It’s been a long process (initiated in Late 2015), but on February 1, 2017, Kaiser officially acquired Group Health with the final stamp of approval coming from Washington State’s Office of the Insurance Commissioner.

Kaiser and Group Health share many values when it comes to delivering healthcare – both heavily leaning on an HMO/integrated health care model. With the acquisition, Kaiser added 651,000 Group Health Members, now serving a total 11.3 million across eight states and the District of Columbia.

As part of the deal, Kaiser has pledged to invest one billion dollars over the next decade to expand and modernize facilities and technologies to improve care and service. Immediately, the most noticeable change users will experience simply is in the name – speculated to take place in early March. You’ll begin seeing ‘Kaiser Permanente” plastered on the side of the 25 primary care clinics, three urgent and four outpatient surgery centers in Washington State. Group Health collateral will be gradually phased out as well. No immediate changes to operations, health care plans or care is expected – at least for the duration of 2017.

For most Washingtonians, Kaiser is only known by reputation. Kaiser does have medical centers in Southwestern Washington, but this acquisition gives them a substantial footprint in Washington State, specifically along Puget Sound’s I-5 corridor. Not much is known about what changes Kaiser is expected to impart upon Group Health’s Infrastructure and health care delivery system – both sides have been quite mum on the topic. However, from our standpoint, from the health insurance perspective, there are a few differences between the two organization’s health care plans and operations that we are anxiously waiting to see how they pan out:

Alternative Care – While you won’t find a Group Health or Kaiser HMO plan offering containing coverage for Naturopathic care, those on Group Health plans may have become accustomed to GHC’s adequate coverage and network of alternative medical providers – specifically, chiropractors and acupuncturists. Kaiser doesn’t share the same level of enthusiasm for alternative care – it will be interesting to see if they budge on this and what will happen with those provider’s contacts.

Access PPO plans – This really is the big question from our standpoint. Group Health offers true PPO plans that utilize the First Choice Health Network, which is the largest network of physicians in Washington State. Plans on both the individual and group sides have garnered significant market share over the past few years. How will Kaiser approach these large PPO offerings? Will they scale them back? Flush them down the toilet? Keep them in place? It will be late April/early May when filings are due for 2018 that we will likely get our first glimpse into what the future holds for these products.

Infrastructure – True to any organization, across any industry, any time a local business gets gobbled up by a large conglomerate, there is a moment of pause and wonder what will be the ramifications to their customer service model? What sort of claims and billing support will there be? When I have a problem am I now going to have contact a Call Center in California (Kaiser is California-based)? What about this online patient portal I’ve been using? How will the overall user experience be impacted?

These are interesting times in the world of health care delivery. This acquisition is sure to directly impact on our local system – Group Health has developed a substantial homegrown presence in Washington State. To learn more, see the link below that will direct you to Group Health’s press release.

“Kaiser Permanente, a National Leader in Integrated Health Care and Coverage, Completes Acquisition of Group Health Cooperative in Washington State.” https://www.ghc.org/html/public/news/2017-02-01-kaiser?utmcampaign=17kpacq&utmsource=direm&utmmedium=email&utm_content=pd. February 1, 2017.

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Small Business Health Insurance Plans in Washington

Finding the right health insurance for a small business in Washington State takes more than picking a plan off a rate sheet. With 10 to 50 employees, your company falls into the ACA small group market, which means every carrier must offer plans that cover Essential Health Benefits (EHBs) and follow community rating rules. Washington small group market is one of the most competitive in the country, with dozens of carriers fighting for your business.

At Washington Health Insurance Agency, we hold appointments with every health insurance carrier in the state. That means we compare every fully insured and level-funded option available to your company, then narrow the field to the top three most competitive plans. No call centers, no junior staff. Just direct access to senior-level brokers who know Washington insurance landscape inside and out.

Ready to compare your options? Get started with a free consultation or call us at 1-833-292-8844.

What Changed for Small Group Plans in 2026?

Washington State expanded its Essential Health Benefits benchmark plan effective January 1, 2026. If you purchase a small group insured health plan in Washington, these new benefits are automatically included in your coverage:

These expanded EHBs apply to all small group insured plans with plan years starting on or after January 1, 2026. If your current plan renewed before that date, you will see these benefits added at your next renewal.

