Small businesses that offer formal health benefits usually offer group health 
plane. There are different types of group health plans and there are certain requirements All plans must follow. This article provides the definition of a group health plan and answers to frequently asked questions about how they work.
What is a group health plan?
A group health plan is a generic term that encompasses a number of different types of plans medical benefits provided by the employer.
according to the US Department of Labor, a group health plan is defined as a system of welfare benefits for established employees or maintained by an employer or an employee organization (such as a union), or both, which provides medical care to participants or their dependents, directly or through insurance, reimbursement or otherwise.
most health plans of private sector groups are covered by the security of retirement income Officers Act (ERISA). Among other things, ERISA provides protections for participants and beneficiaries in plans benefit employees (the members'), including access plan information. In addition, the people managing the plans (and other trustees) must meet certain standards of conduct fiduciary responsibilities under the law.
As such, many refer to this type of plans that the ERISA group health plans.
Sources: US Department of Labor and 42 of the US Code § 300gg-91 (Definitions)
What are the common types of group health plans
common examples include :?
- group health insurance plans fully insured
- self-insured health insurance plan
- self-insured medical reimbursement plans (eg: health care reimbursement plans or Article 105 Medical repayment plans)
related - health plan group vs group health insurance plan - What is the difference
What are the rules of group health plans need to follow
Group health plans must follow applicable IRS, HIPAA, COBRA, ERISA, and the rules of the ACA, such as:
- IRS Plan documents and non-discrimination rules
- ACA market reforms and requirements administrative provision
- ERISA compliance and description summary plan rules
- Privacy Policy HIPAA
- COBRA, if applicable
Unsure about these health plan requirements, or which are applicable to your business? See the full article, or visit a business broker or health benefits trust.
Conclusion
A group health plan is a health care benefit plan provided by the employer offered to employees and their dependents. There are many different types of group health plans, including health insurance and medical reimbursement plans. As stated in the article, benefits which fall under the umbrella of a group health plan are subject to various rules and guidelines established under the federal law.
What additional questions do you have about group health plans? Leave us a comment below, and we would be happy to answer them!
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