Shopping California Group health
insurance
It's a natural tendency of
California companies to see if there
is a better option for the
group health insurance benefits
or to investigate whether they can
afford to start offering benefits to
their employees. There
are some important considerations to
take into account when shopping for
coverage.
When to look for group health
insurance options
For groups with existing insurance,
anniversary month or renewal,
which occurs every 12 months
following the original effective
date, is usually the time the
companies start to investigate other
options. The reason is that
rate increases are usually applied
at this time for the group.
Most companies think that they are
on a year contract and this is the
time they are allowed to make
changes. Actually, group
health insurance is month to month
so a company can choose to change to
another carrier at any time of the
year and there may be some changes
allowed within the year if rates
change for example.
Considering plan changes on
employees
Group health insurance
deductibles and
max-out-of-pockets are usually
calendar year which means that they
reset January 1st. Based on
this, Jan 1st is usually ideal for
making changes, especially between
carriers, if employees have had
sizable medical bills during the
year. If an employee changes
plans, they will have a new
deductible and max out of pocket.
It's also important to make sure
that the employees doctors are
in-network with the new health
carrier and/or plan. There is
a distinction between
HMO and
PPO and networks can vary not
only between the carriers, but also
between these two types of plans.
Each carrier will have differences
in terms of how they treat coverage.
This may include pre-authorizations,
medication coverage, in or
out-of-network benefits and many
other aspects of insurance.
How to go about shopping for Group
health insurance
Once you have considered the above
issues, what about the process of
shopping for health insurance?
Probably the best start is to figure
out your ideal monthly budget for
the company. If you have no
idea, then you may want to proceed
to the next step to establish what
the range of pricing is. The
monthly budget may be a fixed amount
that you cannot go above. In
this case, you just need to stay
within this amount. The next
step then is to actually run your
California group health insurance
quote. You can run your
instant quote or get a quick run
through on what to expect.
Once you enter your census
information (zip codes, employee
ages, and dependent status (single,
spouse, child, children, or family)
and some general company
information, you will receive your
instant quote across
major California health
carriers. There are many
different plans available. In
fact, there can be too many options.
For
California small groups, many
companies have looked at
Employee Elect with Cross where
you can offer all the plans to each
employee and establish a fixed
company contribution or %
contribution (of a certain plan).
This way, you give total choice to
the employees but stay within your
ideal monthly budget.
Comparing the various group health
options
Again, the number of plans and
terminology can be overwhelming.
We strongly recommend that you
contact us, a licensed and
experience
California health insurance agent,
to discuss your company's needs and
options. We know the carriers
and plans thoroughly. We also
understand the eligibility
requirements for California group
insurance.
AB 1672 is an important law that
offers
guaranteed issue coverage for
California companies but also
has requirements in order to
qualify. Please let us know
how we can help.
Other
important
concepts
to help
you
understand
your
California
group health
insurance
quote
are:
Small
Group
RAFF
Why
offer
Small
Group
health
insurance
Guide to
Group
health
insurance
in
California
Download
the
health
application
or apply
online
California
group
health
insurance