Health Insurance is one of the most desirable benefits to individuals, families, and employees.  And it is often the most expensive benefits to provide.  The rising cost of individual and group health insurance has made it increasingly more difficult for individuals and employers to continue maintaining plans.

Our goal is to find solutions that make sense to our clients.

Copayments, Deductibles, & Coinsurance: Copay refers to the fixed fee paid by the insured for specific services. Copays do not apply toward deductibles or the out-of-pocket maximum. A deductible refers to the amount of covered expenses you pay each calendar year before benefits are paid under the policy. After the deductible is met, you and the insurance company begin sharing expenses. Plans offer different percentages of coinsurance.

Group Health Plans: Creating a group health plan will require gathering employee census data for your group of employees in order to receive quotes. Quotes generated prior to health carriers doing a thorough investigation of medical histories and are, therefore, subject to change once applications are completed and mailed.  Employer's still have the right to reject the insurance if the costs change due to underwriting.  Group plans often have a modest life policy attached. 

Group Health Participation and Sponsorship: Group health plans are subject to certain participation levels of all eligible employees. Additionally, each state mandates that employers contribute a minimum percentage towards each employee’s group health premium.

Health insurance is very complex and varies greatly from plan to plan.  We always look at multiple plans and compare features prior to advising you or recommending a plan.  Furthermore, we advocate slightly higher copays and deductibles in order to "self-insure" part of the cost in order to reduce premium.