Growing companies often outgrow their PEO’s benefits. Here is how to time the exit, choose what replaces it, and keep every employee covered.
You become the plan sponsor of your own group plan, or set up an ICHRA, which CMS now calls a CHOICE Arrangement. The new coverage should start the day after PEO coverage ends.
Groups up to 50 employees buy small group coverage in most states, and up to 100 in New York; larger groups buy in the large group market, where your own data matters.
Deductions, eligibility files and new-hire enrollment move to your payroll and benefits systems.
Plan documents, notices and, if you are an Applicable Large Employer, Forms 1094-C and 1095-C become your responsibility, with help from your carrier, payroll provider and our partners.
Federal COBRA generally applies to employers with 20 or more employees in the prior year. Ask your PEO how it will handle people already on COBRA before you exit.
Your PEO agreement’s notice period sets the real deadline; some are 30 days, some longer.
Usually, yes. Check your PEO agreement for its notice period and any termination terms, then line up a new plan that starts the day after PEO coverage ends.
Generally, yes: a new plan usually starts its own deductible and out-of-pocket counts. Some carriers offer deductible credit for a mid-year switch; ask before you choose the effective date.
Yes. Once you sponsor your own plan, you need the documents and notices that go with it, such as a Section 125 plan document if employees pay premiums pre-tax. Your carrier and our partners help put them in place.
If you are an Applicable Large Employer, yes. ALE status belongs to your company and its related companies, not the PEO, so plan for Forms 1094-C and 1095-C with your payroll provider.
Sources: IRS: determining if an employer is an Applicable Large Employer; U.S. Department of Labor: COBRA; New York DFS: small group expansion to 1-100 employees.
Send your PEO’s renewal or rate notice. Within 5 business days of receiving it, you get a written comparison with a plan of your own and a recommended exit date.