FAQ Selecting a Plan

SimplyInsured is an online insurance broker. We do not administer plans ourselves; rather, we collect price and coverage information from all carriers and provide quotes. You can use our website tools to find the right plans for you, and we'll help you enroll quickly. After you're enrolled, we continue to provide support.

1. In the upper left hand corner of the quote page, there is a section that says "Get Precise Quote" where you'll put in the ages of your employees and optionally, their dependents by clicking "+Family"
2. As you put in the ages, all the plan pricing will automatically update. Since age is the only factor in small group insurance pricing for small businesses, these are exact quotes.

The cost being shown is the TOTAL cost so you can choose to split that with the employees or pay for all of it as the employer. It's up to you.

HMO - Health Maintenance Organization

HMOs tend to have the lowest monthly premium, but they require referrals to see specialists from a primary care physician (PCP). There is no out-of-network coverage on this type of network.

PPO - Preferred Provider Organization

With a PPO network, you can choose any doctor on their preferred list of providers, no referrals are needed. You can also use an out-of-network provider (ie., not on the preferred list), but you will have to pay more out of pocket.  PPO networks are the broadest and most flexible, but will increase your monthly premium.

EPO - Exclusive Provider Organization

With an EPO, you must pick from the providers on the list, or the insurance company will not pay. An EPO is like a PPO, but without out-of-network benefits. You do not need to choose a PCP or get referrals.

POS - Point of Service plan

A POS plan is like a HMO, but in some cases you can get out-of-network coverage like with a PPO. Typically you are required to get referrals, with some exceptions (eg., Humana).

For more information, see this article.

Yes, all of our plans cover pre-existing conditions. Having a pre-existing condition does not affect your price or ability to sign up for a plan at all.

You can start your group insurance on the first of any month. You do not have to wait for an open enrollment period in November.

Usually yes, but it depends on three factors:

1. How many employees are signing up for coverage.

2. The insurance company you selected

3. The state in which your business is located.

Contact us at hello@simplyinsured.com and we can help you determine how many plans you may offer.

Yes, all of our plans meet the requirements of the Affordable Care Act. Any employees enrolling on the plans on SimplyInsured would not face the individual penalties for being uninsured.

The costs displayed on our quote page is the total monthly price that the insurance company would charge for all the employees and dependents you've entered for your company.

As the employer, you can split that total cost with your employees in any way you want.

On our quote page, you can:

1. Click "See Employee Costs" on any plan to see the full quote with all your employees' pricing broken down by each person. You will also be able to use the contribution calculator there to play with how much each employee would pay out of their paychecks for their insurance.

2. Click "Enter Ages" in the top right of the quote page to change/edit the ages of the employees, spouses, and children being quoted.

Click on "More Details" on any of the plans on this quote page, and you will see two sections:

1. Estimated Costs gives you an estimated cost of common medical procedures based on how the plan covers those procedures. These estimates are based on national averages so it may differ in your area.

2. Plan Details below Estimated Costs gives you the exact descriptions of how the plan covers different categories of medical services. Some services may be subject to the deductible or some may be on copay with deductible waived. You can hover over any of the terms to get a more detailed description of what they mean.

Yes! Dental and/or vision insurance can be selected during the application process. You can also preview dental quotes by clicking on the menu at the top of our quote page where it says "Medical" and selecting “Dental” or “Vision.”

Follow these steps to enroll:

1) Fill out the application on our website. You'll need to enter basic information about your company and employees, upload documents that connect employees to your company (e.g., wage report), and provide a payment method for the first month's premium. This process takes 20-30 minutes for most companies.

2) We'll review the application and submit it to the insurance company within 1-2 business days.

3) The insurance company will review the application. Most companies are approved within 7-14 business days.