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HOW TO INSURE SMALL GROUP HEALTH INSURANCE
National Edition
  • Learn the Coverage.
  • Find the Prospect.
  • Build the Account.
You insure the building.
You insure the vehicles.
You insure the equipment.
You insure the liability.
You insure the workers' compensation.
But there's another question worth asking:
WHO IS HELPING YOUR CLIENT INSURE THE PEOPLE WHO MAKE THE BUSINESS RUN?
For many employers, health benefits aren't simply another insurance expense.
They can affect:
  • Recruiting.
  • Retention.
  • Employee satisfaction.
  • Compensation strategy.
  • Business growth.
  • And the owner's own healthcare coverage.
That's why Small Group Health Insurance can become a natural extension of a commercial insurance relationship.
The producer needs to know how to recognize the opportunity, gather the right information, and help the employer work through the choices.
And then comes the question most training leaves unanswered:
WHERE DO YOU FIND THE EMPLOYERS?
You may already insure them.

DON'T START WITH A QUOTE.
A business owner says:
“How much would group health insurance cost?”
It's tempting to start shopping immediately.
Don't.
First, understand the business.
Ask:
  • How many employees are there?
  • Who may be eligible?
  • Who needs coverage?
  • Is coverage currently offered?
  • Why is the employer considering a change?
  • When does existing coverage renew?
  • What does the employer contribute?
  • What are employees saying about the current plan?
  • Is recruiting difficult?
  • Is employee turnover a problem?
  • Are there owners or family members involved?
  • What does the employer want the benefit program to accomplish?
DISCOVERY BEFORE QUOTING.
WHAT YOU'LL LEARN
This practical producer guide helps you work through:
  • Small-group discovery
  • Employer objectives
  • Group eligibility concepts
  • Employee eligibility
  • Census development
  • Employer contributions
  • Employee participation considerations
  • Plan comparisons
  • Premium considerations
  • Deductibles
  • Copayments
  • Coinsurance
  • Out-of-pocket exposure
  • Provider networks
  • Prescription considerations
  • Employee communication
  • Enrollment
  • Renewals
  • Documentation
  • Professional boundaries
  • Cross-selling
  • Prospecting
  • Centers of influence
  • Educational marketing
Because group health insurance isn't simply:
“Send me a census, and I'll get you a quote.”
It's a business conversation.

WHO IS THIS GUIDE FOR?
Especially useful for:
  • Accident & Sickness producers
  • Life & Health producers
  • Commercial Lines producers
  • P&C agents adding employee benefits
  • Multi-line agencies
  • Agency owners
  • Producers serving small businesses
  • Producers developing commercial niches
  • Agents looking for account-rounding opportunities
  • Producers who need more Small Group prospects
If you already write Commercial Lines, pay particular attention.
YOUR PROSPECT LIST MAY ALREADY BE BUILT.

WHAT DOES THE EMPLOYER ACTUALLY WANT? Employers don't all buy health insurance for the same reason.
One may say:
  • “I need to keep my employees.”
Another:
  • “I can't hire anybody.”
Another:
  • “Our current plan got too expensive.”
Another:
  • “My employees hate the network.”
Another:
  • “I need coverage myself.”
Another:
  • “We've grown enough that I think it's time to look at benefits.”
Those aren't identical problems.
So don't begin with an identical solution.
FIND OUT WHY THE EMPLOYER CALLED.

THE CENSUS MATTERS.
Small Group quoting generally requires accurate information about the group and eligible population.
Bad data creates bad quotes.
The producer needs a disciplined census process.
Depending upon applicable requirements and the market, information may include items such as:
  • Employee information
  • Coverage tier
  • Dependent information
  • Eligibility information
  • Current enrollment
  • Other information required by the carrier or quoting process
Never guess.
Never manufacture census information to obtain a quote.
GOOD SUBMISSIONS START WITH GOOD DATA.

ELIGIBILITY MATTERS

The producer needs to understand applicable eligibility requirements and current carrier rules.
Questions may involve:
  • Who is an employee?
  • Who is eligible?
  • When does eligibility begin?
  • Are owners eligible?
  • Are family members eligible?
  • What about part-time employees?
  • What about independent contractors?
These issues can depend upon applicable law, carrier requirements, and the employer's situation.
The safe producer habit is:
VERIFY CURRENT REQUIREMENTS.

