1.Failure to pay claims

Usually fraud health insurance agents sign up a huge number of people quickly by offering them lucrative deals. These insurance providers keep paying small premium amounts and medical claims, but if there is a substantial claim amount or regulators catch them, these illegal companies vanish as if they never existed.

So, just beware if you are getting delayed payments or your service provider is offering fake excuses for the failure to make the payments. If you have signed up for these illegal plans, you may be liable for the medical bills of your employees as well.

2.Non-licensed health plans

If the company from which you have bought your health care policy is not licensed by State Insurance Commissioner, you can be in trouble. If all the protections of insurance regulation do not apply on your service provider, then the company may be phony. In this case your service provider is scamming you by selling non-licensed health plans.

Insurance agents are not allowed to sell any legitimate ERISA or union plan as federal law governs them. So, if your insurance agent tries to dupe you by selling an ERISA or union plan, report them to your state insurance department.

3.Unusual coverage offered at lower rates

If you are offered an unusual coverage irrespective of your health condition and that too at lower rate and much more benefits in comparison to other insurers, its time for you too hit the panic button. Do not get fooled by the lucrative offer, else you can be taken for a ride. The scamsters aim to collect huge amounts as early as possible so, they try to sell maximum number of policies at attractive prices.

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1. DOES YOUR PLAN COVER YOU ON AND OFF THE JOB?

Many health insurance plans have specific exclusions that eliminate your benefits for anything that could have been covered under Workers Compensation or similar laws. Now read that last sentence again.

COULD HAVE BEEN COVERED!?

That is correct. Most self employed people and even some small business owners do not carry Workers Comp on themselves.

There are designed insurance plans that will cover you on and off the job 24-hours a day, if you are not required by law to have Workers Compensation coverage.

2. ARE YOU WRITING IT OFF?

Independent contractors (1099’s), home based business owners, professionals and other self employed people generally are not taking advantages of the tax laws available to them.

Many people who are paying 100% of their own costs are eligible to deduct their monthly insurance payments. Just that alone can reduce your net out-of-pocket costs of a proper plan by as much as 40%. Ask your accounting professional if you are eligible and/or check out the IRS website for more information.

3. INTERNAL LIMITS
All true insurance plans use some form of internal controls to determine how much they will pay out for a particular procedure or service. There are two basic methods.

-Scheduled Benefits

Many plans, some of which are specifically marketed to self employed and independent people, have a clear schedule of what they will pay per doctor office visit, hospital stay, or even limits on what they will pay for testing per 24-hr. period. This structure is usually associated with “Indemnity Plans”. If you are presented with one of these plans, be sure to see the schedule of benefits, in writing. It is important that you understand these type of limits up front because once you reach them the company will not pay anything over that amount.

-Usual and Customary

“Usual and Customary” refers to the rate of pay out for a doctor office visit, procedure or hospital stay that is based on what the majority of physicians and facilities charge for that particular service in that particular geographical or comparable area. “Usual and Customary” charges represent the highest level of coverage on most major medical plans.

4.YOU HAVE THE ABILITY TO SHOP!

If you are reading this you, are probably shopping for a health plan. Every day people shop, for everything from groceries to a new home. During the shopping process, generally, the value, price, personal needs and general marketplace gets evaluated by the buyer. With this in mind, it is very disconcerting that most people never ask what a test, procedure or even doctor visit will cost. In this ever-changing health insurance market, it will become increasingly important for these questions to be asked of our medical professionals. Asking price will help you get the most out of your plan and reduce your out-of-pocket expenses.

5. NETWORKS AND DISCOUNTS

Almost all insurance plans and benefit programs work with medical networks to access discounted rates. In broad strokes, networks consist of medical professionals and facilities who agree, by contract, to charge discounted rates for services rendered. In many cases the network is one of the defining attributes of your program. Discounts can vary from 10% to 60% or more. Medical network discounts vary, but to ensure you minimize your out-of-pocket expenses, it is imperative that you preview the network’s list of physicians and facilities before committing. This is not only to ensure that your local doctors and hospitals are in the network, but also to see what your options would be if you were to need a specialist.

Ask your agent what network you are in, ask if it is local or national and then determine if it meets your own individual needs.

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Your Options

One of the best small business dental insurance options available to you here is eHealth Insurance. They are actually the parent company of eHealth Insurance Services Inc., which is recognized as being the leading online source of health insurance for individuals, families and small businesses.

They are an organization which works by providing customers with transparency of information about a broad array of health insurance plans with a selection of price and benefit options. They have been in the business for nearly a decade now and so they definitely offer the experience and knowledge that you are looking for and which you can trust in.

Another great company that offers small business dental insurance is made available by TD Bank. They understand that you have invested a lot into your small business and want to help give you the most benefits with your dental insurance possible. They want to help you protect your hard work and investment and they provide small businesses with big business advantages. They already serve more than 100,000 personal, corporate, and small business customers, and this proves that they have the experience and knowledge that you are looking for and which you can trust in.

The important thing here is to remember that you do not need to have difficulties finding small business dental insurance just because you have a small business. A lot of small business owners mistakenly think that finding proper coverage and insurance is not only difficult but costly, but this does not have to be true.

Remember

There are a few things that you are going to want to keep in mind when it comes to finding small business dental insurance. First remember that buying group dental insurance is going to be a smart move for your small business, and affordable small business dental and other insurance is really affordable these days.

If you are considering buying group dental insurance for your small business, in contrast to small business health insurance, buying group dental insurance is surprisingly affordable. There is also the fact that dental insurance is often used more frequently, as everyone needs and will utilize dental care.

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In 2000 the NY Legislature enacted regulations in response to the Governor’s proposal to make available comprehensive insurance coverage for New York workers and their families who are uninsured. The name of the program is Healthy NY.

This program helps the small business owners (businesses with 50 or fewer employees) to provide health insurance to their employees and their families. Additionally, Workers who are unable to purchase insurance through their employer because the employer doesn’t offer insurance and the sole proprietor may purchase coverage directly though Health NY.

All HMO’s in the state of New York offer standardized health benefit package that is made affordable through the sponsorship of NY State. This makes it more affordable for small employers and uninsured employees.

There are certain eligibility requirements for each section:

Small Employer

Business must be located in New York
The business must have 50 or less eligible employees
30% of employees must earn $34,000 or less
The business must not have provided group health insurance to employees in last 12 months (with certain stipulations)
50% of eligible employee participation and at least one earns $34,000 or less
Employer must contribute 50% of premium
The employer must offer plan to employees working 20 hours or more and earning $34,000 or less

Individual and Sole Proprietor guidelines:

The individual must live in the state of New York
Must be currently employed or have been within the last 12 months
Employer does not provide health insurance
Have not health insurance for past 12 month period
Ineligible for Medicare
The annual household income must meet the Healthy NY Income Guidelines

Please see our recommended sources for insurance quotes and low rates. These websites are aslo great sources for information about rates and coverages in the lower 48 states.

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