Medical Insurance w/ low participation

Does anyone have experience getting around the barrier of low participation when offering medical insurance?

Our small company (17-20 Full-time people) wants to offer medical coverage to attract and retain talent and for our current employees (who want it), but we're constantly running into the hurdle of not meeting 50% participation from our FT employees.

I currently work with a broker, but we've exhausted the majority of our viable options. It seems that our only choice now is to join a PEO, which we could do, but we have some reservations.

Does anyone else have a recommendation for getting over this hurdle? If not, what kind of incentives or options have you offered in lieu of medical/dental/vision benefits? 

Thanks for any insight you can offer - Rachel

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  • Hi, Rachel - have you considered an HRA option?  Your broker should be familiar; if not, I am happy to connect you with my contacts at Gallagher.  We just put in an ICHRA - we are a very small company but we needed to be able to offer something.  We have been up and running for several months now and all is well.  Happy to chat if you need more information!  

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  • I also have extensive experience in the PEO/ASO industries if you need assistance with that as well.  

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  • Hi Rachel. We can definitely discuss I was in your shoes as a HR practitioner and now on the broker side with Gallagher. Feel free to connect with me to chat. Danielle_Oliva@ajg.com Thanks Christie for the plug! 😁

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    • Rodney Chronister
    • Connector/Help Conveyor - Working to be a by-product of my service to others growth!
    • Rodney_Chronister
    • 9 mths ago
    • Reported - view

    Hey Rachel...Happy to chat about alternatives as well.  There are programs that can be customized to provide benefits at little to no cost to the employee or employer that often bring in other benefits and understanding that are more desirable to your team and often result in an increase in traditional programs like healthcare and 401k.   Feel free to give me a call if you would like to know more....(513)468-1300..  Have a great week

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  • Hi Rachel:

    I'd be happy to talk about different options with you if you'd like.  You can reach me at 513-675-5368.

    Take Care,

    Mark Quarry

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