EMPLOYER CONTRIBUTION MATTERS.
The employer may contribute toward employee coverage.
Employees may pay part of the cost.
The employer may ask:
  • “What's the minimum I have to contribute?”
Don't answer from memory.
Requirements can vary.
Verify current applicable carrier and market rules.
The guide teaches the producer to identify the question and know when verification is required.

PARTICIPATION CAN MATTER.
An employer may say:
“I have 12 employees, but only three want insurance.”
  • That doesn't automatically tell you whether the group will qualify for a particular option.
  • Other coverage may affect participation calculations.
  • Carrier requirements can matter.
Current rules can matter.
VERIFY BEFORE PROMISING.

DON'T SELL PREMIUM ALONE.
The cheapest plan on the spreadsheet may not solve the employer's problem.
Consider:
  • Network
  • Deductible
  • Copayments
  • Coinsurance
  • Out-of-pocket maximum
  • Prescription coverage
  • Employee contribution
  • Employer contribution
  • Employee demographics
  • Employer objectives
The producer should help the employer understand the tradeoffs.

EMPLOYEE COMMUNICATION CAN MAKE OR BREAK THE PROGRAM
The employer may understand the plan.
Employees may not.
They need clear explanations of issues such as:
  • What the plan does
  • What employees pay
  • When coverage begins
  • What the deductible means
  • What coinsurance means
  • Where to find network information
  • How enrollment works
A producer who helps communicate benefits can become much harder to replace than one who simply delivers renewal spreadsheets.
SERVICE CREATES RETENTION.

THE RENEWAL IS NOT JUST A PRICE SHOP.
At renewal, ask:
  • “What worked this year?”
  • “What didn't?”
  • “What are employees complaining about?”
  • “Have you had trouble recruiting?”
  • “Has your workforce changed?”
  • “Has the business grown?”
The renewal is a business review.
Not merely a premium comparison.

NOW LET'S FIND THE PROSPECT
Here's where this book becomes especially valuable to P&C agencies.
OPEN YOUR COMMERCIAL BOOK.
Start there.

PROSPECTING TRIGGER #1
YOU ALREADY WRITE THE COMMERCIAL ACCOUNT.
You insure:
  • Property.
  • General liability.
  • Commercial auto.
  • Workers compensation.
  • Umbrella.
Ask:
“WHO HANDLES YOUR EMPLOYEE BENEFITS?”
That's it.
You don't need a complicated opening script.
Then listen.

PROSPECTING TRIGGER #2
THE BUSINESS IS HIRING. The owner says:
“We can't find good people.”
Don't hear only:
“Payroll may increase.”
Hear:
RECRUITING PROBLEM.
Ask:
  • “Are benefits part of what you're using to compete for employees?”
That may open the conversation naturally.

PROSPECTING TRIGGER #3
EMPLOYEE TURNOVER
The business keeps losing employees.
Benefits may or may not be part of the problem.
Don't assume.
Ask.
  • “What are employees telling you when they leave?”
If benefits come up, you have a reason for a deeper conversation.

PROSPECTING TRIGGER #4
BUSINESS GROWTH
  • Five employees become eight.
  • Eight become twelve.
  • Twelve become twenty.
  • The company's needs change.
The P&C agent already sees growth through:
  • Payroll.
  • Sales.
  • Vehicles.
  • Locations.
  • Property.
LET BUSINESS GROWTH TRIGGER A BENEFITS REVIEW TOO.

PROSPECTING TRIGGER #5

THE OWNER COMPLAINS ABOUT HEALTH INSURANCE
The business owner says:
“My health insurance is killing me.”
Don't just sympathize.
Ask:
  • “Are you buying individual coverage now, or does the business have a group plan?”
That's a natural transition into discovery.
PROSPECTING TRIGGER #6
THE COMMERCIAL RENEWAL
Add one question to your commercial renewal checklist:
  • “HAS ANYTHING CHANGED WITH YOUR EMPLOYEE BENEFITS?”
If you've never handled them, ask:
“Who currently helps you with them?”
You may discover:
  • No broker relationship.
  • An unhappy broker relationship.
  • No group plan.
  • A renewal problem.
  • A growing workforce.
  • An opportunity.

