| Chapter 1 |
Health Insurance: The Largest Gap in Financial Planning |
| 1.1 |
What Would Happen If Your Client Became Ill and Could Not Work? |
| 1.2 |
The Gaps in Coverage When Your Client Loses Their Job or Change Jobs |
| 1.3 |
What Happens When Your Client Loses Their Health Insurance |
| 1.4 |
How to Help Your Client Avoid Losing Their Health Insurance When They Lose Their Job |
| 1.5 |
The Other Huge Gaps in Your Client’s Employer’s Health Insurance Plan |
| 1.6 |
How Employer-Sponsored Health Insurance Works |
| 1.7 |
How We Got into This Mess |
| 1.8 |
The New Health Insurance Solution: How We Are Getting Out of This Mess |
| 1.9 |
Three Trends behind the Changes |
| Chapter 2 |
Introduction to Individual Health Insurance |
| 2.1 |
What Is Individual/Family Health Insurance? |
| 2.2 |
Obtaining Individual/Family Health Insurance |
| 2.3 |
Employer-Sponsored Health Insurance Could be Double or Triple the Price of Individual/Family Insurance |
| 2.4 |
Why Your Client Has Not Heard of Individual/Family Health Insurance? |
| 2.5 |
Individual/Family Health Insurance Policies in 2005–2006 |
| Chapter 3 |
Changing Jobs: ERISA, COBRA & HIPAA |
| 3.1 |
ERISA—Protects Your Client’s Pension But Not Their Health Benefits |
| 3.2 |
COBRA—A Temporary “Last Resort” If Your Client Loses Their Employer-Sponsored Health Insurance |
| 3.3 |
HIPAA—Your Client’s Legal Protection When They Change Jobs or Get a New Job |
| Chapter 4 |
Choosing An Individual/Family Health Insurance Policy |
| 4.1 |
The Two Major Components of Health Insurance |
| 4.2 |
How Medical Provider Networks Work—HMOs and PPOs |
| 4.3 |
Financial Protection—What to Look for in a Health Insurance Policy |
| 4.4 |
Comparing Different Health Insurance Policies |
| Chapter 5 |
Applying for Individual/Family Health Insurance |
| 5.1 |
Submitting Your Client’s Application—Be Careful! |
| 5.2 |
After You Submit Your Client’s Application |
| 5.3 |
Licensed Independent Health Insurance Agents: The Service You Provide to Your Clients |
| Chapter 6 |
Health Savings Accounts (HSAs) for Individuals |
| 6.1 |
HSAs versus IRAs and 401(k)s |
| 6.2 |
Why HSAs Are So Important |
| 6.3 |
HSA-Qualified High-Deductible Health Insurance |
| 6.4 |
Advising Your Client on Managing Their Health Savings Account |
| 6.5 |
HSA-Qualified Medical Expenses |
| Chapter 7 |
Medical Uninsurables & Preexisting Conditions |
| 7.1 |
Finding a Job with Good Health Insurance Benefits |
| 7.2 |
How to Assist Your Clients With Becoming a “Friend of the Governor”: State-Guaranteed Subsidized Insurance for Those Who Are Not HIPAA-Eligible |
| 7.3 |
State-Guaranteed Health Insurance for HIPAA-Eligible Individuals |
| 7.4 |
Medicaid and Other Income-Based Programs |
| 7.5 |
Purchase a Medical Discount Card or Join a PPO |
| Chapter 8 |
Post Age 55: Retirement, Medicare & LT Care |
| 8.1 |
Health Insurance during Early Retirement—Ages 55 to 65 |
| 8.2 |
Medicare—Federally Subsidized Health Insurance for Seniors |
| 8.3 |
Long-Term-Care, Assisted Living, and Nursing Home Insurance |
| Chapter 9 |
HSAs & HDHPs: Saving 10%-75% on Prescription Drugs |
| 9.1 |
Get a Drug Discount Card and Save 10 to 25 Percent |
| 9.2 |
Your Client’s Insurance Company’s Drug Plan Could Save Them Thousands |
| 9.3 |
Shop Overseas Pharmacies |
| 9.4 |
Ask for Generic Drugs |
| 9.5 |
Use a Different Drug That Has Similar Effects |
| 9.6 |
Other Ways to Save |
| Chapter 10 |
Employee Coverage Options: HDHP, Disability, Cafeteria, FSAs & HRAs |
| 10.1 |
The Crisis in Employer-Sponsored Health Insurance |
| 10.2 |
Should You Get Your Own Individual/Family Health Insurance Policy? |
| 10.3 |
Should Your Client Keep Their Company Plan for Themselves But Get Their Spouse and Children Their Own Individual/Family Plan? |
| 10.4 |
How to Advise Your Client with Buying Their Own Own Individual/Family Policy—Tax-Free |
| 10.5 |
Should Your Client Choose a High-Deductible Insurance Plan? |
| 10.6 |
Long-Term-Disability Insurance—More Important than Life Insurance |
| 10.7 |
How Your Client’s “Cafeteria Plan” (Section 125 Plan) Works |
| 10.8 |
Flexible Savings Accounts (FSAs) |
| Chapter 11 |
Public Policy: Who Wins & Loses with DC, CDH, HDHP |
| 11.1 |
Employer-Sponsored Group Health Insurance—The Old Way |
| 11.2 |
Individual/Family Health Insurance-The New Way |
| 11.3 |
The Complete Reform of U.S. Healthcare |
| 11.4 |
Who Wins and Who Loses? |
| 11.5 |
What Should Be Done Now to Improve Health Insurance |
| Appendix A |
State-by-State Guide to Individual/Family Health Insurance Costs |
| Appendix B |
How Americans Get Health Insurance Today…and What about the 45 Million Uninsured? |