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Health Insurance and the Mid-Market

Mid-market company size is somewhat of an amorphous term, usually defined by revenue or employee size. Although there is no hard and fast rule, mid-market companies generally are between $25m-$250m in annual revenues and between 50–500 employees.

In terms of Health Insurance, 50 employees is somewhat of a magic number as it is the point when insurance carriers look at the company-specific claim history and have less regulatory pricing and disclosure restrictions to deal with. Companies with less than 50 employees are typically put in a “community pool” and have less control over rate increases.

 WTIA Health Trust and the Mid -Market

The WTIA Health Trust is a bona fide association health plan (AHP) that gives small companies (<50 employees) some of the same pricing benefits as large companies. The WTIA Health Trust has 13 plan options that range from very rich to basic. All 13 plan options are considered “fully insured” plan types. The WTIA Health Trust is extremely valuable to our small company members, literally saving them thousands of dollars per year while enabling them to be more competitive from a recruitment standpoint.

Unfortunately, the WTIA Health Trust is not the ideal solution for “mid-market” companies, especially as company headcount approaches more than 100 employees.