PROSPECTING TRIGGER #7
A NEW BUSINESS
A startup may begin without benefits.
That's understandable.
But as the company grows, the conversation can change.
Document the opportunity.
Follow up later.
NOT EVERY “NO” MEANS “NEVER.”
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​BUILD A SMALL-GROUP PROSPECT LIST FROM YOUR OWN BOOK
Run your commercial accounts.
Look for businesses with employees.
Then identify appropriate prospects based on what you know.
Potential categories:
  • Contractors
  • Professional offices
  • Retailers
  • Auto repair shops
  • Manufacturers
  • Wholesalers
  • Service businesses
  • Restaurants
  • Technology firms
  • Other small employers
Select 25.
Then ask one question:
“WHO HANDLES YOUR EMPLOYEE BENEFITS?”
That's a prospecting campaign.
​

DON'T IGNORE WORKERS' COMPENSATION DATA
A commercial P&C agency may already know:
  • Payroll.
  • Employee classifications.
  • Approximate workforce size.
  • Business growth.
  • New locations.
You may already see clues that a business employs people.
That doesn't establish Small Group eligibility.
But it can tell the producer:
“THIS ACCOUNT DESERVES A BENEFITS QUESTION.”
​

NICHE THE PROSPECTING
Generic message:
“We sell group health insurance.”
Better:
  • “HAVING TROUBLE HIRING EXPERIENCED ELECTRICIANS?”
Or:
  • “CAN YOUR AUTO REPAIR SHOP COMPETE FOR TECHNICIANS?”
Or:
  • “ARE EMPLOYEE BENEFITS HELPING YOUR ACCOUNTING FIRM KEEP GOOD PEOPLE?”
Now you're talking about the employer's problem.
Not your product.
​​
CENTERS OF INFLUENCE
Who talks to small employers regularly?
  • CPAs
  • Payroll companies
  • HR consultants
  • Business attorneys
  • Commercial bankers
  • PEO professionals
  • Business consultants
  • Chambers of commerce
  • Industry associations
Don't ask:
  • “Can you send me group health leads?”
Try:
  • “If one of your business clients is struggling with employee benefits or trying to decide whether group coverage makes sense, I'm happy to help them work through the insurance side.”
Be useful first.

EDUCATIONAL PROSPECTING
Business owners have questions.
Answer them.
  • How many employees do I need for group health insurance?
  • How much does a small business have to contribute?
  • Can the owner participate in the group plan?
  • Do all employees have to enroll?
  • How can benefits help a small business recruit employees?
  • When should a growing company consider employee benefits?
Those questions can become:
  • Google Business Profile posts
  • Facebook content
  • YouTube videos
  • Website articles
  • Email campaigns
  • Commercial newsletters
  • Chamber presentations
  • Industry-specific campaigns
ANSWER THE BUSINESS QUESTION.
Then invite the employer to talk.

A 30-DAY SMALL-GROUP PROSPECTING PLAN

WEEK 1 — FIND 25 EMPLOYERS
  • Start inside your Commercial Lines book.
  • Look for businesses with employees and obvious growth or recruiting activity.

WEEK 2 — ASK THE BENEFITS QUESTION
  • “Who handles your employee benefits?”
If they're satisfied:
  • Good.
  • Don't force it.
If they say:
  • “Nobody.”
or
  • “We're not happy.”
Continue the conversation.

WEEK 3 — PUBLISH ONE EMPLOYER QUESTION Example:
  • “CAN BETTER BENEFITS HELP YOUR BUSINESS KEEP BETTER EMPLOYEES?”
Educate.
Don't simply advertise.

WEEK 4 — FOLLOW UP
Track:
  • Employers contacted
  • Current benefits
  • Renewal dates
  • Census opportunities
  • Reviews scheduled
  • Quotes
  • Future follow-up dates
  • Other commercial opportunities
Then repeat.

