Wednesday, March 26, 2014

Evaluation Of California Large Group Medical Insurance

By Jeannie Monette


California large group medical insurance is available to businesses, organizations or corporations with 51 or more eligible employees. A smaller size than that is considered under other packages. The policy holder is allowed to take the mid size package and later upgrade when the company grows. The conditions and premiums payable vary between the packages offered.

Insurers offer options to the employers in an effort to offer customized packages. The conditions of being insured cover the diseases and number of dependents among other issues. Such provisions have seen numerous elderly persons covered under schemes offered to their children or spouses. The policy is chosen by the employer with little or no consultation with the employee.

The law has set a minimum percentage of premiums the employer must contribute. Most of the policies have seen the premiums split between the employee and the employer. The amount is adjusted from year to year to cater for increasing or decreasing demand based on the number of employees and their exposure to risk. The risk is distributed over the number of employees a company has.

Group cover is considered more expensive in most states compared to personal cover. Recent legal changes will herald an increment in the premium paid for a personal policy but it still will not be cheaper. The aim of the new regulations is to drive more people to seek group instead of personal cover.

Subsidies exist to reduce the amount paid by those who have personal policies. The difference between the amount paid by an individual and what will be paid by the company that decides to insure all its employees must be refunded. The policy seeks to favor employees with up to four family members and earning a certain limit every year.

Your premium will be determined by several factors. Each county and state has different rates. Your employer should offer an opportunity to remain under an individual policy. Employees are also classified as bare bones or comprehensively covered by their previous policy when enrolling for the new one.

The premiums for California large group medical insurance depend on the risk potential of an employee. High risk employees will attract a higher fee based on their vulnerability to sickness. Their level of income will inform the amount of money paid. Some employees are eligible for subsidies while others will be covered under Medicaid expansion. Personal cover offers predictable premium figures because each person is covered under individual risks.




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