Things to Consider About Family & Individual Insurance

• Cost vs. benefit
• How much will my monthly premiums be?
• If I choose a lower premium plan, can I afford the maximum out of pocket expense if something big happens?
• How often will I use the plan?
• How is my family's health? Individual/family health insurance can be declined or rated up.
• Can I/Should I put my child(ren) on a different plan for better benefits?
• Access to care: Is my current doctor part of the plan I am choosing?
• How are prescriptions/medications covered?
• What the brochures don't tell you: Rates and benefits only tell you so much. What they can't tell you is what doctors say about a plan, how quickly a company handles claims, how hard it is to get to a specialist and other people's experience with a certain carriers.

With over 15 years experience in the health insurance industry, our representatives can guide you to a plan that fits your needs. Please contact us for personal assistance.
 

Things to Consider About Group Insurance

1.    Does your business meets the basic qualification for group insurance?

You must have a minimum of 2 employees or owners to qualify for a group health plan.
These 2 people may be:
Employer and Employee
Two Partners
Two Officers of a Corporation.
 
If you have employees, you will need to provide a copy of your most recent DE-6 (State Quarterly Wage Report). This will be used to verify eligible employees. For partnerships or corporations, you will need a business license, articles of incorporation or other documents that can verify the legitimacy of your business and the participation of all people to be covered under the group health plan.

2.    What else should I know before I review plans and request a quote?

The minimum employer contribution must be at least 50% of the employee-only premium.
The employer is not required to contribute to the premium for dependents.
 
Generally, 75% percent of all eligible employees must enroll under the group plan.
(Exceptions are made in specific situations.)
 
Rates will vary based on the size of your group, age of employees, geographical location, overall healthiness of employees, as well as other factors. Many insurance companies offer a one-year rate guarantee on the monthly premium.
 
Eligible employees are any employees that work 30 or more hours per week for the company. The employer may elect to include employees that work 20 or more hours per week. If an employee is already covered under another group health plan, they are not included in the 75% minimum eligibility factor.
 
No employee may be denied coverage due to pre-existing conditions for qualifying group health plans.
 
Most companies have options in which they allow employees to choose from a variety of plans.
 
When you enroll in a new group health plan, you will need to decide the length of time that a new hire must be with your company before he/she can