| If you are a sole proprietor or small business | | | | including mammograms and diabetescare. |
| owner andrequire health insurance for you or your | | | | Group Health Insurance |
| employees, thereare many options available that | | | | For small employers (2-50 employees) group |
| will provide coverage for areasonable premium. | | | | health insuranceplans are a good idea if you want |
| You will, however, be required to carryout a good | | | | to provide adequatecoverage for yourself and |
| amount of research before finding an | | | | your small group of employees. |
| insurancecompany that will suit your needs, as | | | | According to guaranteed issue, insurance |
| there are a lot ofchoices out there. In addition, | | | | companies mustsell small employers small group |
| you have to ensure that thecompany you choose | | | | insurance under mostcircumstances. If you and |
| for your health insurance coverageprovides the | | | | your group fall within theparticipation requirements |
| kind of plan that will be most beneficial intimes of | | | | you cannot be turned down. Anemployee is |
| greatest need. | | | | considered insurable if he/she works for you |
| Individual Health Insurance | | | | aminimum of 24 hours a week on a regular basis |
| Individual health insurance is coverage intended for | | | | ¨C thisincludes household workers. |
| oneperson. If you are self-employed or run your | | | | Usually a group health insurance plan requires that |
| own business,you don¡¯t have access | | | | acertain percentage of your employees participate |
| to a group health insurance planthrough an | | | | in theplan and you might have to contribute a |
| employer, and must purchase your own | | | | minimum percentageof their premiums. Luckily, |
| coveragefrom one of the many health insurance | | | | guaranteed renewability makesit so that you |
| providers located inyour state. | | | | cannot have your coverage cancelled if oneof |
| There are some pitfalls to obtaining your health | | | | your workers becomes ill. This is definitely a plus |
| insurancefrom the private sector. For instance, | | | | soyou always have access to continuous group |
| limitations existthat might make it difficult to | | | | coverage and arenever left by the wayside |
| derive guaranteed benefitsfrom a private | | | | without the proper insurance. |
| insurance policy as an individual. Privatecompanies | | | | HMOs and Blue Cross Blue Shield, again, are |
| have a right to ask you for information | | | | prohibited bylaw from charging more due to the |
| regardingyour current and past health, and are | | | | health status of one ormore employees. At the |
| also allowed toreject you for insurance purposes | | | | same time, private companies areallowed to |
| based on your healthstatus, or impose limitations | | | | charge higher rates if they deem it necessary. |
| on your coverage. | | | | In addition, someone who is self-employed with no |
| Blue Cross Blue Shield, on the other hand, is | | | | otherworkers may be able to purchase small |
| required bylaw to sell individual health insurance to | | | | group health plancoverage from Blue Cross Blue |
| any residentregardless of health status. This is | | | | Shield. Specifically, soleproprietors are given the |
| referred to asguaranteed issue. They must also | | | | option of buying |
| refrain from charging youmore due to any | | | | ¡°group-of-one¡±policies from |
| current or preexisting conditions ¨C thisis | | | | this organization. Other insurers also offerthis type |
| called community rating. HMOs are also required to | | | | of coverage but are not required to offer it. |
| sellhealth insurance to any individual during the | | | | Youare a sole proprietor if you: are a resident of |
| 30-day openenrolment period that occurs each | | | | your state,work at least 30 hours a week and |
| year. | | | | gain at least 50% of yourtaxable income from |
| Individual health insurance policies can vary | | | | your business. |
| depending onthe company. There are no laws that | | | | In addition, self-employed individuals can have |
| force private companiesto offer the same health | | | | 100% oftheir health insurance premiums deducted |
| insurance products so coverageplans from | | | | from their federalincome tax. If you are a |
| different providers can offer quite | | | | member of a professional or tradeassociation you |
| differentcoverage. But certain benefits for health | | | | might be able to receive group coverageunder the |
| insurance must beprovided in the coverage, | | | | organization¡¯s insurance umbrella. |