How Employers Can Reduce Soaring Healthcare Costs Due to Chronic Conditions
Learn how prevention, wellness, and disease management can improve employee health and reign in absenteeism and long-term healthcare costs.
By partnering with a PEO, small businesses can compete against large corporations and offer Fortune 500-level health, dental, and retirement benefits.
One of the biggest competitive disadvantages small businesses face is benefits. Because they're negotiating for thousands of employees at once, large companies typically offer rich health plans, 401(k) matches, dental, vision, life insurance, and more. Small businesses, on the other hand, are stuck buying on the individual market where they pay higher premiums for worse coverage.
It doesn't have to stay that way though. With the right HR partner, small businesses can access the same quality benefits that large corporations offer, allowing them to tap into one of the most powerful tools for attracting and retaining great employees.
When small businesses buy benefits independently, they face a compounding disadvantage:
The result? Small businesses end up offering inferior benefits at a higher per-employee cost than large competitors.
This matters more than ever. According to SHRM's 2025 Employee Benefits Survey, healthcare is the most important benefit employers can offer. This means businesses with weak benefits packages are likely losing candidates to competitors and may be struggling to retain the employees they have.
Group health insurance is a health coverage plan offered by an employer to its employees. Premiums are typically lower than individual market plans because the risk is spread across a larger pool of people. Under the Affordable Care Act (ACA), employers with 50 or more full-time employees are required to offer minimum essential coverage. Smaller employers are not required to offer coverage but may choose to do so. (Healthcare.gov)
When a small business partners with a PEO like Stratus HR, its employees become part of the PEO's much larger employee pool that encompasses thousands or tens of thousands of workers. That group buying power unlocks access to a much more robust employee benefits package that includes health insurance, dental and vision, retirement plans, and additional benefits.
Here are several advantages PEOs offer to each of the following offerings.
|
Benefit |
Small Business (Solo) |
Small Business via PEO |
|
Health insurance premiums |
Individual/small-group market rates |
Large-group rates via PEO pool |
|
Plan variety |
Limited (1–3 plans typically) |
Multiple plans from major carriers |
|
401(k) availability |
Expensive to set up and administer |
Included, already compliant |
|
FSA/HSA |
Requires separate setup |
Typically included |
|
Disability coverage |
Difficult to access affordably |
Group rates available |
|
Benefits administration |
Managed in-house |
Managed by PEO |
|
ACA compliance |
Employer's responsibility |
Managed by PEO |
Understanding ACA obligations helps small business owners know where they stand:
|
Business Size |
ACA Requirement |
|
1–49 full-time equivalent employees |
Not required to offer coverage; may qualify for Small Business Health Care Tax Credit |
|
50+ full-time equivalent employees |
Must offer minimum essential coverage to full-time employees (Employer Mandate) |
|
Any size with coverage |
Must meet minimum value and affordability standards |
Source: IRS.gov — Affordable Care Act Tax Provisions for Employers
A PEO handles ACA tracking, reporting, and compliance on your behalf, including 1094-C and 1095-C filings for applicable large employers.
Benefits costs vary by plan choices, employee demographics, and contribution structure. Here's a general benchmark:
|
Benefit |
Typical Employer Monthly Cost Per Employee |
|
Health insurance (employer portion) |
$400–$700/employee |
|
Dental |
$25–$50/employee |
|
Vision |
$5–$15/employee |
|
401(k) admin (no match) |
$10–$25/employee |
|
Life/disability insurance |
$15–$40/employee |
|
Total estimated range |
$455–$830/employee/month |
These costs can be significantly reduced through a PEO's group purchasing rates. Many Stratus HR clients find that the savings on benefits alone offset a meaningful portion of PEO service fees.
Q: Can a small business with 10 employees offer good health insurance?
A: Yes. By joining a PEO like Stratus HR, a business with 10 employees gains access to the same group insurance pools used by much larger companies. This means better plan options and lower premiums than a 10-person company could negotiate independently.
Q: Does my small business have to offer health insurance?
A: Federal law (the ACA Employer Mandate) only requires businesses with 50 or more full-time equivalent employees to offer health coverage. Smaller businesses are not required to offer coverage, but many choose to because it's essential for attracting and keeping employees. A PEO makes offering coverage more affordable.
Q: What is the most valued employee benefit besides salary?
A: According to a 2025 SHRM survey, health insurance continues to rank as the most valued employee benefit. Retirement plans (401k) and paid leave were a close second, with supplemental plans like critical illness and hospital indemnity on the rise. A PEO like Stratus HR helps small businesses offer all these competitively.
Q: How does a PEO help with 401(k) plans?
A: PEOs offer pre-established 401(k) plans that small businesses can join without the cost or complexity of setting up their own plan. The PEO handles IRS compliance testing, Form 5500 filings, and administration, saving the employer significant time and money.
Q: Will my employees notice a difference when we switch to PEO benefits?
A: Most employees notice an improvement, from better plan options and access to benefits they didn't have before, to a smoother enrollment process. The transition is managed by the PEO to minimize disruption.
Better employee benefits are not just for big companies. By partnering with a PEO like Stratus HR, small businesses across Utah and throughout the U.S. can offer health insurance, 401(k) plans, dental, vision, and more at rates they could not access on their own. Better benefits mean better hiring, lower turnover, and a stronger business.
Book a free consultation with Stratus HR to see exactly what your employees could access by partnering with a PEO.
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