By Jeannie Monette


A lot of businesses offer Southern California large group medical insurance to attract workers to their company. Many policies can be purchased for your workers and even their family members, in some cases. You will need to learn all the facts of coverage if you plan to offer this to your employees.

When medical emergencies happen, having insurance makes the cost of treatment more bearable. If someone purchases a policy alone, it is likely that they will pay more each month. A comprehensive group plan makes it possible for contributions to be spread, thus reducing costs for all the members. The normal payment plan is that both the worker and the employer pay the premium fifty-fifty.

These contracts are not required to be adhered to on a definitive basis, as many small company insurance contracts are. The business who is offering the coverage can decline an employer if the history of their claims is determined to be too risky. No individual can be excluded from receiving coverage if they can show that they are eligible for the benefits.

The law states that contracts for coverage need to be renewed every year. But this cannot be enforced when a company will not accept it. A contract can be terminated if a company does not pay the premium on a timely basis. When this happens, the company may be accused of misrepresentation or fraud. A contract will be voided if one of the parties does not fulfill any of the terms or conditions that have been set out.

The law also requires that health insurance companies give an employee credit for preexisting conditions against any exclusionary period. The policy is underwritten when the employer purchases it. The rates are based on employee participation as well any prior claims that existed.

The business who provides the insurance must gather all of the pertinent data from each participant in the group. The worker may have to fill out a questionnaire on their general health so that the insurer can calculate the amount of risk. The risk is lower with more participants.

The insurer will determine the monthly premium based on previous claims and market conditions. It is not unusual for the premium to increase each year. Calculating Southern California large group medical insurance is determined by hospital expenses as well as doctors fees.




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