Avenue H, Utah’s Small Business Health Insurance Marketplace, began in 2010. It is an online health insurance marketplace designed to help Utah's small businesses with 1- 50 eligible full-time equivalent employees.
Through 2017, Avenue H is open for business. Groups who join in 2017 will have plans and rates honored for their full 12 month contract.
In 2018, Avenue H "winds-down" operations:
- Avenue H is not accepting new groups as of January 1, 2018
- Exisiting groups may not renew with Avenue H in 2018
- Avenue H will continue to support exisiting groups in 2018
- FF-SHOP (healthcare.gov) will be in place for January 1, 2018
With more options available in one place, Avenue H will help small business owners with:
Choice and Value - Employers can now offer a variety of health plan options, and employees can easily compare plans to select the option that is best for their family.
Controllable Costs - Employers choose the dollar amount they can contribute to each employee’s heath care plan, using our Defined Contribution. Employers will know ahead of time how much they will be contributing each year to each employee, making their costs more controllable and predictable.
Ease of Administration - Employees will have access to their individual accounts, including all of their elections and plan information. Employers can access enrollment information as well as billing and invoicing information from one online portal.
How It Works
Avenue H is a unique online shopping destination for health insurance with multiple insurance partners. Small business owners can look for brokers to guide them through the process. Once the group is on Avenue H, employees browse an array of health care plans to find the perfect fit for them and their family.
History and Legislation
In 2005, the Utah State Government made health system reform one of its top policy priorities. Since then, legislative leaders and senior executive staff have worked together to create a vision of success for Utah. Through this process, specific areas of need have been identified. One of them is to bring the consumer back into the equation in making health care decisions.
In 2008 & 2009 critical legislation was passed, HB 133 (2008) & HB 188 (2009), creating the Office of Consumer Health Services (OCHS). OCHS facilitates the requirements specified in Utah's Health System Reform code. In 2010, HB 0294 included provisions for further transparency.
The Office of Consumer Health Services, housed in the Governor's Office of Economic Development (GOED), manages the operations of Avenue H. For more information about GOED, please visit their website or review their annual report.
Quality and Transparency
Here are some tools to help you make better informed decisions when choosing a health care plan.
The State of Utah Insurance Transparency Website provides a comprehensive tool to search for information about individual insurance companies, including the ability to compare quality measures. From this site you can also view the latest proposed rate changes and participate in the rate review process.
UtahHealthScape.org is a non-commercial site that provides Utah consumers with a range of quality scores for hospitals and health plans, and a comprehensive listing of doctors and clinics. Created by HealthInsight and community partners, it enables users to find the best healthcare provider or insurance plan for them, based on their location, unique preferences and objective quality scores.
The Utah Department of Health has compiled an annual report on healthcare associated infections using information submitted by hospitals. The report shows how Utah hospitals compare to other hospitals nationally.