Small Business Medical Insurance Plans

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To the fullest extent permitted by law, Bupa and its group companies shall not be liable to the SME Client or any of its employees/policy members for any claims, damages or any other losses whatsoever under or in connection with the operation of this promotion. These Terms & Conditions shall be governed by English law and the parties submit to the jurisdiction of the courts of England and Wales.

Buying insurance for your small business (group coverage) has different rules than buying just for yourself or your family (individual coverage).

Some states define the self-employed as “groups of one” and require insurers to guarantee issue them coverage in the small group market.

The general rule is that if an employer offers group health coverage to any full-time employees, the employer must offer coverage to all full-time employees.

If you do choose to offer coverage, there are regulations you will have to follow—the most important of which we explain on this site.

Though large companies may face penalties if they do not offer coverage under the Affordable Care Act, small businesses with fewer than 50 full-time-equivalent employees will not be penalized if they do not provide coverage.

Individual medical coverage, on the other hand, is a single policy issued to a single person or family.

The rules are quite different for group coverage versus individual coverage, in large part because the insurer’s risk is calculated differently.

Below, we outline the basics behind group coverage.

Group medical coverage refers to a single policy issued to a group (typically a business with employees, although there are other kinds of groups that can get coverage) that covers all eligible employees and sometimes their dependents.

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