Employee and Employer Health Benefits Glossary

Understand group health insurance basics and options for small businesses, HR managers, and employees to optimize benefits and costs.

Learn how GCHRA (Group Coverage HRA) works for small businesses, offering flexible health benefits while simplifying employer and employee responsibilities.

Learn what a Fully Insured Plan is and how it impacts small business owners, HR managers, and employees in health benefits choices.

Learn how full-time equivalent (FTE) employees are calculated, why the count matters for ACA rules, and how part-time hours affect employer obligations.

Learn what Full-Time Employee (FTE) means and how it affects small business benefits, compliance, and health insurance options.

Learn how Form 8941 applies to small business health benefits and how it affects employer and employee tax credits and reimbursements.

Learn everything small businesses need to know about Form 720 and its impact on employer-provided health benefits and compliance requirements.

Learn how Form 5500 affects small business health benefits plans and what employers need to know about this essential compliance document.

Understand binder payments — how the first premium activates coverage and what employers and employees must do with ICHRA and QSEHRA reimbursements.

Understand grandfathered health plans: which ACA rules apply, how status is maintained or lost, employer duties, and employee considerations.

Learn how guaranteed renewability protects health coverage, its exceptions, employer duties, employee rights, renewal costs, and key deadlines.

Learn what actuarial value means, how metal tiers work, employer obligations, and what to compare when choosing employee health coverage.

How Benchmark Plans (Marketplace reference plans and state essential health benefits) affect premium tax credits, ICHRA affordability, and employer compliance.

Learn how the Second Lowest Cost Silver Plan (SLCSP) sets premium tax credits and affects ICHRA/QSEHRA, employer obligations, and employee coverage choices.

Learn how Cost-Sharing Reductions lower out-of-pocket healthcare costs, who qualifies, employer impacts (ICHRA/QSEHRA), common mistakes, and next steps.

Learn how health care sharing ministries differ from insurance, plus employer tax/compliance impacts and employee risks, costs, and enrollment considerations.

Understand fixed indemnity plans: scheduled cash benefits, limits, employer legal/tax implications, and what employees should verify before enrolling.

Understand STLDI: coverage limits, employer compliance duties, payroll impact, and when short-term plans are (or aren't) appropriate.

Learn differences between on- and off-exchange health plans, who qualifies for subsidies, and employer HRA rules for reimbursing individual coverage.