Sentences with phrase «group health plan coverage»

Your individual or group health plan coverage year is ending in the middle of the calendar year and you choose not to renew it.

If you are declining enrollment for yourself or your dependents (including your spouse) because of other health insurance or group health plan coverage, you may be able to enroll yourself and your dependents in this plan if you or your dependents lose eligibility for that other coverage (or if the employer stops contributing towards your or your dependents» other coverage).

The Small Business Health Options Program (SHOP) in the Marketplace is Group Health Plan coverage, so people covered by a SHOP plan because of their or their spouse's current work do have access to a SEP..

Exception: If your group health plan coverage or the employment it is based on ends during your initial enrollment period for Medicare Part B, you do not qualify for a SEP..

Not exact matches

The law also prohibits new group health plans from establishing any eligibility rules for healthcare coverage that have discriminate against lower - wage employees.

Following the rollout of the health care act, however, Puri was able to find a group plan for his business for $ 37,000, including coverage for two new employees.

Large groups» plans must provide «affordable coverage» — that is, the employer must cover at least 60 percent of the actuarial value of health care costs, and employee contributions must not exceed 9.5 percent of their income, whereas previously there was no such coverage quota.

The deal could help Cigna compete with UnitedHealth Group, which has clinics, drug benefits and insurance business, and CVS Health Corp, which agreed in December to buy US health insurance giant Aetna for about $ US68 billion, linking its pharmacies and drug - benefit plans with the insurer's covHealth Corp, which agreed in December to buy US health insurance giant Aetna for about $ US68 billion, linking its pharmacies and drug - benefit plans with the insurer's covhealth insurance giant Aetna for about $ US68 billion, linking its pharmacies and drug - benefit plans with the insurer's coverage.

Your child also can opt for individual health coverage (rather than through a company group plan), but premiums will be higher.

Many employers offer group health care coverage as part of their employee benefits package, which lets employees customize a plan that may include dental care, vision care, emergency care, and routine medical care.

The Consolidated Omnibus Budget Reconciliation Act (COBRA) health benefit provisions require group health plans to provide a temporary continuation of group health coverage that otherwise might be terminated.

Worse, if your employer went out of business or no longer carries a group health plan, you may not be eligible for COBRA coverage.

If you are recently out of work and without coverage, you may want to consider purchasing COBRA insurance coverage for you and your family or even catastrophic health insurance coverage until you can hopefully receive coverage through a group plan with an employer.

There's a consumer - friendly exception if you've been continuously insured under a group health plan (no more than a 63 day gap in coverage).

The only person entitled to be reimbursed for COBRA premium assistance subsidy is the insurer providing the coverage under the group health plan.

The term «eligible employer - sponsored plan» means, with respect to any employee, a group health plan or group health insurance coverage offered by an employer to the employee which is --

A group health plan must require a health insurance issuer or HMO providing coverage to the group health plan to disclose information to the plan sponsor only as provided in the plan documents.

(A) Obtaining premium bids from health plans for providing health insurance coverage under the group health plan; or

We note that when a plan sponsor has several different group health plans, or when such plans provide insurance or coverage through more than one health insurance issuer or HMO, the covered entities may jointly engage in this type of analysis as a health care operation of the organized health care arrangement.

On the one hand, the group health plan, and any health insurance issuer or HMO providing health insurance or health coverage to the group health plan, are covered entities under the regulation and may only disclose protected health information as authorized under the Start Printed Page 82508regulation or with individual consent.

If the employer sponsors more than one group health plan, or if its group health plan provides coverage through more than one health insurance issuer or HMO, the different covered entities may be an organized health care arrangement and be able to jointly participate in such an analysis as part of the health care operations of such organized health care arrangement.

We note that we sometimes refer in the rule and preamble to health insurance issuers and HMOs that provide health insurance or health coverage to a group health plan as health insurance issuers or HMOs with respect to a group health plan.

The Department has assumed that only 5 percent of plan sponsors of small group health plans that provide coverage through a contract with an issuer will actually take the steps necessary to receive protected health information.

In almost every state in the US an individual health insurance plan will be considerably cheaper than its group health plan counterpart even if purchased from the exact same health insurance company with almost the exact same amount of coverage.

In addition, we encourage issuers to maintain qualified health plan coverage for remaining members of the enrollment group through the end of the month.

The FollowMe Health plan is specially designed for those whose group health coverage is ending, or has just recently Health plan is specially designed for those whose group health coverage is ending, or has just recently health coverage is ending, or has just recently ended.

In addition to Humana's insurance plans for group health, Medicare, and individual health insurance, it also offers specialty benefits that include accident insurance, critical illness coverage, dental insurance, disability coverage, life insurance, supplemental health, and vision care.

