CNNMoney.com
Companies Economy International Corrections Pre-market Trading After-hours Trading Winners/Losers/Actives Bonds Currencies Commodities World Markets Money Magazine Real Estate Taxes Jobs Ask the Expert Money 101 Autos Mutual Funds The Help Desk Loan Center Best Places to Live Ask the Expert Ultimate Guide to Retirement Retirement Calculators Best Funds Best Places to Retire Fortune Brainstorm Tech Apple 2.0 Blog Big Tech Blog Sectors and Stocks Tech Talk Resource Guide Small Business Makeovers Questions & Answers Small Business Video 100 Best Places to Launch FSB 100 Fortune Small Business Fortune 500 Brainstorm Tech Investing Management C-Suite Rankings Main Create Portfolio Edit Portfolio Create Alerts Edit Alerts

How does group health insurance work?

Here's how your premium is calculated under an employer's plan.

EMAIL  |   PRINT  |   SHARE  |   RSS
 
google my aol my msn my yahoo! netvibes
Paste this link into your favorite RSS desktop reader
See all CNNMoney.com RSS FEEDS (close)
By Gerri Willis, CNN personal finance editor

home_rich_cover.03.jpg
For more information on managing your largest investment, check out Gerri Willis' 'Home Rich,' now in bookstores.
CDs & Money Market
MMA 0.96%
$10K MMA 1.03%
6 month CD 1.06%
1 yr CD 1.54%
5 yr CD 2.56%

Find personalized rates:
 

Rates provided by Bankrate.com.

NEW YORK (CNN) -- Ever wonder how your health insurance premium is calculated if you're covered under your employer's plan?

1. Know how it works

If you work for a smaller company, you may have noticed how much you pay for your health insurance differs from your neighbor who works for a larger firm.

The key is how group insurance is priced. When you're in a group plan, it's not only your health that you have to worry about -- it's the health of all your colleagues.

Basically, your company will obtain group rates from several different companies. In turn, those firms make their calculations based a number of factors to determine what kind of risk that specific workforce represents.

In general, group plans are less expensive than individual plans because the risk is spread over a wider array of people.

2. Policy ingredients

Age plays a large role in how much you shell out for health insurance each month. If your company employs a lot of older people -- say, late 40s or early 50s -- chances are your policy is more expensive than a company that hires a lot of college graduates, says Edward Kaplan of Segal Co., a human resources consulting firm.

Your company's claim history is also important in determining rates. If the company employs a lot of older males, premiums will likely be higher since this population is prone to more cancer diagnoses, hypertension, diabetes and heart attacks. On the other hand, companies with lot of women in their 20s and 30s will also pay more due to maternity and childcare costs.

Location is also important. For example, a hospital bill in New York City is much more expensive than other towns and states.

Finally, some industries are more prone to claims than others. Teachers, nurses and construction workers tend to file claims more frequently than retailers or technology workers, says Kaplan.

3. Companies with lower premiums

Larger companies tend to offer lower employee premiums simply because the risk is spread out. The smaller the firm, the more age and gender play a role in what you'll pay.

Consider a company with only 10 employees. If one or two of those workers have major surgery or give birth to a premature baby, for example, it's likely the group premium will jump significantly.

You may find smaller premiums at companies that put an emphasis on health and wellness through discounts on gym memberships or weight management classes.

-- CNN's Jen Haley contributed to this article.

Talkback: Are you happy with your group health care coverage? To top of page

Features
Markets Last Change
Dow Jones 10,332.90 -33.25 / -0.32%
Nasdaq 2,174.16 1.02 / 0.05%
S&P 500 1,099.01 -0.91 / -0.08%
10-year Bond 99 7/32 Yield: 3.46%
U.S.Dollar 1 euro = $1.488 -0.017
December 4, 2009 11:48 AM ET
CompanyPrice% Change
Big Lots Inc 27.53 16.95%
BlueLinx Holdings Inc 3.00 12.78%
OfficeMax Inc 12.16 10.95%
Kelly Services Inc 11.47 10.61%
Dec 4 11:43am ET †
More Galleries
Holiday gifts for the yoga nut These 7 small brands are helping fuel a booming yoga industry. More
Best of the L.A. Auto Show Fuel economy is the name of the game in Southern California. More
Are things really getting better? Last quarter, the economy grew by the largest amount since the summer of 2007, but there are signs that things are still getting worse. More

© 2009 Cable News Network. A Time Warner Company. All Rights Reserved. Terms under which this service is provided to you. Privacy Policy
Copyright © 2009 BigCharts.com Inc. All rights reserved. Please see our Terms of Use.
MarketWatch, the MarketWatch logo, and BigCharts are registered trademarks of MarketWatch, Inc.
Intraday data provided by Interactive Data Real-Time Services and subject to the Terms of Use.
Intraday data is at least 20-minutes delayed. All times are ET.
Historical, current end-of-day data, and splits data provided by Interactive Data Pricing and Reference Data.
Fundamental data provided by Morningstar, Inc..
SEC Filings data provided by Edgar Online Inc..
Earnings data provided by FactSet CallStreet, LLC.