Renew your company's health benefits

Want to know when your company will go through open enrollment? If Gusto’s your broker or you use the broker integration, follow the steps below to find your benefit renewal dates.

Step 1: Fill out the renewal survey

105 days before your renewal date 

• Benefits admins receive an email notification to fill out a survey in Gusto. 
• Your responses help your benefits advisor understand what’s working and what you want to change about your company’s current benefits.
• If your carrier requests a recertification audit, we may reach out to your company's benefits admins for required information. Read more about the recertification process here.

Step 2: The insurance carriers send Gusto your renewal info 

About 6-8 weeks before your renewal date

• Before we can show you your renewal options in Gusto, we follow up with your insurance carriers to receive your company's renewal plans and rate updates. 
• The carriers’ release timelines vary, but rest assured that we’re following up with your carriers. We’ll notify you as soon as you can start choosing plans in Gusto. 
• Once your carriers send us your renewal info, a licensed benefits advisor reviews your survey responses, employee demographics, and carrier requirements, then recommends a number of package options for you.
• If there was no response to the survey, we will only send the updated default plan package. If you would like to make changes at this point, there will be an option in your account to request additional plan options.

Step 3: Choose your company’s renewal package in Gusto 

4-8 weeks before your renewal date

• Benefit admins receive an email once it’s time to review your company’s renewal options in Gusto. You’ll have about a week to choose so your team can start open enrollment shortly after.
• This is your annual chance to change the plans, carriers, company contribution, new hire waiting period, or employee eligibility criteria. 
• You can make changes right in Gusto (check out the "Choose your company's renewal plans” section of this article). If you have questions for our licensed advisors, respond directly to the renewal emails that have been sent.

Step 4: Your team goes through open enrollment 

~1 week after you choose your company’s renewal package

• After you sign for your company’s renewal package in Gusto, we take about a week to prepare your paperwork and set up open enrollment. 
• Open enrollment typically lasts a week. This can vary due to carrier deadlines and the size of your company. 
• We email all benefits-eligible employees (including new hires, if/once they're eligible) when it’s time to choose their coverage in Gusto. This is their annual chance to enroll, switch plans, add or remove dependents, or waive coverage altogether. 
• Employees who are not enrolling must sign a waiver in Gusto. The carriers collect waiver reasons to determine your company’s eligibility for group coverage. 

Step 5: The insurance carriers process your coverage 

After open enrollment 

• Our team submits all open enrollment paperwork to the carriers on your behalf. 
• The carriers can take 2-4 weeks to process the coverage. We follow up with them every 3-5 business days and will keep you updated. 
• Keep an eye out for emails from us, as the carriers may request additional information (like a voided check or workers’ compensation plan details).
• Carriers may confirm coverage after the renewal effective date. This is common in small-group insurance. Refer to this article for what employees should do if they need to go to the doctor before ID cards arrive. 

Step 6: Payroll deductions start and ID cards arrive 

2-4 weeks after open enrollment

• Once the carriers approve your coverage, we double-check each enrollment and notify you that your renewal is complete. 
• Employee payroll deductions are updated to reflect their enrollment choices.
• Deductions remain in the company bank account for you to pay directly to the insurance carriers each month. 
• ID cards for new coverage are mailed within 2 weeks of carrier approval. Employees who renewed coverage with the same carrier can keep using their existing ID cards. 

Once the insurance carriers send us your renewal info and our licensed advisors prepare your options, we email benefits admins to notify them that it’s time to start choosing your company’s renewal plans in Gusto. 

Here’s what you can do directly in Gusto:

• View changes to your current plans (insurance carriers update their plans and rates every year) 
• Renew with your current carrier
• Choose an alternate plan package 
• Change the company contribution or the new hire waiting period 
• Add new benefits
• Locate contact information for your licensed advisor

Before you start, here are some FAQs to consider: 

• Why can't I choose my old plan? Most medical insurance carriers change their plan deductibles and copays each year. If you're ok with the changes, you can renew with this default plan. If you aren't, you can explore other options.
• How many plans can I offer? Carriers have different rules about the amount of plans you can offer—we recommend choosing up to 4 plans to make enrollment easier on your team. 
• What types of benefits can I offer? You can offer medical, dental, vision, basic life, short-term disability, long-term disability, HSAs, FSAs, DCFSAs, and commuter benefits.

