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Glossary of Health Insurance Terms A – J

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Access: Right to enter or use health care services. Acquisition Cost: The cost to an insurer to acquire new business. It includes costs such as underwriting the risk, issuing a new policy, paying commissions and overhead or office expenses. Activities of Daily Living (ADLs): Everyday activities which are used to measure an individual’s ability to function independently. ADLs define the disability in long term care insurance. The loss of some number of ADLs is an insuring or triggering event in all long term care policies. In California, Senate Bill 1943 established seven standard activities of daily living (eating, bathing, dressing,…

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CONSUMER GUIDE TO INDIVIDUAL HEALTH INSURANCE Part 2

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Can I still buy individual insurance if I have a very serious pre-existing medical condition? Under PPACA, as of March 23, 2010, health plans can no longer exclude, limit or deny coverage to a child under age 19 solely on the basis of a pre-existing condition. Beginning in 2014, insurers providing individual insurance will no longer be able to, in most cases, exclude, limit or deny coverage for any American solely on the basis of a pre-existing condition. There may be some limited situations where a plan has maintained special “grandfathered” status where this limitation would not apply. What benefits…

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CONSUMER GUIDE TO INDIVIDUAL HEALTH INSURANCE Part 1

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How is individual insurance different from group insurance? Individual health insurance is, quite simply, coverage that an individual purchases for himself and/or his family. The Affordable Care Act (ACA) has made significant changes to how individual insurance policies are rated and the benefits that these policies provide. Individual insurance policies and provisions are also regulated by the state where the policy is purchased. Individual policies are often purchased with the advice of a professional insurance producer due to the complexity of coverage offerings and the premium cost. With the advent of the ACA, a professional insurance producer’s expertise may be…

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FREQUENTLY ASKED QUESTIONS

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Why should I use a professional insurance advisor? Dramatic changes in the insurance marketplace make the professional insurance advisor’s role increasingly important to individuals and small businesses in finding cost-saving measures and coverage options. They provide and service insurance products while educating and advising you on how to manage risk and make informed insurance choices. Many career insurance advisors have completed a sequence of college level courses leading to a professional designation, such as Registered Health Underwriter (RHU), Health Insurance Associate (HIA), Registered Employee Benefits Consultant (REBC), Certified Employee Benefits Specialist (CEBS), or Chartered Life Underwriter (CLU). Advisors are highly…

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CONSUMER GUIDE TO GROUP HEALTH INSURANCE Part 3

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Is employer group health insurance available to sole proprietors? Some states define a small employer group as those that have 1-50 employees, but most states require companies to have at least two employees to qualify for group coverage. Insurance companies and the individual states often have specific and strict requirements for very small employer groups to document that they actually are legitimate businesses and have the appropriate number of eligible employees to prevent fraud. Employers generally have to provide payroll tax documentation validating who is an employee. In the past, some states that allowed sole proprietors to purchase group coverage…

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CONSUMER GUIDE TO GROUP HEALTH INSURANCE Part 2

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How are premium rates determined for small group employers? Premium rate determination with the advent of the ACA is significantly different than has been the norm in many states prior to the ACA law. Small group insurance plans are now rated as modified community rating. With modified community rating, health plans may vary the community rate based on limited factors such as age, geography or smoker status. Example: With modified community rating with a variation for age, the rate is higher to insure the 55-year-old male smoker with cancer and a heart condition. However, the insurer would have to use…

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CONSUMER GUIDE TO GROUP HEALTH INSURANCE Part 1

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What is employer group health insurance coverage? Group health insurance coverage is a policy that is purchased by an employer and is offered to eligible employees of the company (and often to the employees’ family members) as a benefit of working for that company. A group health insurance plan is a key component of many employee benefits packages that employers provide for employees. The majority of Americans have group health insurance coverage through their employer or the employer of a family member. One of the advantages for employees in a group health plan is the contribution most employers make toward…

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Florida Dental Group Health Insurance Quotes

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Dental Group Health Insurance Health insurance is essential for every individual especially in this day and day where the cost of medical treatment is extremely high. Without the benefit of health insurance falling seriously ill or requiring hospital care can become a potentially debt causing activity. Luckily even though many individuals do not have individual health insurance policies the have health insurance coverage through work. The type of insurance may differ from company to company but in most case – individuals and their immediate family are covered. The health insurance through work could  be company paid or employee paid. It…

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Are you looking for cheap, affordable health insurance? We can help find you the most affordable that fits your needs

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Its terrifying when you lose your health insurance because you lost tour job or shifted to a company that does not offer health insurance. It is especially worrisome if you have a family. You not only have to worry about finding a job bit also have to worry about what to do in case one of your little ones gets ill. If you are young and single there is always a debate whether you should invest in a health insurance plan or roll the dice and hope for the best as the cost of an individual plan is more than…

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Tampa, Florida dental group health insurance quotes

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Dental group health insurance              A beautiful smile is wiped off the face when a tooth aches or gums bleed. This smile remains hidden for longer if treatment is not immediate and the suffering is prolonged. A good way of ensuring that you or your children receive immediate dental care is by ensuring your health insurance plan has dental coverage. If dental coverage is not part of the health insurance plan you should look into a separate dental care plan or add a dental coverage plan to your current health insurance plan. Having a dental care plan is especially…

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