Archive for September, 2009

Five once a years ago, the typical individual looking for cheap therapeutic insurance was one or twosolitary who had no assurance. Today, its almost as likely to be someone who cant afford the insurance offered by an employer.

How to approach ascertaining inexpensive medical coverage depends on whether you and your dependents have no coverage or whether any policies for which youre eligible simply charges too much.

Non-Affordable Coverage

If youre changing jobs, you could feel fasten answerable to health portability legislation to assure coverage with your new employer. However, while you slip into your new administrative center and open some benefits brochures, you might be in for sign surprise.

For workforce who have been laid off, COBRA coverage for up to 18 months is not all the time a choice. Youll pay your regular premium plus the employers share of the policy cost plus an administrative fee. For some families, this is simply not affordable.

Should you or a family member have a chronic medical muscular disease now or in the times of yore, you will not be able to buy cheap health insurance, period. Health insurance providers consider you an expensive risk.

Cheap health insurance doesnt just offer reasonably low premiums. It usually requires high deductibles, say $1,500 per individual versus $500 a typical group policy stipulates. Its purpose is not to pay for every treatment you need but to keep you from being financially wiped out if you have high medical expenses. If you can live with an elevated deductible, here are the most matter-of-fact ways to find relatively cheap insurance:

1. Through an association. It might be a college alumni group or the AARP (should you or a spouse meet the age requirement for membership). Most of these groups offer some type of major medical coverage at fairly inexpensive tolls to protect you from catastrophic expenses. some have a smorgasbord from which you can choose, such as major medical, dental, vision and prescription coverage.

2. Online quote. Five minutes on the Internet will yield at smallest amount a dozen online sites where you can enter personal information and get a quick quote.

3. Health savings account (HSA). This is a creative approach. The principle is simple: you allocate a yearly dollar amount your employer will withhold from your paycheck to cover health-related expenses. These are costs allowable as medical deductions on your Federal income tax return. Theyre non-taxable contributions, but if you dont use the full dollar amount you specify by the end of the calendar year, you cant carry over the contrast for the next year.

If you cant afford the premiums for the health insurance your employer offers, you should check to see if you can establish an HSA anyway. You will in effect be functioning as your own insurer. As you earn, your deductions will accumulate until you reach the amount you prearranged for the year. This is cash you can use for unanticipateed medical expenses. However, there are limits on the amount that can go into HSAs, so you should not expect one of these accounts to protect you from a complete financial wipeout. If you resign prior to the end of the year, customary practice is for your old HSA to pay merely for expenses accumulated before you left.

No Coverage

You might be facing surgery yet never enrolled in any of the plans your employer offers. Or you might be retiring without any health insurance but are too young for Medicare.

If you dont have any policy, you could be just one step away from financial disaster.

They indicate if youre without any coverage, you should immediately articulation your state department of insurance for any accessible help. You might be fortunate enough to be eligible to unite a state pool.

Otherwise, your best stake is probably to try to get an online quote for a bare-bones policy.

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Who Staff Health Insurance Cost

