Insurance World

We all understand the importance of health insurance; however, as the types of health insurance continue to increase it is becoming more and more difficult to select the type of coverage that is best for you and your family. To help you find out which type of policy might benefit you the most, let’s take a look at the most common types of policies.

There is usually a lot of hype regarding HMOs so let’s look at that one first. A HMO is a health maintenance organization plan that works with a specified group of doctors and hospitals within the network. A primary healthcare physician is selected and you must obtain referrals for care that cannot be provided by that physician. The benefits of this type of plan are lower office visit costs and prescription drug co-pays. In addition, there will typically be either no or limited deductible costs for hospital stays. Depending on your coverage, there may also be no pre-existing condition cause limitations. It is also important to understand that your choice of doctors and hospitals will be limited with a HMO and you won’t be able to have out of network services covered.

A PPO or Preferred Provider Organization works similar to a HMO; however, the major difference is that you are not required to select a primary care physician. In addition to the benefit of being free to choose your own physician without worrying about a referral you also gain the benefit of limited or no deductible costs for hospital stays as well as a possible larger selection of physicians that might be available with a HMO. Out of network services may also be covered; however, for a higher charge than in network services.

A POS, or Point of Service, is also similar to a HMO in that you select a primary care physician. The difference is that you are free to choose out of network treatment if you’re willing to pay a higher out of pocket cost.  
Another option is what is known as a traditional coverage policy. This type of policy will have a higher monthly premium as well as deductibles. In addition, you will generally be required to pay for services out of your own pocket up front and then submit claim reimbursement forms.

You may also wish to consider various types of disability plans, which cover a percentage of your income in the event that you experience an illness or accident that prevents you from working for a period of time. A short term disability plan will provide benefits from the first day of an accident or the eighth day of an illness up to 26 weeks. Generally, this type of plan will cover 66% of your weekly income.

Long term disability will begin after short term coverage has expired and will provide coverage for a variable term, depending on the policy you select. Some policies are limited to providing coverage up to two years while others will cover you up to the age of 65.

If you are a business manager or owner, then one of the most important decisions you will have to make is choosing the right insurance broker for your business insurance needs. Although this is an important decision, it can be tricky to get right unless you can pinpoint exactly what you want from the broker or agent and what it is they can provide you with. Here are some useful tips on how to find the right insurance broker for your business needs:

Brokers and agents

In general, there are some differences between brokers and agents, although these differences can be quite complicated. Basically, you can have either an agent who works for a particular insurer, or a broker who is independent and does not work for any insurance company. The differences between agents and brokers are becoming blurred as many people act as both agents and brokers depending on your needs and the insurance companies involved.

Independent or not?

One of the most difficult decisions to make when looking for an insurance agent or broker is whether or not you should go for an independent agent or someone who works for a particular insurer. Obviously, someone who works for a particular insurer can only offer you products from that particular company, and if these prices aren’t competitive then you may find yourself paying too much for your insurance. However, the advantage of an insurer-employed agent is that they have full access to the policies of an insurance company. Independent brokers do not work for any particular company, and so they can look at a number of insurance companies for you. The problem with this type of agent or broker is that they may have limited access to insurance companies, and you are in essence paying for a service that you could carry out yourself.

Agent expertise

When looking for an agent or broker, you need to evaluate their level of expertise. A good agent is able to advise you in detail on all aspects of insurance for your company. You are relying on them too help you get the level of coverage that you need, so it is important that they have the expertise required. Many people pick their agent based on who has the best personality. Personality is a factor, but expertise is far more important. If you don’t pick someone who has the right level of expertise both in insurance and in your business sector, then you could end up paying too much or not being adequately covered.

Choosing the agent

Once you have decided what criteria are important, and established a budget for acquiring an agent, then you need to begin the selection process. You should ask the potential candidates about their professional qualifications, and also for their personal CV. You want to make sure that the agent you select is skilled in insurance coverage, and is more than just a salesman. Also, ask the agent some theoretical insurance problems that you know the answer to, as this can determine how knowledgeable and honest they are.

Drawing up terms

Once you have chosen an agent, make sure that all their duties and obligations are put in writing. Don’t assume that the agent will carry out all items that you expect them to. If you have the duties in writing then there is no room for error, and you will get the level of service that you desire. If you look around and do your research before employing an agent, and make it clear what you want, then you will find the right insurance agent or broker for your needs.