Coverage through work
Health insurance through your job.
Understand what your employer offers, compare it against what you could buy on your own, and know what to do when the job changes.

Between jobs?Losing coverage through work opens a Special Enrollment Period. You do not have to wait for Open Enrollment to get covered again.
How it works
Group coverage in three steps.
Employer coverage follows the same shape almost everywhere. Knowing the sequence makes your own benefits paperwork easier to read.
Your employer chooses the plans
An employer picks which plans to offer and how much of the premium the company pays. Your share is usually taken out of your paycheck before taxes, which is why coverage through work often costs less than buying the same plan on your own.
You enroll during your window
You sign up when you are first eligible, during your company Open Enrollment, or after a qualifying life event such as marriage, a birth, or losing other coverage. Miss the window and you generally wait until the next enrollment period.
You use the plan through the year
You pay copays or coinsurance as you get care until you reach your deductible and out-of-pocket maximum. Preventive care is covered at no cost to you on most plans, even before the deductible is met.
Plan options
The five plan types you will see at open enrollment.
Employers usually offer two or three of these. The difference is how tightly the plan holds you to its network and how the cost is split between premium and deductible.
A Health Maintenance Organization keeps care inside a defined network. You pick a primary care physician who coordinates your care and refers you to specialists. Premiums are usually the lowest of the group plan types, and out-of-network care is generally covered only in an emergency.
Best suited to people who are comfortable with a set network and want predictable costs.
A Preferred Provider Organization lets you see specialists without a referral and covers care outside the network at a lower level. That flexibility usually comes with a higher premium and a separate out-of-network deductible.
Best suited to people who travel, have established specialists, or want the widest choice of doctors.
An Exclusive Provider Organization sits between the two. You normally do not need a referral to see a specialist, but care must stay in network except in an emergency.
Best suited to people who want specialist access without referrals and are willing to stay in network to keep the premium down.
A Point of Service plan combines features of both. You choose a primary care physician and use referrals as you would in an HMO, but the plan still pays a share of out-of-network care.
Best suited to people who want coordinated care with a safety valve for going outside the network.
A High Deductible Health Plan pairs a lower premium with a higher deductible set each year by the IRS. Qualifying plans let you open a Health Savings Account and pay for care with pre-tax dollars. Preventive care is still covered before the deductible.
Best suited to people who do not expect much care in a given year, or who want to build savings in an HSA.
Tax-advantaged accounts
HSA and FSA: paying for care with pre-tax dollars.
- HSA: available with a qualifying high deductible health plan
- HSA funds roll over year to year and stay with you if you change jobs
- FSA: offered through an employer, no high deductible plan required
- FSA funds are generally use-it-or-lose-it, with limited grace periods
- Both cover qualified medical expenses such as copays and prescriptions
- Contribution limits are set by the IRS and change each year
For employers
Offering coverage to your team.
If you are the one choosing plans rather than enrolling in them, tell us about your group and a licensed agent will follow up. Employees can skip this and use the ZIP form instead.
Include your group size, your state, and when your current plan year ends. We respond within two business days.
Good to know
Workplace coverage questions people ask first.
Is my employer required to offer health insurance?
Can I buy a marketplace plan instead of my employer plan?
What happens to my coverage if I leave my job?
Can I add my spouse, partner, or children?
How do I know what my plan actually covers?
For employees
Compare what you could get on your own.
Enter your ZIP code to see plans available in your area, whether you are between jobs or weighing your workplace options.