ABOUT LIFE
Life is an Excellent Gift of God to Mankind. But nothing in life is ever certain. Unexpected accidents, hospitalisations, business problems, ever inhibiting work-force (resulting in retrenchments), terrorism can the whole thing mar our well-laid plans. In extreme cases we end up with loss of earning power. Thus the future may be uncertain. But one thing is certain. One needs to plan for it. It is a human trend to suspend planning pending retirement. But the later one starts saving the harder it is to do so. With longer life expectancy, rising inflation and declining interest tariffs, it is imperative that we start planning now.
Conversely life is also full of opportunities for all of us to seize, like:
1.
Financing our childrens education (children are our biggest assets),
2.
Buying our dream home (a place of protective roof on our head),
3.
Taking a well-earned voyage (after all why we are earning – we need to enjoy life and need to recharge our energy for earning our livelihood),
4.
To save for the time when we cannot earn sufficiently to sustain ourselves (saving for the rainy day, old age, retirement),
5.
We may wish we could safeguard our opportunities and protect against the uncertainties,
6.
And finally, for our sheer investment needs.
This is where “coverage” comes in. This is explained in short in the following :
ABOUT INSURANCE
Insurance ensures protection of economic value of assets. Assets are insured against the bet of being destroyed or made non-functional due to any accidental occurrence. Risk is defined as the possibility of adverse results flowing from any occurrence. Insurance is used with reference to monetary protection against a possibility, such as fire, accidental damage, theft, or therapeutic expenses: motor insurance, household insurance, travel insurance, health insurance. Insurance reduces the impdemeanor of risk on the owner, and those who depend on the asset. Integral to the concept of insurance is the concept of risk. In insurance parlance, “RISK” is called “PERIL”. Only where risk prevails, is insurance applicable. Basically there are two types of Insurance : “LIFE” and “NON-LIFE”. We are now concentrating on LIFE Insurance only.
ABOUT LIFE INSURANCE
The economic value of a human life arises out of its relation to other lives. Whenever continuance of a life is financially valuable to others, either to family dependents, business associates, or educational and philanthropic situations, the necessity for life insurance is present. Human life is also considered as an earnings generating asset. This asset can be lost thru unexpected death or made non-functional thru sickness or disability caused by an accident. There is no certainty that an accident shall happen. Events that must occur at some time, such as death, are provided for by assurance.
We all know that “DEATH” is the ultimate truth of life, but NOT its timing. Life Insurance exists because of this element of “UNCERTAINTY”. Life Insurance protects against loss of income of an individual. But it DOESNT (1) protect the asset, (2) impede its loss. Life insurance is designed to make an attempt to compensate a policyholder for a loss skillful, by the payment of money, mend, replacement, or reinassertion. In every case the policyholder is entitled to be put back in the same financial mind-set as he or she was immediately before the event insured against occurred. There must be no element of profit or loss to the policyholder.
Most, but not all insurance policies are indemnity contracts. For illustration, personal accident and life assurance policies are not contracts of indemnity as it is impossible to calculate the value of a lost life or limb (whereas the value of a car or other goodty can be calculated). Insurance works on the principle of transferring risk from an individual to a group.
INSURANCE NOT FOR RISK COVER ONLY
Initially, Insurance started as guard or security against risk. Slowly, the elements of savings & investment opportunities have been added to make it an integrated approach for personal or family needs. Accordingly, Schemes were designed for various needs for various types of clientele. Some Companies have even tailor-make the schemes to suit allowanceicular kinsfolk. Broadly speaking the Insurance Schemes can be divided into a few basic categories, which are given in the following :
1.
Pure Risk Cover – Term Insurance – No other benefit except Risk Cover.
2.
Endowment Schemes – Risk Cover with returns ( Like Guaranteed Addition, Money-Back, Bonuses etc. ).
3.
Whole Life Schemes – Limited Period Premium Payment and whole life cover with or without benefits.
4.
Pension / Annuity type Retirement Schemes.
5.
Health & Hospitalisation Cover.
6.
And lately ULIPs- a combination of Mutual Funds & Life Insurance.
Thus the whole lot of Life Insurance Schemes can be a permutation & combination of these types of basic schemes at varying proportions. In addition to this certain extra benefits are added for a marginally extra premium to the basic scheme. These are called Riders.
less thanSTANDING PREMIUM
Insurance is operated as a contract between two parties :
1.
The INSURER who promises to cover the risk and give back other benefits if any to, and
2.
The INSURED or ASSURED who promises to make a specific periodical payment for the service intended to the Insured.
This contract is based on the guiding principles of :
1.
The Indian Contract Act – 1872,

2.
The Insurance Act – 1938,
3.
The Consumer Protection Act – 1986,

4.
The Insurance Regulatory and Development Authority Act – 1999.
This periodic payment is known as Premium. This Premium varies in relation with
1.
The Amount of Assurance (Sum Assured),

