Course 3 (12-14 Credit Hours)
Individual Health Insurance Policies for Individuals and Families
by Professor Paul Zane Pilzer
Course Description
How you can help Employees, Individuals, and Families obtain permanent, lifetime (until age 65) affordable health insurance—policies now available in all states on which premiums cannot be increased due to claims history.
Individual Health Insurance Policies for Individuals and Families teaches you the history of health insurance in the U.S., the recent transition from group (employer) plans to individual/family plans (funded by employers), and a summary of the new solutions available to help your clients obtain affordable, permanent, and portable health insurance.
With most individual or family policies, once in force the policy may not be cancelled nor may the premium be increased based on the individual’s claim history—premiums increase only with general medical inflation and age of the insured.
Upon completion of this course, you should be able to advise your clients on each aspect of their personal health insurance from maternity to old age, and how to protect themselves from potentially the greatest financial threat to their future.
You will learn:
- How to explain individual/family health insurance to your clients and help them analyze why it may be a better deal than group employer-sponsored plans for their families.
- How the application process works and the role you (the agent) should play in advising your clients before they submit an application.
- How to explain ERISA, COBRA, and HIPAA to your clients, and what to do, step-by-step, when your client loses their job or changes jobs.
- How to advise clients with preexisting medical conditions about new state-guaranteed coverage that is now available in all 50 states for people who lose their employer-sponsored health insurance.
- How to advise clients about the new Health Savings Accounts (HSAs), why every American should have one, and why clients should generally fully fund their HSA each year before making a contribution to their IRA or 401k.
- How to advise your clients on Medicaid, Medicare, other forms of income-assisted coverage, and how to advise seniors on the new Part D Medicare Prescription Drug coverage.
- How to advise client’s who have, and wish to keep, an employer-sponsored group plan, on new high deductible options, disability coverage, cafeteria plans, FSAs, HRAs, and many more new developments in employer-sponsored plans.