Know your HMOs, PPOs and POSs

The least expensive and least flexible plans are HMOs, which require employees to choose a primary care physician from an approved provider list. Premiums are higher with PPOs, which allow employees to visit any doctor, but charge more if the doctor isn't in their network. POS plans combine elements of HMOs and PPOs, with employees choosing a primary care physician but retaining the ability to see any doctor for a higher fee.

I recommend: Get a clearer picture of the various types of plans in the Health Insurance Buyers Guide at BuyerZone.com or at HealthInsurance.com.

Explore health savings accounts (HSA)

You may be able to control health insurance costs with an HSA. With HSAs, employers and employees make pre-tax contributions to an account. Funds in the account can be used for routine and preventative medical care. HSAs are usually combined with a high-deductible insurance plan. Any funds in HSAs that aren't used by the end of the year typically roll over to the following year.

I recommend: Get more details on how you can reduce costs with an HSA at First Horizon Msaver and download "Answering Your Questions About Health Savings Accounts" at the Council for Affordable Health Insurance.

Consider using a health insurance broker

In some states, you can purchase insurance directly from a provider; in others, you're required by state law to use a broker. Even if you aren't required to do so, it may be beneficial to use a broker. Brokers are very familiar with the various plans available and can quickly determine which plans fit your needs and your budget. And since they also handle dental and vision insurance, you can take care of all your health insurance needs with one person.

I recommend: Look for a broker who has experience helping small businesses in your industry at the National Association of Health Underwriters.

Offer dental and vision insurance

Many businesses realize that one way to attract and retain good employees is to add dental and/or vision insurance to the list of benefits. The options for dental insurance can be just as confusing as those for health insurance, but vision plans are typically more basic. A broker can help you find the right plan for your business.

I recommend: Get the basics on dental and vision plans in the Dental and Vision Insurance Buyer's Guide at BuyerZone.com, where you can also find free quotes.

Decide who pays

There are a number of ways to cover the costs of health insurance premiums and each will impact your budget and your ability to attract employees. For instance, if you pay the entire cost of the premium, your budget may take a hit, but it may make your company more desirable to high-quality employee. Other options include paying the employee's premium but asking them to pay premiums for additional family members or asking workers to pay a percentage of their premium.

I recommend: Get small business group rate quotes and compare plans online at eHealthInsurance.com. Discover some of the many options for cost containment at HealthInsurance.com, which also offers a cost calculator to help you determine the smartest contribution formula for your business.