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Frequently Asked Questions

  • What are my options in small business healthcare?

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    For a small business, there are mainly three options now when providing health insurance.


    Healthcare.gov
    If you don't want to provide any specific solution, you can leave your employees to use the federal exchange (healthcare.gov). You'll still have to pay your employees extra (taxed), which they'll use to pay for their new Obamacare.

    Avenue H
    You can also choose to sign up with the state of Utah's sponsored "Avenue H" exchange. They provides 70 plans spanning 3 carriers, which can be confusing. You pay a set tax-deductible amount towards their choices. Your employees pay their portion pre-taxed out of their pay-check. Your employees will be on their own to select a plan and carrier.

    Utah Private Health Exchange
    The third option would be to sign up with Utah Private Health Exchange. You pay a set tax-deductible amount towards their choices. Your employees pay their portion pre-taxed right out of their pay-check. You choose up to 5 plans and up to 3 networks in a private health exchange utilizing Regence BlueCross BlueShield of Utah. One carrier, one broker. Unparalleled direct support for you and your business with all your insurance needs.
  • How does Utah Private Health Exchange work?

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    You choose up to 5 plans you'd like to offer at your small business, and up to 3 of the 4 networks. Your employees can then choose from those plans and networks, picking whatever best fits their needs. You've just created a private health exchange specific for your business, but one that comes with all the traditional benefits of a single broker and a single insurance carrier. Simple.
  • Is this an agent? A broker? A government agency? How does it work?

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    An agent represents a single carrier, a broker usually works with multiple carriers and hundreds of plans. Matthew A. Spencer has searched those carriers and found Regence BlueCross BlueShield of Utah to offer the best solution. The Utah Private Health Exchange is not a federal government program or State of Utah service. It is simply a new approach to an old idea; your own insurance broker working with a chosen insurance carrier that can now offer one package with fifteen different health insurance plan designs, varying premiums and provider network choices!
  • Why have a broker? That has to cost more, right?

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    The state of Utah regulates the insurance industry here in the state. One of these regulations, is in regards to premium. Regardless of having a broker, an agent, or even going directly through an insurance company, the premium a small employer pays is the same, by law. So the real question is, if it costs the same, why WOULDN'T you want to use a broker? It's free HR FTE straight to your company. For example, a broker (such as Matthew A. Spencer) provides the following:

    • Comes to your business and presents to your team on health insurance, it's options and answers questions.
    • Sits down with each one of your employees to help select the best plan, even assisting with the paperwork.
    • Helps you through future changes in your policy, such as adding a new dependent.
    • Answers your questions regarding the policy, what it covers and how to get the most out of your plan.
    • Works directly, daily, on your behalf with Regence BlueCross BlueShield of Utah, with an additional two-hour appointment the third Tuesday of every month sitting one-on-one with their underwriting team.
  • I already have another agent/broker, can I switch? How hard is it?

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    You can switch your company's healthcare direction at any time in the year, beginning as soon as the first of the next month. All that is needed is to simply cancel the old plans, and sign up with the new ones under Utah's Private Health Exchange. You don't even have to have the same plan, you're able to choose whatever best fits your needs during the initial sign-up.
  • I want to make sure I'm compliant with the new laws, will Utah PHE satisfy that?

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    The Utah Private Health Exchange only offers plans that have met the strict requirements of the Affordable Care Act. All plans offered are compliant. By providing a specialized, private health exchange through Utah PHE you're not only meeting the requirements under ACA, you're providing your team with concierge service provided by a leading insurance expert.
  • What size of company works best with Utah Private Health Exchange?

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    The best sized company to take advantage of the Utah Private Health Exchange would be a small business with between 2 and 50 employees.