Time is running out for Open Enrollment, and this could be your final opportunity to secure better health insurance for 2024. TMA Insurance Trust will help you find top-rated group plans from leading national carriers, and we'll help assess your eligibility for options that hold particular value for both practice owners and independent physicians. Don't miss out—act now to ensure you make the most informed decision for your healthcare needs in 2024.

For Small Practice Owners: A Game-Changing Shift

For small practice owners, special options may bring a game-changing shift in managing group health coverage for both you and your employees. The usual criteria for group coverage may not apply, particularly in the realm of group PPO health insurance—known for its flexibility and freedom of choice.

Benefits for Practice Owners:

• Participation Options – Practice owners don’t have to meet the minimum required number of employees who enroll in coverage to qualify as a group. Owners only need to make coverage available to employees. In other words, they no longer need to cover at least 75% of their staff to qualify for group coverage.
• Contribution Options – Practice owners don’t have to pay the mandated portion of the premium for their employees to qualify for group coverage. Owners can opt to pay what they can afford. In other words, they no longer must pay at least 50% of the premiums to qualify for group coverage.
• For practice owners looking for group coverage for their practice, TMAIT can assist you with group health insurance. The options provide an opportunity to help control the cost to your practice and be able to offer your employee’s group health insurance – including a mix of PPO and HMO plans.
• For practice owners with employees looking for group coverage only for themselves, usually as long as you have a tax ID number and one full time employee besides yourself paid under that number you will be eligible.
• Practice owners with staff on their own health coverage (spouse’s plan or another provider) can get “group of one” PPO coverage just for themselves and their family.

Imagine securing the group PPO health coverage benefits you desire while being able to offer a range of plan options to your staff. It's a win-win that empowers both you and your team.

Special Options for Independent Physicians

If you assumed you were limited to an individual HMO plan, these special options may surprise you. You may qualify for group HMO and PPO plans at group rates, even in the absence of employees. Don’t miss out on this unique opportunity to elevate your coverage without the constraints of traditional eligibility criteria.

Now is the time to explore these options, tailored for independent physicians:

• For partners with no W-2 employees, you may be eligible for group coverage only for yourself. You’ll need to provide partnership documentation and the company’s SS4 or recent K-1 (Form 1065).
• For physicians who own or want to start a business with their spouse, or their spouse is their W-2 wage employee, you may qualify for group coverage even without partnership documentation.

The clock is ticking on Open Enrollment, and this is your golden opportunity to secure a health insurance plan that better suits your needs. Whether you're a dedicated practice owner or an independent physician, the unique options available can be a game-changer for your coverage.

Your Path to Comprehensive Coverage

TMA Insurance Trust is here to guide you through these opportunities, ensuring you make informed decisions before the December 13th deadline for a January 1, 2024 effective date. Don't miss your chance for better health insurance in 2024. Call us at 800-880-8181, Monday to Friday, 8:00 AM to 5:00 PM CST. Your well-being is our priority, and we're here to make sure you step into the new year with confidence and comprehensive coverage.

For over 65 years, TMA Insurance Trust advisors have been serving Texas physicians, their families and staff. TMA Insurance Trust prides itself on offering unbiased information and strategies to members, along with exclusive group rates on a range of the highest-rated plans in the industry.