Private Purchasing Cooperative | Small Employer Health Coalition | Health Group Cooperative | Health Group Cooperative | |
---|---|---|---|---|
Private Purchasing Cooperative | Yes | Yes | Yes | Yes |
Organized as non-profit corporation | Yes | Yes | Yes | Yes |
Required to make initial filing with TDI | Yes | Yes | Yes | Yes |
Required to make annual filing with TDI | Yes | Yes | Yes | Yes |
Minimum Number of Employers | 2 | 2 | 10 | 10 |
Maximum Number of Employers | No limit - K * | 25 | No limit - K | 25 |
Guaranteed Issue | No | Yes | No | Yes |
Guaranteed Renewable | No - K | Yes | Yes | Yes |
Minimum Employer commitment | None - K | None - K | 2 years | 2 years |
Tax Treatment | None | None | 2 year exemption from certain taxes for each uninsured employee or dependent | 2 year exemption from certain taxes for each uninsured employee or dependent |
Limited Coverage Options | SB 541 | SB 541 | SB 10 or SB 541 |
SB 10 or SB 541 |
Maximum Group Size | Not applicable | 50 | Not applicable | 50 |
Composition | Small or Large Employer | Small employer | Small or Large Employer, Eligible Single Employee Business if elected | Small employer |
Treated as single employer | Only for benefit elections - K | Yes - small employer | Yes - large employer | Yes - small employer |
Self-insured/ self-funded |
No | No | No | No |
Issuance Limits | None | None | 1 per carrier per county, w/ permissive expanded service areas | 1 per carrier per county, w/ permissive expanded service areas |
Cooperative Features Comparison
For more information, contact: LifeHealth@tdi.texas.gov
Last updated:
9/24/2019