Employer Benefits

Group Health Insurance That Actually Fits Your Business

Buffer Insurance is an independent brokerage. We shop multiple carriers to find the group health plan that matches your budget, your workforce, and your goals — not the plan that pays us the highest commission.

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Not captive to any carrier
The Data

Why Group Health Insurance Matters

Health insurance is the most valued employee benefit in the United States. Offering a competitive group health plan is one of the most effective ways to recruit, retain, and protect your workforce.

$8,951
Average annual premium for single coverage (2024)
$25,572
Average annual premium for family coverage (2024)
57%
Of U.S. firms offer health benefits to employees
83%
Average employer contribution for single coverage
73%
Average employer contribution for family coverage

Source: KFF 2024 Employer Health Benefits Survey

Plan Structures

Three Funding Models, One Goal: The Right Fit

Every employer has different risk tolerance, cash flow needs, and workforce demographics. Buffer helps you evaluate all three funding models to determine which structure delivers the best value for your organization.

Most Common

Fully-Insured

You pay a fixed monthly premium to the insurance carrier. The carrier assumes all claims risk and handles administration. This is the simplest model to manage and the most predictable from a budgeting standpoint.

For small groups under 50 employees, there is no medical underwriting — the carrier cannot rate your group based on its specific claims history. Instead, premiums are based on the aggregate claims experience of the carrier's entire regional pool. This means your group's renewal increase may not directly reflect your own claims performance.

Best for: Employers who want cost predictability and minimal administrative burden.
Typical size: 2 – 50 employees
Growing Fast

Level-Funded

You pay a fixed monthly amount that covers expected claims, stop-loss insurance, and administration. If your group is healthier than projected, you may receive a surplus refund. You get the upside potential of self-funding with the cost predictability of a fully-insured plan.

Best for: Healthy groups looking for savings while maintaining budget predictability.
Typical size: 25 – 300 employees
Deep dive into level-funded plans →
Maximum Control

Self-Funded

The employer pays claims directly as they are incurred, with stop-loss insurance protecting against catastrophic claims. This model offers the greatest flexibility in plan design and the most detailed claims data for making informed decisions.

Best for: Large employers who want maximum control over plan design and claims data.
Typical size: 100+ employees
Deep dive into self-funded plans →
Our Process

How Buffer Shops the Market for You

As an independent brokerage, Buffer Insurance has access to every major group health carrier in Texas. We are not captive to a single carrier, which means our recommendations are based entirely on what fits your business — not on carrier incentives. We handle all of the heavy lifting so you can focus on running your company.

1

Discovery

We learn your business, your workforce demographics, your budget, and what matters most to your employees.

2

Market Analysis

We submit your census to multiple carriers, run provider network checks, and compare plan options side by side.

3

Presentation

We walk you through the top options with clear cost comparisons, contribution modeling, and our recommendation.

4

Implementation

We manage enrollment, employee communications, carrier coordination, and ensure a smooth effective date.

5

Year-Round Support

We handle claims issues, billing questions, new hire enrollments, and begin renewal strategy 120 days out.

Full Service

What's Included When You Work with Buffer

Every Buffer engagement includes the following services at no additional cost to the employer. Our compensation comes from the carrier you select — the premium you pay is the same whether you use a broker or go direct.

Plan Design & Benchmarking

We benchmark your current plan against industry standards and design options that balance cost with competitive coverage.

Carrier Negotiation

We leverage our market relationships and your group's data to negotiate the most competitive rates available.

Employee Education & Enrollment

We create clear plan comparison materials and conduct enrollment meetings so your employees understand their options.

Compliance Review

We review your plan for compliance with the ACA, ERISA, COBRA, HIPAA, and applicable Texas regulations. We flag issues before they become liabilities.

Renewal Strategy

We start the renewal process 120 days before your plan year ends. No last-minute surprises. You see the market before you have to make a decision.

Year-Round Support

We do not disappear after enrollment. Claims issues, billing disputes, new hire additions, terminations — we handle it all year long.

Common Questions

Group Health Insurance FAQ

Straightforward answers to the questions we hear most from Texas employers evaluating group health insurance.

When is the right time to review my group health plan?
The best time to start reviewing your group health plan is 120 days before your renewal date. This gives your broker enough time to analyze your current plan performance, shop the market across multiple carriers, and present alternatives. Buffer Insurance begins the renewal strategy process four months ahead so there is never a last-minute scramble.
How many employees do I need to offer group health insurance?
In Texas, you can offer group health insurance with as few as one eligible W-2 employee besides the business owner. Most carriers require at least two enrolled employees. Businesses with fewer than 50 full-time equivalent employees are not required by the ACA to offer coverage, but many do so to attract and retain talent.
What's the difference between fully-insured and level-funded?
With a fully-insured plan, you pay a fixed premium to the insurance carrier each month and the carrier assumes all claims risk. With a level-funded plan, you still pay a fixed monthly amount, but that amount is divided into claims funding, stop-loss insurance, and administrative costs. If your group's actual claims come in lower than expected, you may receive a surplus refund. Level-funded plans offer the potential for savings while maintaining cost predictability.
Does Buffer work with all insurance carriers?
Buffer Insurance is an independent brokerage, meaning we are not captive to any single carrier. We have appointments with all major group health carriers in Texas and can shop the entire market on your behalf. This independence means our recommendations are based on what fits your business best, not on carrier quotas.
How long does it take to implement a new group health plan?
A typical group health plan implementation takes 30 to 45 days from the date you select a carrier and plan design. This includes completing the carrier application, setting up employee enrollment, distributing plan materials, and coordinating the effective date. Buffer manages every step of the process.
Can I keep my current doctors with a new plan?
Provider continuity is one of the first things Buffer evaluates during the market analysis. We run provider network checks for your employees' key doctors and specialists across every plan option we present. Our goal is to find plans that maintain access to the providers your team already uses.
What compliance requirements come with offering group health insurance?
Employers offering group health insurance must comply with the Affordable Care Act (ACA), ERISA, COBRA, HIPAA, and various state regulations. This includes providing Summary of Benefits and Coverage documents, meeting minimum essential coverage and affordability standards for applicable large employers, and filing annual reports such as IRS Forms 1094-C and 1095-C. Buffer includes a compliance review as part of every engagement.
How does Buffer get paid?
Buffer Insurance is compensated through commissions paid by the insurance carrier you select. There is no additional fee to you as the employer. The premium you pay is the same whether you go directly to the carrier or work with Buffer — but with Buffer, you get independent market analysis, plan design consulting, employee education, and year-round support at no extra cost.
What if I want to switch to Buffer mid-year instead of waiting for my renewal?
You do not have to wait for your renewal to start working with Buffer. You can sign an Agent of Record (AOR) letter at any time, which transfers servicing authority on your existing plan from your current broker to Buffer. Your plan, carrier, and rates stay exactly the same — the only thing that changes is who is managing and servicing your account. Once the AOR is in place, Buffer immediately begins handling your claims issues, employee questions, compliance reviews, and renewal preparation. There is no disruption to your employees and no cost to make the switch.

Ready to Find the Right Plan for Your Team?

Let Buffer do the heavy lifting. We will shop the market, present your best options, and manage the entire process.

Schedule a Call with Tonya →
Tonya Falzett, Benefits Advisor — specializes in employer group plans
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