Other than SHOP, which coverage options do small employers have?

Small employers seeking coverage options besides the Small Business Health Options Program (SHOP) have the option of off-Exchange small group plans. These plans are offered directly by health insurance companies outside of the government’s health insurance marketplace. Off-Exchange plans allow employers the flexibility to choose insurance carriers and specific plan designs that might better meet their needs or the preferences of their employees.

While Medicare plans are indeed available, they are designed specifically for individuals aged 65 and older or for certain younger individuals with disabilities, thus not applicable to small employers looking for group coverage. Individual plans are intended for personal coverage rather than employer-sponsored plans. Additionally, COBRA continuation coverage is not an option for small employers in the same way; it specifically allows employees to retain their group health benefits for a limited time after leaving employment, rather than acting as an initial coverage option.