2.
Paying period (Term) of the Policy,
3.
The age of the Assured at the starting of Policy,

4.
The Occupation of the Assured,
5.
Any additional benefits (Riders),

6.
Type of Policy / Scheme,
7.
The status of the Policy,

8.
The amount of risk involved, and several other factors.
The Insurer is in the position of a Trustee, managing a common fund. The Insurer checks that nobody gets undue advantage. Therefore, care is taken to ensure that those in the group have similar risk; and if not, they pay more contribution because their risk is greater.
Thus the premium which the Assured pays has three basic parts, as explained below :
1.
Administrative, Marketing and Management expenses – These are the common expenses of running the Insurance Company = (to the extent of approx. 20 % of the annual premium),
2.
Expense for the cover of the RISK Element only = (to the extent of approx. 0.5 % of the Sum Assured, annually),
3.
The Saving or Investment Element which is invested in the prescribed areas according to strict guiding principles of IRDA (Insurance Regulatory and Development Authority). This is the element which earns profits for the Insurance Company. And again according to the strict guiding principles of IRDA this is distributed amongst the policy holders as Bonus, and the Insurance Company as Surplus.
These elements are present in various proportions in the premiums according to the type of schemes like whether it is a pure risk, endowment, whole life or annuity schemes or participatory (with benefits) or non-participatory (without benefits).
LIFE INSURANCE OPEN TO PRIVATE PLAYERS
The Indian Life Insurance Companies Act, 1912 was the first statutory measure to regulate life insurance business. Later, in 1928 the Indian Insurance Companies Act was enacted, inter alia, to enable the government to bring together statistical hint about life and non-life insurance business transacted in India and foreign insurers, including the provident insurance societies. In 1938, with a view to protecting the interest of the insuring public, earlier legislation was consolidated and amended by Insurance Act – 1938 with comprehensive provisions for detailed and effective control over the activities of insurers.
By 1956, 154 Indian Insurers, 16 non-Indian Insurers and 75 Provident Societies were carrying on life insurance business in India. Life insurance business was limited mainly to cities and the better-off segments of the society. On 19th., January 1956, the management of life insurance business of 245 Insurers then operating in India, were taken over by the principal Govt. and then nationalised on 1st., September 1956. LICI (Life Insurance Corporation of India) was devised in September 1956 by an act of Parliament, with a capital contribution of Rs. 5 Crores from the Govt. of India. The objectives of LICI were thus outlined: to conduct the business with utmost economy, in a sprit of trusteeship; to charge premium no higher than warranted by strict actuarial considerations; to invest the funds for acquiring maximum yield for the policy holders consistent with safety of the capital.
But by 2000 AD, the performance and the social obligations fell short of the Objectives and expectations of the GoI. Because of all round globalisation, which started in 1991-92 and involved introduction of healthy competition and privatisation, the business of Insurance was thrown open to private players like the Banking Sector, with a Foreign Investment participation of 26 % max. The IRDA is the controlling authority and oversees each and every aspect of it. Between July 2000 and September 2003, sixteen (16) private Life Insurance Companies have registered with the IRDA and started their operations in India.
IMPORTANT POINTS ABOUT INSURANCE
1.
Insurance ensures protection of economic value of assets. Assets are insured against the risk of being destroyed or made non-functional due to any accidental occurrence.
2.
Risk is defined as the possibility of adverse results flowing from any occurrence.
3.
Insurance is used with reference to financial protection against a possibility, such as fire, accidental damage, theft, or medical expenses: motor insurance, household insurance, travel insurance, health insurance.
4.
Events that must occur at some time, such as death, are provided for by assurance.
5.
Any insurance is designed to compensate a policyholder for a loss suffered, by the payment of money, repair, replacement, or reinstatement. In every case the policyholder is entitled to be put back in the same financial position as he or she was immediately before the event insured against occurred. There must be no element of profit or loss to the policyholder. Most, but not all insurance policies are indemnity contracts.
6.
For example, personal accident and life assurance policies are not contracts of indemnity as it is impossible to calculate the value of a lost life or limb(whereas the value of a car or other property can be calculated).
7.
Definition(s) of insurable Interest
a.
The legal right of the Insurer arising out of a financial relationship recognised under the law, between the insured and the subject matter of insurance.
b.
An interest (financial or otherwise) in the subject matter of a contract of insurance, which provides the person insured with the right to enforce the contract. An insurable interest (e.g. ownership of goods insured) distinguishes a contract of insurance from a wager or bet. An interest is required by statute for various types of insurance contract (e.g. life insurance).
8.
Insurable interest exists if the policy owner or the nominee is likely to benefit financially if the insured continues to live and is likely to suffer from an economical loss if the insured dies.
9.
Definition of Utmost faith or Uberrima Fides
a.
The duty to disclose all material facts relating to the risk to be covered.
b.
