Health insurance is a considerable cost of business for any company, but especially for small companies. Premiums continue to increase, and many smaller firms require employees to shoulder the financial burden. 

Many employers have been forced to eliminate medical coverage. Over 60% of those without health insurance are employed by small businesses. This is a pervasive problem in the United States. The costs are more significant per employee for a smaller company than for a larger one; some authorities cite a difference of 18 percent. 

What can you do as a small business owner to mitigate this issue? 

While there aren’t any complete solutions, here are several ideas that can help to reduce the cost of providing medical coverage in your small business:

1. Keep your employees healthy. Offering a wellness program can be very effective. Investments like flu shots, stop-smoking groups, cancer screenings, and more have been shown to return as much as $4 for every $1 invested. In the long term, some larger companies have claimed a total savings of over $700 million from their wellness program! Most of these types of programs aren’t going to be free but can be an excellent tool for some small businesses.
2. Reduce the coverage. Though this option is unpopular with employees, reducing the amount of coverage or requiring employees to pay a more significant share of the premium may be necessary. Talk to your employees. They may give up dental or vision insurance to keep the exact cost. See if a compromise can be reached.
3. Health savings accounts are available to those in plans with relatively high deductibles. These accounts allow workers to deposit earnings into an account that can be used to pay for medical expenses. Contributions and withdrawals are both tax-free. Employers can also make tax-free contributions but are not required to. The deductions can even be made on a 1040 form without being itemized.
4. Join or start a group. Insurance premiums for businesses with over 25 employees are less than those with fewer than 25. Essentially, the more people, the better. Depending on state laws, joining with other businesses and getting a lower rate may be possible. The savings can be significant depending on the group size.
5. Shop for the best policy. Different insurers will have different offerings. Look around and see what you can find. A new insurance company might be just what you need to find the perfect policy for your employees. Talk to other small business owners and see what coverage they offer their employees.

While offering medical insurance is very expensive, employee retention will improve if you can find a way to provide this at an affordable rate. You’ll also be able to attract better talent.

One of the most effective ways to obtain affordable health insurance is to pool your resources with other small business owners and qualify for a more significant group rate. In some cases, you’ll save $100 or more per employee. Investigate your state laws to see what’s permitted.
Medical insurance isn’t a straightforward issue for small business owners, but you can usually find a solution with some searching. Take good care of yourself, your business, and your employees; see what you can do to offer affordable healthcare to your workers.