We note that, as specified in the proposed rule, this policy provides a special enrollment period inside the Exchange for individuals whose coverage in group health plans and individual market plans offered outside of the Exchange is expiring, including grandfathered and transitional plans.

So, if you have a chronic health issue that has deemed you unable to obtain an individual life insurance policy — and, you are also unable to secure life insurance coverage via an employer - sponsored group plan, then you may want to turn to a no exam policy.

They labeled them essential health benefits, and all individual and small group plans with effective dates of January 2014 or later must include coverage for them (pediatric dental is one of the essential health benefits, but the rules are different for pediatric dental coverage).

In addition to a group - health insurance core, plans typically attach additional coverage.

With a group plan, costs of the small business health insurance plan are typically shared between the employer and the employee, and coverage may be extended to dependents.

Your most recent health coverage (link to FAQs page) was under a group health plan, governmental plan, or church plan, or health insurance coverage offered in connection with any such plan; or

Even if your basic Michigan health insurance plan offer coverage for routine eye examinations, a Group Vision Insurance plan is inexpensive to offer your employees and can cover benefits for the exam, frames, lenses or contact lenses, upgrades, and safety glasses.

According to the Kaiser Family Foundation's Survey of Employer - Sponsored Health Benefits for 1999 to 2009, the average annual cost of health insurance coverage, as part of a group plaHealth Benefits for 1999 to 2009, the average annual cost of health insurance coverage, as part of a group plahealth insurance coverage, as part of a group plan, is:

A group health plan, and a health insurance issuer offering health insurance coverage in connection with a group health plan, that makes coverage available with respect to dependents is required to permit individuals described in paragraph (b)(2) of this section to be enrolled for coverage in a benefit package under the terms of the plan.

Risk Pool is referred to special state health insurance plans established to serve as a safety net for those who can not obtain group health insurance, have pre-existing health conditions and fail to find affordable health insurance coverage on their own.

The 12 - month period in which you are enrolled in a group health plan and receive coverage under the plan.

For example, a probationary period in health insurance is the time before coverage takes effect, usually in a employer group plan.

Designed as a cost - effective employer - sponsored group medical and dental plan with daily indemnity coverage, the GEO Group plan is for employers with international employees and provides U.S. - style health benefits as worldwide covegroup medical and dental plan with daily indemnity coverage, the GEO Group plan is for employers with international employees and provides U.S. - style health benefits as worldwide coveGroup plan is for employers with international employees and provides U.S. - style health benefits as worldwide coverage.

A primary health plan is a group health, an individual health, or a governmental health plan that will act as the first payor of claims (such as Medicare or your employer - based health plan) and, as such, is your primary medical coverage.

This made it really hard to get a good health insurance plan if you were fired, changed jobs, got divorced, or otherwise went through a life change that put your group coverage at risk.

Any amount owed to the Federal government by a self - insured group health plan (including a group health plan that is partially self - insured and partially insured, where the health insurance coverage does not constitute major medical coverage) and its affiliates for reinsurance is a determination of a debt.

Consistent with the determination of debt provision set forth in § 156.1215 (c), we propose to clarify in a new § 153.400 (c) that any amount owed to the Federal government by a self - insured group health plan (including a group health plan that is partially self - insured and partially insured, where the health insurance coverage does not constitute major medical coverage), including reinsurance contributions that are not remitted in full in a timely manner, would be a determination of a debt.

We propose that this special enrollment period be available with respect to a qualified individual or his or her dependent who, in any year, has coverage under a group health plan or an individual plan with a plan or policy year that is not offered on a calendar year basis.

Providing services for individuals, families, employers, plan sponsors and business partners, under Symetra White Mountain's offerings include pension planning, IRA, group health benefits, stop loss coverage, and 401k management.

In many States, when an issuer calculates the group's minimum participation rate, the issuer includes employees who enroll in coverage through sources other than the group health plan being insured.

Most Americans get their health coverage through group health insurance plans.

(i) Subject to § 147.104 of this subchapter, a Federally - facilitated SHOP must use a minimum participation rate of 70 percent, calculated as the number of full - time employees accepting coverage offered by a qualified employer plus the number of full - time employees who, at the time the employer submits the SHOP group enrollment, are enrolled in coverage through another group health plan, governmental coverage (such as Medicare, Medicaid, or TRICARE), coverage sold through the individual market, or in other minimum essential coverage, divided by the number of full - time employees offered coverage.

These plans offer a more economical and a better solution for those who are already covered under the group health plan of their employer or hold an individually - purchased health policy, but want to increase their insurance coverage.