A positive duty to disclose, accurately and fully, all facts material to the risk being proposed, whether requested or not.
10.
A material fact is a fact, which would subsume the mind of a prudent underwriter in deciding whether to accept a risk for insurance and on what terms.
11.
An insurance agent is an agent licensed under section 42 of the Insurance Act, 1938.
12.
The primary function of the agent is to procure business for the insurance company. Prior to offering the policy, the agent has to check out on the insurability of the proposer based on the principles of insurable interest and utmost good faith. The relevant information can be :
a.
Paying capacity
b.
Health and Habits
c.
Age
Once the insurance contract has been put into force, the agent is supposed to ensure continuance of policy through regular payment of renewal premiums.
In case of a claim the agent should help the insured or his family in proper settlement of claims.
RELEVANT POINTS
1.
An agent is appointed by the insurer, but he acts as the agent of the proposer while following up a proposal
2.
It is the duty of the proposer to insure that the agent provides all the information to the insurer. In case the agent omits certain information, the proposer can not shift the blame to the agent, when a question of suppression of information is raised by the insurer
3.
Giving money to the agent is not tantamount to giving money
4.
Mortality table is an actuarial table prepared on the ground of mortality rates for people in different regions of a country. It provides life-assurance companies with the information they require to quote for life-assurance policies, annuities, etc. Based on the mortality tables the premium rates are calculated.
5.
Morbidity is the state of being diseased. The morbidity rate is the number of cases of a disease arrived at to occur in a stated number of the population, usually given as cases per 100,000 or per million (the number may be smaller for common diseases). Annual figures for morbidity rate give the incidence of the disease, which is the number of new cases reported in the year.
SECTION 64VB
1.
No risk to be assumed until the premium is received in advance
2.
Advance payment of premium before acceptance of the risk: Section 64VB of Insurance Act, 1938
3.
The first premium paid is the consideration for the life insurance contract to come in to force.
4.
Subsequent premiums is the condition necessary for the contract to remain in force.
5.
Therefore, if a policy holder has not paid the premium and has died, -then the insurer is not liable to pay as per the contract.
6.
A policy should remain in force till the claims happen. In case of a lapse of a policy, a revival brings it back to life. For a policy to remain in force, the premiums needs to be paid routinely as per the contract and within the stipulated grace period. Non payment of premium leads to a lapse of the policy (lapsation may occur due to sheer neglect to pay or due to financial difficulties). Insurance facilitates revival of the lapsed policies.
POINTS TO REMEMBER
1.
The role of an Insurance Advisor (Agent) :
a.
The role of the agent starts right from the time the Insurance contract is sold to the time the claim takes place.
b.
The three forms which need to be filled up are proposal form, personal statement and moral hazard report.
c.
Underwriting department needs to be provided with medical and financial information of the proposer by the agent.
d.
A material fact is information which might make a difference in the insurance premium or of acceptance of risk.
e.
Section 64VB states that no risk is to be assumed unless premium is received in advance.
f.
An agent has to advise the insured on revivals, loans, foreclosure.
g.
Nomination can be done before the policy comes in to force
h.
Assignment can be done after the policy comes in to force
i.
There are three types of claims- maturity claims, survival benefits and death claims
j.
Claim concessions are provided by insurers.
2.
Term insurance pays a death benefit to the legal heirs if the person insured, dies during the term of the policy.
3.
Whole life insurance guarantees death benefit cover throughout the course of life, provided the required premiums are paid.
4.
Endowment assurance pays out either on the death of the assured, whenever it occurs, or after a concentrating number of years (e.g. when the assured reaches the age of 75).
5.
A form of pension in which an insurance company makes a series of periodic payments to a person(annuitant) or his or her departments over a number of years (term), in return for the money paid to the insurance company either in a lump sum or in instalments.
6.
A unit associated policy is a life assurance policy in which the benefits depend on the performance of portfolio of shares or mutual funds.
7.
A life assurance policy, that has additional amounts added to the sum assured, or paid separately as change bonuses, as a result of a surplus or profit made on the investment of the fund of the life assurance office, is called a with profits policy.
8.
The surplus generated by the insurance company is retained and also distributed as bonus to policyholders. Policies may be :
a.
With profits, entitling the assured to a share in the assurers profits (which is added to the sum assured when it is paid out).In a with profits policy, it is possible to offset subsequent premiums against accumulated profits.
b.
Without profits, in which case only the sum assured is paid out (which in times of inflation may have considerably less purchasing power than the assured intended). Without profit policies are not entitled to bonus.
9.
The combination plans combine whole life insurance with term insurance.
10.
Group life assurance is a life assurance policy that covers a number of people, usually a group of employees or the members of a particular club or association.
REFERENCE
1.
IRDA Website.
2.
LICI Website.
3.
Websites of other Private Insurance Companies.

