Rights of a Former Employee if Access is Lost to Employer Group Health Insurance Coverage

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Employee Insurance Rights Factors like reduction in working hours, employee downsizings, business and plant closings may affect an employee in negative ways.  Employees may lose income and the security that is associated with a steady job. As a result the retirement and health benefits that go hand in hand for being a full-time employee may also disappear. If you are a dislocated employee, you may have several queries. Some of them may concern your retirement and health benefits. For instance, you may ask what will happen to your health benefits or could you have an option of continuing with the…

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Is employer group health insurance available to sole proprietors?

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Sole Proprietors Group Health Insurance There are millions of people who are expected to buy their health insurance through state-regulated marketplaces. Many among them are sole proprietors. On October 1, 2015, the state-based market places were recommended to start for consumer enrollment. According to the new Affordable Care Act, people who are self-employed and have no employees working for them are regarded as individuals. The same rule applies even when they may have been hiring contractors for delivering their services. Such individuals would be required to buy insurance plans either by facing a fee or for themselves. How affordable care…

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Who Regulates Employer Group Health Insurance Plans in Florida

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While fully insured group health insurance plans are regulated by states, there are some federal regulations that must be followed by the various group health plans. These include the ACA, COBRA, HIPAA and ERISA. Each state in the United States of America has a department that looks after insurance related issues. Usually the state department that looks after insurance has the entire authority over the following: How business is conducted by the insurance industry within a particular state Issuance of licenses and regulation of the practices as well as the rates of brokers Insurance companies and agents in the state…

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How are Florida Health Insurance Premium Rates Determined for Large Employer Groups?

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Insurance Premium Rates for Large Employer Groups There are several employers who offer health insurance coverage to their employees as it is regarded as a valued benefit that would help them to retain as well as attract best talents.  Different insurance companies may apply a different set of underwriting rules on the basis of factors such as number of employees.  Federal and state law are applicable in different degrees based on factors like business type, number of employees and whether coverage is being provided by an insurance company or not. The law permits small group health insurance organizations to ascertain…

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What are the Insurance Coverage Requirements for Large Employer Groups

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Health Insurance Coverage for Large Employer Groups   The health care law or The Affordable Care Act comprises with the various responsibilities as well as benefits for employers. The structure as well as the size of your company’s workforce –part of a group, large or small would actually help in determining what is applicable to you. In case, you are running a business with no workers, then the information discussed below would not apply to you.  But other provisions such as the branded prescription drug fee or the insurance provider fee may still impact your business. An employer size is dependent…

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What is Employer Group Health Insurance Coverage in Florida?

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Employer Group Health Insurance Coverage Purchasing insurance for a small business or group coverage has a different set of rules than purchasing it for either yourself or your family members. Group health insurance coverage typically signifies a single policy that is issued to offer coverage to all eligible workers and often their dependent family members.  On the other hand, an individual medical coverage is a single policy that is issued to an individual or his/her family. As mentioned earlier, the rules for a group health insurance coverage is quite different from individual coverage. The risks associated with the insurer are…

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How are Premium Health Insurance Rates Determined for Small Group Employers

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Health Insurance Rates for Small Group Employers There are 38 states in the United States where small group health insurance companies are permitted by the law to ascertain the initial premium rates for each of the client company. This is done by deploying a process that is termed as ‘medical underwriting’. The remaining states have laid down use of processes referred to as ‘community rating’ or ‘modified community rating’ for the small group health insurance companies to determine their initial rates. Medical underwriting If ‘Medical underwriting’ methodology is used by the small group plans, employees may be required to furnish all…

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Are All Policies for Employer Group Health Insurance in Florida Same?

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Employer Group Health Insurance An employer group health insurance may be offered by an employer to its employees as a part of the latter’s compensation package. Irrespective of the size of the business, an employer may decide to extend this benefit to its workers. The workers can get the cover for themselves but in several scenarios but in a majority of cases such health related benefits are also provided for the family members of the workers. Such a policy is often preferred as it is greatly subsidized being exempted from tax. Whether you are an employer or an employee, an…

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What is Florida Employer Group Health Insurance Coverage?

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Employer Group Health Insurance Coverage An employer may purchase a policy known as “Group Health Insurance Coverage” and offer the same to all its eligible employees. Such policies are often extended to the family members of employees as a benefit for working in the organization.  Such a policy is often a key component among the various employee benefit packages that are provided by an employer to its employees. Most of the Americans enjoy group health insurance coverage either through the employer of their family member or directly through their employer. One of the major benefits for employees while availing the…

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Group Health Insurance Coverage Requirements for Small Employer Plans

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Small Employer Health Insurance Plans Different types of employers may offer different kinds of group healthcare coverage for their staffs. You may be thinking who is a “small employer” in the context of healthcare coverage in USA. A small employer can be defined as an employer who has employed 50 or fewer than 50 employees in his venture. It is not mandatory for a small employer to provide health insurance coverage to their workers. However, many employers may provide it as they are convinced that providing such coverage to their workers is a key employee benefit what would help them…

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