THE RENEWAL DATE MAY BE ONE OF YOUR MOST VALUABLE PIECES OF INFORMATION
Suppose the employer says:
  • “We're happy with our broker.”
Good.
Ask:
  • “When does the plan renew?”
With permission, note the timing.
You don't need to attack the incumbent broker tomorrow.
  • Be helpful.
  • Stay visible.
Then approach the employer appropriately before the next decision point.
GOOD PROSPECTING RESPECTS TIMING.

ONE GROUP HEALTH CLIENT CAN CHANGE THE COMMERCIAL RELATIONSHIP
Suppose you already write the employer's workers' compensation.
Then you add health insurance.
Now you're talking to the client about:
  • Employees.
  • Hiring.
  • Turnover.
  • Benefits.
  • Growth.
  • Ownership.
That may uncover additional conversations involving:
  • Commercial P&C
  • Group Health
  • Business-owner Life Insurance
  • Key Person Insurance
  • Buy-Sell Planning
  • Disability Income
You become more than the agent who renews the general liability policy.
YOU BECOME PART OF THE BUSINESS CONVERSATION.

REAL-WORLD PRODUCER THINKING.
The guide includes practical Small Group situations involving:
  • Employer objectives
  • Census issues
  • Eligibility
  • Participation
  • Contributions
  • Employee communication
  • Networks
  • Plan comparisons
  • Renewals
  • Business growth
Work through them using:
  • HEAR →
  • ASK →
  • VERIFY →
  • DOCUMENT →
  • NEXT SAFE ACTION.
Because Small Group producers don't need to guess.
They need to recognize what must be verified.

PRACTICAL PRODUCER TOOLS
Use the guide for:
  • Employer discovery
  • Census development
  • Group conversations
  • Renewal reviews
  • Employee communication
  • Commercial account rounding
  • Prospecting
  • Centers-of-influence development
  • Niche marketing
  • Educational content
  • Producer training
  • Scenario exercises

WHAT COULD ONE SMALL-GROUP CLIENT BE WORTH? The guide costs: $25.
  • One group appointment could repay it.
  • One new account could repay it many times over.
  • One commercial client may remain with the agency for years.
  • One satisfied employer may introduce you to another employer.
And the guide stays on your producer desk.
$25 — BUY IT ONCE. USE IT FROM NOW ON.
CLICK HERE TO BUY — ONLY $25

KNOW HOW TO WRITE SMALL GROUP...BUT NEED MORE EMPLOYERS TO TALK TO?
This is where your prospecting services fit naturally.

FYI Express+ can help agencies develop educational marketing and local visibility around specific business niches.
Don't simply advertise:
“We sell group health insurance.”
Ask the question the employer cares about:
  • “ARE YOUR BENEFITS HELPING YOU KEEP GOOD EMPLOYEES?”
Or:
  • “WHO IS HELPING YOU INSURE THE PEOPLE WHO MAKE YOUR BUSINESS RUN?”
That's a much stronger conversation starter.
  • BE FOUND.
  • BE HELPFUL.
  • BE REMEMBERED.

ASK EDDIE ABOUT SMALL-BUSINESS PROSPECTING & FYI LOCAL VISIBILITY

RELATED HOW-TO INSURE GUIDES

INDIVIDUAL HEALTH INSURANCE
  • Help people when employer coverage isn't available, or a coverage transition occurs.
VIEW GUIDE

BUSINESS OWNERS WITH LIFE INSURANCE
Protect the person behind the company as well as the company itself.
VIEW GUIDE

KEY PERSONS
Identify employees the company may not be able to afford to lose.
VIEW GUIDE

DISABILITY INCOME
Help protect another asset every employee depends upon—the paycheck.
FREE SAMPLE
DOWNLOAD FREE GUIDE

HOW TO INSURE SMALL GROUP HEALTH INSURANCE.
  •  Protect the Business.
  • Protect the People.
  • Strengthen the Relationship. 
ONLY $25.
Buy It Once. Use It From Now On.

CLICK HERE TO BUY

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Learn the Coverage. Find the Prospect. Build the Account.

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Eddie K. Emmett, 200 Russell Court, ​Canton, GA 30115