[ End of Part 1 of 4 Parts. To be continued in Part 2 ]
Himansu S M / 18-Feb-2009

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What Is Health Insurance Plans

If you have a child attending college this slipped, you may assume that your employer-offerd group health insurance plan or his college-sponsored health insurance plan will provide all the health insurance he needs. Instead of creating this assumption, draw out for sure or you could troth in for a violent shock. The answers to these nine questions about entire-time student health insurance shelterage will help you decide the best way to protect your child.

1. Is my child encompassed under my employer-sponsored health insurance plan? There is a good randomness that a full-time student is covered. However, many companies have been reducing dependent coverage as a way to command health affection costs, so it is a good idea to double check.

2. How long will my group plan cover a full-time student? Many plans cover full-time students until the age of 23 or perhaps 25 but you wont know for sure until you understood your plans fine print.

3. How does my group health insurance plan define full-time student? Be sure that you wont duty an unintended gap in coverage if your child takes a light way load lone semester and, as a result, falls less than your plans full-time student requirements.

4. In the sport that my child needs health care whilst at school, what are the literal procedures to ensure that the costs are covered by my group plan? He may need to go to an in-network physician or to get preapproval for certain procedures to receive the full benefits under the terms of your policy.

5. What is my financial responsibility if there are no in-network physicians where my child attends college and, therefore, he must use out-of-network physicians?

6. Will my child be able to receive coverage for a chronic medical illness while at school under the terms of my group plan? The answer to this question is specially basic if there are few or no in-network physicians and/or facilities near your childs college.

7. How long will my group health insurance plan cover my child if he has to take a short-term leave of absence enjoys school as a result of an injury or illness?

8. What health coverage is obtainable via my childs school and how does it compare to coverage under my group plan? Many college-sponsored health plans for students have limitations on the number of doctor visits, the amount of prescription medication coverage, the length of hospital stays and the maximum amount of spending on each illness or injury, so be sure that you understand your childs college-sponsored plans restrictions before signing up.

9. may possibly an individual health insurance policy for my child make sense? If coverage limitations on your group health insurance plan and on a college-sponsored health plan are too severe or if neither is available to you, it may make sense to believe purchasing an individual health insurance policy for your child.

