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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.

Compare plans available in your area.

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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.

  1. 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.

  2. 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.

  3. 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.

Tax-advantaged accounts

HSA and FSA: paying for care with pre-tax dollars.

A Health Savings Account and a Flexible Spending Account both let you set aside money before taxes to pay for care. The practical difference is ownership: an HSA belongs to you, requires a qualifying high deductible health plan, and carries its balance forward year after year. An FSA belongs to the employer plan, is available with more plan types, and generally has to be spent within the plan year. If both are offered, the choice usually follows from which health plan you pick.
  • 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?
Employers with 50 or more full-time equivalent employees are generally required to offer affordable coverage that meets minimum value or face a penalty. Smaller employers are not required to offer coverage, though many do. Rules for part-time, seasonal, and variable-hour employees differ, so ask your human resources team how your position is classified.
Can I buy a marketplace plan instead of my employer plan?
Yes, you can always buy a plan on your own. However, if your employer offers coverage that counts as affordable and meets minimum value, you generally cannot get a premium tax credit for a marketplace plan. If the employer offer does not meet those standards, you may qualify for savings. Compare the real out-of-pocket cost of both before deciding.
What happens to my coverage if I leave my job?
Losing job-based coverage is a qualifying life event, which opens a Special Enrollment Period for a marketplace plan. You may also be offered COBRA continuation, which lets you keep the same plan for a limited time while paying the full premium yourself. Compare both, along with a spouse or partner plan if that is an option.
Can I add my spouse, partner, or children?
Most group plans allow you to add eligible dependents, usually a spouse and children up to age 26. The employer may contribute less toward dependent coverage than toward yours, so check the dependent premium before you enroll. Adding a dependent is generally allowed at enrollment or after a qualifying life event.
How do I know what my plan actually covers?
Ask for the Summary of Benefits and Coverage, a standardized document every plan must provide. It lays out the deductible, out-of-pocket maximum, and what you pay for common services in the same format across plans, which makes side-by-side comparison much easier.

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.

Compare plans available in your area in minutes.