Step 1: Head to your renewal dashboard

1. Sign in to your Gusto admin account. 
   • You must have benefits permissions to view company renewal info. 
2. Go to the Benefits section.
3. If your renewal info is ready, you’ll see a tile at the top of your page that says Select renewal plans by [date]. Click Select plans.
   • If you do not see this, your insurance carriers may not have sent us your renewal info yet. We'll email benefits admins once your renewal options are ready in Gusto. 
   • The selection deadline is to help keep your open enrollment on track and meet carrier deadlines. 
4. Click Let’s get started.
5. The next page lists each line of coverage that’s up for renewal. Choose one to start with and click Select plans. 

Step 2: Review what’s changing 

Insurance carriers update their plans and rates every year. The Review what’s changing page shows you:

• A summary of the premium changes.
• The successor to each plan your company currently offers. A successor is the plan designated by the carrier as most similar to last year’s. 

How to dive into the details: 

• Click Download plan details for a summary of the renewal plans’ coverage and premiums. Any changes compared to last year’s plan are listed next to the main column with an up or down arrow, indicating an increase or decrease.
• Click on a plan name to view its new Summary of Benefits and Coverage (SBC). 
• To view an expiring plan’s SBC, click the i icon next to a plan name. 

Once you review the changes, here’s how to proceed: 

1. If you’re ready to renew with the new versions of your current plans, click Keep default plans. Skip to step 4 below. 
2. To see more options, scroll to the bottom of the page and click Explore alternate packages. (You can still choose the default plans later.)

Step 3: Review alternate packages 

On the Pick an alternate package screen, your advisor has recommended a number of plan packages for your team based on your survey responses, company demographics, and carrier requirements.  

Not seeing this page? Follow the steps above and click Request alternates. Your request will go directly to an advisor to build recommendations for your company.

How to review plans:

• Scroll to take a look at each package. You may see the same plan more than once in combination with different options. 
• Keep an eye out for each plan type (PPO, HMO, EPO, or POS) and its metal tier (Bronze, Silver, Gold, or Platinum). 
• Click the name of a plan to open its Summary of Benefits and Coverage (SBC). 
• If you want to compare the expiring, default, and alternate plans side-by-side, click Download spreadsheet at the top of the page. 
• Want to offer a Health Savings Account (HSA) this year? You must offer a High Deductible Health Plan (HDHP) to pair with it. Look for a package that has at least one plan with HDHP or HSA in its name. After you add the HDHP, Gusto will automatically add an HSA to your package. To review details, change the company contribution, or remove the HSA, click edit next to the HSA. If you remove the HDHP, the HSA will also be removed.

Understand the numbers:

• Average premium per enrollee: This is the plan’s average monthly premium for all benefits-eligible employees. 
• Employee premiums are often age-based and may vary as much as their ages do. You can download a detailed cost breakdown on the next screen. 
• Want to try a different company contribution or see a cost breakdown before committing to a package? You can do this on the next screen—follow the steps below. 

Proceed to the next screen, where you can edit the company contribution and download a cost breakdown:

1. In the bottom-left corner of a package you want to proceed with, click Select package.
   • To choose the default renewal plans instead: Scroll to the bottom of the page and click Default renewal package. Click Select package. 
2. Scroll to the bottom of the page and click Save selection. 
   • This doesn’t finalize anything—it saves your progress so you can review more numbers for the selected package on the next screen. 

Step 4: Edit the company contribution or new hire waiting period, see a cost breakdown 

On the Edit plan settings and review costs screen, you can set the new hire waiting period and try different company contributions for the package you selected on the previous screen.

You can still make changes after saving the waiting period and company contributions if you would like to edit or compare. Selections are not finalized until you sign and confirm.

Pick the new hire waiting period:

1. Click Select. The dropdown menu lists all the waiting periods allowed by your carrier.
2. Choose your desired waiting period.
3. Click Save. 

Set the company contribution:

1. First, decide whether you want the contribution to be a percentage of any plan that an employee enrolls in, or anchored as a percentage of a base plan. Some carriers require the contribution to be anchored to a base plan.
   • What’s the difference between any plan and base plan? For example, suppose your company offers 3 plans—one Bronze, Silver, and Gold.
   • Percentage of any plan: If you set the contribution as 75% of any plan, your company would pay for 75% of each employee’s total premium of whichever plan they enroll in. The company cost would be lower for an employee who chooses Bronze and higher for someone who chooses Gold.  
   • Percentage of a base plan: If you set the contribution as 75% of a base plan and choose Silver as the base, the company will only ever pay up to 75% of what each employee’s Silver premium would be. If an employee chooses the Gold plan, the company covers what 75% of their Silver premium would be, and the employee pays the difference themselves. If an employee chooses the Bronze plan, the contribution goes further toward the lower-cost premium and the employee pays less.
2. Enter the percentage you want to contribute to employee and dependent premiums.
   • If you’re not sure what your current company contribution is, click Compare to last year’s selection. 
3. Click Save.
4. You can still make changes to your contribution after saving by clicking edit.

