to confirm the zip codes and dates of birth of your employees.

Don’t worry – you won’t be declined for medical history
Although the overall health of the persons to be covered under your plan may have some effect on your monthly premiums, no individual in the group will be declined coverage based on his or her medical history. If you legally qualify as a business in your state, you are automatically eligible for the plan you selected. Even if they have a pre-existing medical condition, eligible employees will not be declined for coverage.

Enrollment
Enrollment is the process of getting your employees and their dependents signed up for your new health plan. We will personally help you make sure that all the proper materials are collected and provided to the health insurance company so that everyone gets enrolled. When you work with CAKE BENEFITS as your agent, a representative can help walk you and your team through the process.

​After You Buy Health Insurance

Once you’re approved for coverage you will receive official correspondence from the insurance company confirming the date on which your coverage will begin. After that date, and once enrollment is complete, you are welcome to begin enjoying your benefits. Look over any documents sent to you by the insurance company and contact their customer service department or CAKE BENEFITS with any questions.

Questions about medical claims
If you or your employees have questions or concerns about how a medical claim was processed, your first step is to contact the health insurance company’s customer service department. If they are unable to assist you or you feel that they’re not addressing your concerns, contact CAKE for help. We can help you understand how your benefits work and suggest ways to clear up billing disputes.

Adding and removing covered persons
Employees may come and go, and they may need to add or remove dependents from time to time. As such, you will periodically need to make changes to the list of persons covered by your group health insurance policy. Our team at CAKE is available to help you with all these changes in a timely and effective manner.

Changes to monthly premiums and benefits
Depending on how long you keep your new coverage, you may find that the insurance company occasionally changes the monthly premium you pay for your plan. This typically happens once a year during the “open enrollment” period. They may also change your coverage levels, deductibles, or copayments. Be sure to read through the updates provided by your insurance company and contact their customer service department or CAKE BENEFITS for more information.
Open enrollment period for group health insurance
With group health insurance, employers are typically committed to a specific plan for one year. When that anniversary approaches, you’ll enter your open enrollment period. CAKE BENEFITS recommends that you take a fresh look at your medical coverage once a year, prior to your open enrollment period, to make sure you still have the right plan for your needs and budget. To give your health insurance coverage a check-up, ask yourself the following questions:
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  • Are we paying too much for coverage?
    Get fresh health insurance quotes at least once a year to make sure you’re not paying more than you need to. CAKE will make sure you still have the right coverage, and will offer you fresh quotes.
  • Does our current plan cover the services we need?
    If you and your employees rarely receive medical care, you may be able to find a plan with a lower monthly premium. On the other hand, if you or your employees find that you’re paying too much out of pocket for recurring medical services, you may want to consider a plan that covers these at a higher level.
  • Has the size of our business changed substantially?
    ​If your business grew a lot in the past year and you’ve added new employees, you may find that a single health insurance option isn’t going to meet the needs of everyone involved. As they grow, many small businesses offer second or third health insurance options for employees to choose from.
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647 Camino de los Mares
Suite 108
San Clemente, CA 92673 ​​​
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