Tuesday, November 26, 2013

0 Large Group Health Insurance Offers More Optional Benefits

By Jeannie Monette


When a business applies for a large group health insurance policy, there will be a minimum number of employees who will pay premiums. Usually it is 50 to 75. Of those 50 or 75, they may or may not participate, thereby paying the premiums. Some insurers consider that in classifying the size of the group.

Since there are no legal requirements placed on the classifications, each insurer is free to set the number. On average, a large policy is usually considered to be over 50. However it can be higher or lower.

The company being considered for the policy may begin as one size, for example mid-size. If they expand and the total number of employees who will pay premiums increases, they can be transferred to the next largest category. Thus, an insurer has the option of setting its own standards and percentages that will fill the requirements.

There are advantages for the insured who is an enrolled member of the coverage for the largest. This is because the most benefits can be offered. It gives the most options when it comes to choosing the exact benefits each enrollee would like to have. There is a minimum number of members required to classify as the biggest size. In most cases there is no maximum.

When considering a company that applies for coverage, there are many factors to take into account. If a company has mostly female employees, there may be a high number of pregnancies to cover. Thus, if they are in the biggest category, that cost is spread out over a larger number of enrollees who pay premiums.

When only 30 people were enrolled it is a small plan. If three pregnancies had to be covered it would lower the profits made by the insurer. When 130 people were enrolled and that same number, three, were covered, there would still be a good profit margin for the insurer.

The corporation that applies for coverage for the employees they have will be put into a category based on either total number of people working for the corporation, or the total number of employees who will enroll in the plan. Negotiations begin with some flexibility on both sides, but they must be kept within parameters that make the policy cost effective.

Some corporations simply dictate what the coverage will consist of and the employees can accept or decline to participate. Other companies will hold meetings to allow employees to state their preferences. As a result of those meetings, the coverage being negotiated can offer optional benefits the enrollees want. There is no need for a large group health insurance policy to cover any benefits that are not wanted.




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