View a cost breakdown:

1. Scroll down and click Download cost breakdown.
2. A new tab opens with a summary of the selected plans, contributions, and each employee’s premiums.
   • If an employee has ever added any dependent information in Gusto, those dependents’ total premiums are shown. 
3. Want to see a cost breakdown for different plans or company contributions? Each time you select a different plan package or company contribution, you can return to this button and download a new breakdown.
   • Tip: Save the first breakdown to your computer so you can compare it to other breakdowns you download.
   • Generate a new breakdown for a different company contribution: Go back to the Review contribution scheme section and click edit. Select and save your desired contribution. Click Download cost breakdown again. Employee and company costs totals will reflect the updated contribution.  
   • Generate a new breakdown with other plans: Scroll down and click Back to package selection. Click Select instead for the other package you want to see, then click Save selection. On the Edit waiting period and company contribution scheme page, click Download cost breakdown.

Once you’ve selected the new hire waiting period and company contribution, scroll to the bottom of the page and click Continue. This saves your progress and returns you to the renewal overview screen. 

Step 5: Renew, change, or add other benefits 

The Benefits renewal overview screen lists each renewing line of coverage and any other benefits your company is eligible to add. To change your selections for any benefit, click edit. 

Renew other lines of coverage: 

1. For any other renewing benefits, click Select plans.
2. Repeat the above steps to review changes and choose the renewal plans you want to offer for each type of benefit.

Add new benefits:

1. Click Add plan to see plan options and quotes.
2. To view a plan’s Summary of Benefits, click View full details.
3. Click edit above the plan options to choose the company contribution.
   • Life and disability contributions: These plans are non-voluntary, meaning the company must cover 100% of employee premiums and all eligible employees are automatically enrolled. 
4. To start offering this benefit at renewal, click Add this plan. 
   • To proceed without adding coverage, click Remove plan. 
5. Click Save & continue. 

Renew, add, or change tax advantaged accounts (HSA, FSA, DCFSA): 

1. Existing tax-advantaged accounts renew as-is unless you make changes. Click Edit to change the company contribution or cancel the benefit.
2. To start offering a new type of account, click Add plan.
   • Commuter benefits: You can add commuter benefits now or any time of the year by going to the Benefits tab and selecting Commuter benefits. 
   • Health Savings Account: You must offer a High Deductible Health Plan (HDHP) in order to offer an HSA. If the HSA section says your company isn’t eligible, go back to the medical plans and choose a package that includes at least one plan with HDHP or HSA in its name. Then return to this section and click Add plan. 

Download a cost breakdown: 

• Scroll near the bottom of the Benefits renewal overview screen and click Download cost breakdown. 
• Tip: Each time you change the selected plans or company contribution for any benefit, you can download a new cost breakdown. It includes costs for every benefits-eligible employee for each type of renewal coverage you’ve selected so far. 

Step 6: Sign forms and submit your renewal choices

Once you’ve selected plan offerings for each type of renewing benefit, scroll to the bottom of the Benefits renewal overview screen and click Sign forms. 

Sign forms: 

1. Click the name of a document to review it.
2. Click Sign form. 
3. Draw your signature in the box.
4. Check the box next to I agree to electronically sign this form then click Sign. 
5. Once you’ve signed each form, click Continue. 

Confirm and submit your renewal package: 

1. Double-check the plan package you’ll be offering your team this year.
2. Scroll to the bottom of the page and click Confirm & submit. 

Next steps:

• Our team starts preparing your open enrollment with the package you selected. 
• A dedicated open enrollment specialist will email your company's benefit admins within a week to coordinate open enrollment timing.  
• When open enrollment begins, all benefits-eligible employees receive an email notifying them to enroll in or waive coverage. This is their annual chance to enroll, switch plans, add or remove dependents, or opt out of coverage. 

If you're within 105 days of your company's benefits renewal date, our team of licensed benefits advisors is here to assist you. Here are a couple ways to get in touch: 

• Go to the Benefits section of your Gusto admin account. At the top of the page, you'll find your renewal advisor's name and phone number and a link to schedule a call with them.
• To reach your advisor by email, respond directly to the renewal email sent by renewals@gusto.com.