HR Operations & People SystemsExplainer4 min readUpdated September 2026

Benefits for a Team Under 20: What to Offer and How to Set It Up

A company with fewer than 20 employees can offer benefits through a small-group health plan, a health reimbursement arrangement such as a QSEHRA or ICHRA, a 401(k) and paid time off. Start with what employees value most and what you can sustain, usually health coverage first, then retirement, then extras.

You aren't required to offer health insurance below 50 full-time-equivalent employees under the Affordable Care Act's employer mandate, so this is a competitive decision, not a legal one. That gives you room to design a package that fits your budget. The sections below compare the main options, show a sensible order of setup and flag the traps that catch small employers.

Vendors Covered in this Article

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Which health coverage options exist for a very small team?

Three routes cover most small employers, and each fits a different situation:

  • Small-group health plan. You choose a plan (or a few), pay part of the premium and employees pay the rest through payroll. Carriers typically set rules about how much of the premium you contribute and how many eligible employees must enroll, so ask about participation requirements before you commit.
  • QSEHRA (qualified small employer health reimbursement arrangement). You give employees a tax-advantaged monthly allowance to buy their own individual coverage. It's designed for employers with fewer than 50 full-time-equivalent employees that don't offer a group plan, and it has annual caps set by the IRS. It's simpler to run and predictable in cost, but employees shop for their own plans.
  • ICHRA (individual coverage HRA). Similar in spirit, with more flexibility in how allowances are set across employee classes and no small-employer size limit. It suits teams that expect to grow or have employees in different states.

Which is best depends on your team's ages, locations and preferences. A group plan gives everyone the same coverage. An allowance gives choice but requires employees to buy coverage themselves. Confirm current limits and rules with a benefits broker or your accountant.

What should you set up beyond health insurance?

Health coverage gets the attention, but several other benefits cost less and are appreciated more than employers expect.

Retirement: A 401(k) is common, and many small employers begin with a simple design and a modest match, or no match at first. Some tax credits may be available for new plans, so ask your CPA what applies to you. Confirm who is responsible for testing, filings and contributions timing.

Time off: Paid time off, holidays and sick leave often matter more than a dental plan. Some states and cities require paid sick leave, so check your local rules before writing a policy.

Other coverage: Dental and vision plans are cheap to add. Basic life and disability coverage protects employees at a modest cost. An HSA-compatible health plan lets employees save pretax for medical costs.

Nonfinancial benefits: Flexible hours, remote options and a learning budget cost little and can matter as much as a premium subsidy. Write everything into the employee handbook so expectations are clear.

How do you set benefits up in a sensible order?

Work through this sequence, and give yourself a few months for health coverage in particular:

  1. Survey the team. Ask what matters: health coverage for families, retirement match, time off, flexibility. Anonymous input is best.
  2. Set a budget per employee you can sustain through a slow quarter, not just a good one. For example, decide on a monthly amount per person and design the package within it.
  3. Talk to a broker. A broker for small groups can quote group plans and explain HRA options, and is typically paid by the carrier, so ask how.
  4. Choose the health route using the comparison above, and check enrollment windows and effective dates.
  5. Add retirement and time-off policies once health is settled.
  6. Connect benefits to payroll so deductions and contributions are automatic. Payroll and HR platforms can handle much of this. Justworks and Gusto are two options that cover small-team benefits administration in different ways, so ask each how it handles plan choices, deductions and compliance for your state.
  7. Communicate clearly with a one-page summary and a Q&A session.

For help comparing providers, see Rippling vs Gusto vs ADP TotalSource.

Which participation and cost traps catch small employers?

Small teams are affected disproportionately by a few traps:

  • Minimum participation rules. If a group plan requires most eligible employees to enroll and several have coverage elsewhere, you may fall short. Ask the carrier what happens and whether waivers count.
  • One expensive claimant. In very small groups, a single employee with high claims can change renewal pricing sharply. Ask brokers how renewals are set for your group size.
  • Contribution rules. Carriers and regulators may set minimum employer contributions. Get them in writing.
  • Mid-year changes. Adding or dropping people, changing plans or switching providers outside the renewal date can reset deductibles for employees.
  • Forgotten compliance tasks. Retirement plans, reimbursement arrangements and benefit notices have filing and notice requirements. Assign an owner and a calendar.

Payroll is often the largest cost in a company; across US firms with fewer than 500 employees it averages 19.49% of revenue1. Benefits sit on top of that, so build the budget with your finance lead, not around it.

How should you handle contractors and future growth?

Benefits generally go to employees, not independent contractors, and giving a contractor employee-style benefits can blur the line between the two. If someone works like an employee, review their classification instead of adding benefits to patch it.

Design with growth in mind. Choose an option that scales: some plans and allowances are simple at ten people and awkward at forty. Ask each provider what happens as you cross size thresholds, including when you may become subject to additional employer rules. Review the package annually and compare it with the market, and revisit the choice when you add employees in new states. The hiring process template is a good place to make sure benefits are covered in offers, and the global benefits harmonization playbook helps if you later hire abroad.

Executive Capability Standard

What Good Looks Like

A good small-team benefits package is chosen from what employees value, fits a budget that survives a slow quarter, runs through payroll and has a named owner for renewals, notices and filings.

Building The Capability (5-Stage Skill Ladder)

1. Learn:Read how group plans, QSEHRAs and ICHRAs differ, and check what your state and city require for sick leave and coverage.
2. Do Manually:Survey your team, set a per-person budget and get quotes from a small-group broker for two or three designs.
3. Delegate:Assign one person to own benefits administration, renewals and compliance dates, with your broker and CPA as advisors.
4. Automate:Connect benefits deductions, contributions and new-hire enrollment to payroll so they update automatically.
5. Buy:Choose a payroll and benefits platform that supports your health route, retirement plan and states, after asking each vendor how they administer them.

How to Get Started

Disclosure: We may earn a commission if you buy through some links on this page. It doesn't change what we recommend.

Frequently Asked Questions

Do small businesses have to offer health insurance?

Under the federal Affordable Care Act, employers with fewer than 50 full-time-equivalent employees generally aren't required to offer coverage. Some states and cities have their own rules, so check locally. Offering benefits is usually a competitive and retention decision for teams under 20.

What is the difference between a QSEHRA and a group health plan?

A group plan is a shared insurance plan you choose, with premiums split between you and employees. A QSEHRA is a tax-advantaged monthly allowance that employees use to buy their own individual coverage. Groups plans offer uniform coverage; allowances offer choice and predictable costs.

When should a small company start a 401(k)?

When you can commit to administering it and want to help employees save, which many teams do early. A simple plan with a small or no match is a common start. Ask your CPA about potential startup tax credits and confirm testing and filing duties.

Sources

Where we quote a benchmark, we show its source. Other figures in this guide are estimates or general guidance, so check them against your own numbers.

  1. Payroll as % of revenue by sector, US firms with <500 employees. US Census Bureau, Statistics of U.S. Businesses (SUSB) 2022, US NAICS sector by enterprise employment size, 2022.

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