Sources:

Walecia Konrad, www.nytimes.com, Patient capital riches – How to Find and keep Health Insurance for College Students

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Whether you are traveling for the foremost time since an inexperience backpacker, or youre a seassolitaryd veteran with more visa pages in your passport than an encyclopedia, the chances are you wailing get unwell at least once during your trip. Where you travel to, where you stay in that location, who you come in contact with, and what you consume will all be factors in the illness you contract. It can be a handfulthing air born, such as a core cold, or it could be viral, and caused by contaminated water. Poorly cooked food can result in e coli and other nasty stomach issues. Parasites can be a huge problem in nature and poorer areas, where human and animal desolate tract offer a breeding grounds for the nasty bugs.

In any case, it is core to understand the healing issues and medical situations that surround your travel destination. What munificents of illnesses do you need to protect yourself from, and what is the bizarre of contacting that illness? If you do fall ill, what kind of medical facilities are available to help you, and what kind of insurance will you need to pay for it?

The best place to set out is your insurance. Everyone traveling should have health insurance of some brand, and the longer your trip, the more you should have. Travel insurance can be acquired from a figure of locations. You regular insurance company may offer a agenda for travel. as well, travel styles generally have discounts for health insurance in return for membership. Finally, other firms cater specifically to travelers, and travelers lonesome.

There are a number of companies that offer travel medical insurance, so it is best to use a sites that aggregates a large number of companies based on your criteria. One such site is http://www.worldtravelcenter.com/eng/.

Specific companies include:

HiUSA – hostel international presents a inexpensive travel insurance option for members, which includes health insurance up to $15,000USD.

Patriot International

CSA Freestyle Luxe

Travel Plus

When purchasing travel medical health insurance, be sure to thoroughly read and analyze the locations and the expenses they will cover. Talk to a customer package rep and specifically tell them where you are traveling and make sure they will cover you in that location.

Ask about life-flighting and move costs, and if they cover those. Also ask, as hard as it may be to ruminate about, if they pay the cost of sending your remains home should you perish. This is a accountability one does not want to leave on their family unit.

Once you are certain you have found a good company for your concerns, purchase the plan, and benefit from your trip without soreness.

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Arizona Health Insurance Gap What Is

If you are self-employed or own a small business, you have a mefor the reason thature of selections whenever it comes to choosing health insurance. Regulations vary derive pleasure affirm to state. In North Carolina the self-employed and small business are sure right to use, and insurance firms are constrained in how much excess they can charge unhealthy versus healthy self-employed individuals and small mixs.

Even under the best of frameworks, those who are new to the health insurance advertise, or have previously been encompassed by an employer, should be prepared for sign shock. A standard small group health insurance policy in North Carolina can easily cost $15,000 or more for a family. This can be comparable to what a large company pays, on the other hand the individual employee is probably use to having only a portion of this sum deducted from their paycheck.

The best option health insurance option for the self-employed or small business owner is to acquire individual/family assurance. reckoning on health status, this brand of coverage can be substantially less than a group policy. However, in North Carolina the insurance company can decline to cover any individual, and is not limited in how much they can increase premiums based on health status. (This process is referred to as underwriting.)

There are a number of companies that offer individual/family health insurance policies in North Carolina. Blue Cross and Blue Shield of North Carolina has the major purchaser base, but it pays to look at multiple companies for taxes, underwriting policies, and benefits vary from one to the next.

As previously stated, North Carolina health insurance regulations guarantee access and limit rate differences for the self-employed and small business owners, so if individual/family coverage is declined (or a high weekly rate is offered), this would be the next avenue to pursue. Once again, Blue Cross and Blue Shield of North Carolina has the largest customer base, but it pays to look at multiple companies.

A ultimate option to consider is North Carolinas health insurance risk pool, which is rang “Inclusive Health.” This is a state-run health insurance program designed for individuals unable to get your hands on affordable health insurance in the open market. While not cheap (rates can be twice as much a comparable standard policy), this can be the best option for individuals with a serious medical condition.

Under any circumstance, the use of an insurance agent is highly accepted. Agents are liquidated a commission by the health insurance company, and using one should not affect the rate you pay. You should choose an agent who represents multiple companies. A appropriate agent will help you identify the best policy for you, assist you with the application, and can be a valuable reserve in dealing with the insurance company down the road.

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