How Does Small Group Health Insurance Work in Washington?

Under the Affordable Care Act, a small group is defined as a business with 1 to 50 full-time equivalent employees. Washington follows this federal definition. Here is how the small group market works in practice:

Comparing Small Business Health Insurance Options for Washington Employers

Feature Fully Insured Level-Funded Self-Funded
Premium predictability High — fixed monthly premium Moderate — capped monthly cost Variable — pay actual claims
Cost savings potential Lower 10–25% vs. fully insured 20–40% vs. fully insured
Claims risk Carrier assumes all risk Shared — stop-loss caps your exposure Employer assumes claims risk
Best for 10–25 employees, predictability-focused 20–50 employees, moderate risk tolerance 50+ employees or low-claims groups
WA carrier access (WHIA) All WA carriers All level-funded carriers TPA + stop-loss marketplace
Plan flexibility Standard ACA plans Customizable benefits Fully customizable

Fully Insured Plans

The most common option for small groups. The insurance carrier assumes all risk, and your company pays a fixed monthly premium. Washington carriers like Premera Blue Cross, Regence, Kaiser Permanente, and Aetna all compete in this market. We request quotes from every one of them so you see the full picture.

Level-Funded Plans

A growing option for small groups with 10 or more employees. WHIA helps small employers evaluate level-funded health insurance plans that cap your monthly exposure while sharing in any claims savings. These plans combine a fixed monthly payment with stop-loss protection, giving your company the potential for refunds if claims come in lower than expected. They offer more flexibility in plan design than traditional fully insured products, and they are becoming increasingly popular among Washington employers looking to control costs without taking on significant financial risk.

Self-Funded Plans

For groups with favorable claims histories, WHIA also evaluates self-funded health plans that can deliver 20–40% savings vs. fully insured premiums. Under a self-funded arrangement, your company pays actual claims costs rather than a fixed premium. Stop-loss insurance protects against catastrophic claims, and a third-party administrator (TPA) handles day-to-day plan management. Self-funded plans are fully customizable and exempt from many state insurance mandates.

Health Reimbursement Arrangements (HRAs)

Washington small businesses can pair group coverage with an HRA to help employees cover out-of-pocket costs. A first-dollar HRA with debit card access is one strategy WHIA implements to give employees immediate access to reimbursement funds without filing paperwork.

Not sure which plan type fits your business? Schedule a free phone consultation and we will walk you through the options.

Washington State Compliance Requirements for Small Group Employers

Running a small business in Washington comes with specific health insurance compliance obligations in 2026:

Why Washington Businesses Choose WHIA for Small Group Coverage

Most brokers work with a handful of carriers and push the plans that pay them the highest commissions. We do the opposite. WHIA is appointed with every health insurance carrier in Washington State, so we shop the entire market on your behalf. Our $2,500 advisory fee is fixed and transparent, backed by a guarantee: if we cannot demonstrate at least $5,000 in savings, we refund the fee in full.

Here is what that looks like in practice:

Frequently Asked Questions About Small Group Health Insurance in Washington

How many employees do I need to qualify for small group coverage?

In Washington State, any business with at least one W-2 employee (other than the owner) can purchase a small group plan. The small group market covers businesses with 1 to 50 full-time equivalent employees.

When is open enrollment for small group plans in Washington?

Unlike individual market plans, small group plans do not follow a fixed open enrollment window. Your company can start or renew coverage at any time of year. Most businesses align their plan year with their fiscal year or a January 1 start date.

Can I keep my current plan if I switch brokers?

Yes. Switching to WHIA does not change your plan, your benefits, your medical cards, or your premiums. A simple Broker of Record form transfers your account to us, and we handle everything from there. You can make the switch at any time, not just at renewal.

What are the new 2026 Essential Health Benefits in Washington?

Starting with plan years beginning January 1, 2026, Washington added hearing aid coverage (annual exam plus one hearing aid per ear) and expanded laboratory services (point-of-care genetic testing) to the state EHB benchmark plan. All small group insured plans must include these benefits.

Get a free benefits analysis for your small business. Start here or call 1-833-292-8844 to speak with an account manager today.