EMPLOYMENT-BASED HEALTH COVERAGE

There are many jobs in the United States that offer health coverage to workers. This is a viable and fairly affordable option compared to other types of health insurance, such as private insurance.

Most employment-based health insurance plans are tied to the new consumer rights, benefits, and protections provided by the health care law. But as with all other health insurance plans available in the country, it is important to check all options before signing up.

Remember that the employer is free to place limitations on the plan, set exclusionary periods for pre-existing conditions, or fail to meet all requirements. But it is up to you to decide whether or not you want to be covered by the health insurance you are offered.

In this post from Dulcinea Insurance we will discuss the issue of health coverage at work, its benefits and limitations. If you have any questions, please call us at 786-910-9487.

What are the benefits and protections of health coverage at work?

If you are married and have already started a family, health insurance through employment can be very beneficial to you. It is common for employer-funded health plans to cover your family or dependents.

Some employers also take on a portion of the monthly payment that keeps the coverage active, i.e., the health insurance premiums.

How do I enroll in health insurance at work?

When starting a new job you should be aware of the Open Enrollment Period. This occurs once a year and usually lasts between one and two weeks.

If you were not able to enroll in that time, there are important events that are taken into account to allow you to join the health plan outside of your assigned date, such as:

  • marriage
  • divorce
  • retreat
  • arrival of a baby
  • change of job
  • adoption of a child
  • death of the insured person.

These reasons apply to both you and your spouse.

Is it possible that the employment health insurance will not cover my needs?

Yes, although usually the opposite is true. Health coverage at work is more attractive than individual health insurance.

However, your income may be below the requirements of employer-funded coverage.

It may also be that the insurance covers you but does not include your dependents.

Under what circumstances can you lose your health insurance at work?

 

There are several situations:

  • dismissal
  • Retirement or retirement
  • disclaimer
  • death

What do you do if you lose your health coverage at work?

When this happens we advise you to review the options in the Health Insurance Market. By doing so, you will be able to have information about your income and whether or not it allows you to qualify for the monthly premium savings.

Keep in mind that when you lose your health insurance from work, you will be eligible for the so-called Special Enrollment Period. In other words, you will be able to purchase a health insurance plan outside of the Open Enrollment Period. This way, your new coverage will begin quickly.

If you’ve retired from work, remember that a good option is the federal Madicaid Program that supports people over 65.

What is COBRA coverage, an alternative to losing your health insurance through employment?

 

In the event of a loss of employment-based health insurance, there is another alternative: COBRA continuation coverage.

The government’s COBRA law is a provision that guarantees workers will continue to have health insurance even if they are no longer employed.

Generally, COBRA allows up to 18 months.

All that is required is full payment of the health insurance premium plus an administrative fee.

The above are some of the most common questions you may have regarding employment-based health coverage. You can call us at 786-910-9487 and Dulcinea Insurance is ready to help you.

 

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