| If you are a sole proprietor or small business | | | | Group Health Insurance |
| owner and require health insurance for you or | | | | For small employers (2-50 employees) group |
| your employees, there are many options available | | | | health insurance plans are a good idea if you want |
| that will provide coverage for a reasonable | | | | to provide adequate coverage for yourself and |
| premium. You will, however, be required to carry | | | | your small group of employees. According to |
| out a good amount of research before finding an | | | | guaranteed issue, insurance companies must sell |
| insurance company that will suit your needs, as | | | | small employers small group insurance under most |
| there are a lot of choices out there. In addition, | | | | circumstances. If you and your group fall within |
| you have to ensure that the company you | | | | the participation requirements you cannot be |
| choose for your health insurance coverage | | | | turned down. An employee is considered insurable |
| provides the kind of plan that will be most | | | | if he/she works for you a minimum of 24 hours |
| beneficial in times of greatest need. | | | | a week on a regular basis ¨C this includes |
| Individual Health Insurance | | | | household workers. |
| Individual health insurance is coverage intended for | | | | Usually a group health insurance plan requires that |
| one person. If you are self-employed or run your | | | | a certain percentage of your employees |
| own business, you don¡¯t have access | | | | participate in the plan and you might have to |
| to a group health insurance plan through an | | | | contribute a minimum percentage of their |
| employer, and must purchase your own coverage | | | | premiums. Luckily, guaranteed renewability makes |
| from one of the many health insurance providers | | | | it so that you cannot have your coverage |
| located in your state. | | | | cancelled if one of your workers becomes ill. This |
| There are some pitfalls to obtaining your health | | | | is definitely a plus so you always have access to |
| insurance from the private sector. For instance, | | | | continuous group coverage and are never left by |
| limitations exist that might make it difficult to | | | | the wayside without the proper insurance. |
| derive guaranteed benefits from a private | | | | HMOs and Blue Cross Blue Shield, again, are |
| insurance policy as an individual. Private companies | | | | prohibited by law from charging more due to the |
| have a right to ask you for information regarding | | | | health status of one or more employees. At the |
| your current and past health, and are also allowed | | | | same time, private companies are allowed to |
| to reject you for insurance purposes based on | | | | charge higher rates if they deem it necessary. |
| your health status, or impose limitations on your | | | | In addition, someone who is self-employed with no |
| coverage. | | | | other workers may be able to purchase small |
| Blue Cross Blue Shield, on the other hand, is | | | | group health plan coverage from Blue Cross Blue |
| required by law to sell individual health insurance to | | | | Shield. Specifically, sole proprietors are given the |
| any resident regardless of health status. This is | | | | option of buying |
| referred to as guaranteed issue. They must also | | | | ¡°group-of-one¡± policies from |
| refrain from charging you more due to any | | | | this organization. Other insurers also offer this |
| current or preexisting conditions ¨C this is | | | | type of coverage but are not required to offer it. |
| called community rating. HMOs are also required to | | | | You are a sole proprietor if you: are a resident of |
| sell health insurance to any individual during the | | | | your state, work at least 30 hours a week and |
| 30-day open enrolment period that occurs each | | | | gain at least 50% of your taxable income from |
| year. | | | | your business. |
| Individual health insurance policies can vary | | | | In addition, self-employed individuals can have |
| depending on the company. There are no laws | | | | 100% of their health insurance premiums |
| that force private companies to offer the same | | | | deducted from their federal income tax. If you |
| health insurance products so coverage plans from | | | | are a member of a professional or trade |
| different providers can offer quite different | | | | association you might be able to receive group |
| coverage. But certain benefits for health insurance | | | | coverage under the organization¡¯s |
| must be provided in the coverage, including | | | | insurance umbrella. |
| mammograms and diabetes care. | | | | |