California Large Group Health Insurance

By Jeannie Monette


Group insurance can be offered to employees of companies classified as large group employers. Most often, these are the companies with total number of employees of 50 or more, as many of the states require this as the minimum number, for insurance to be considered as group insurance. These are the insurance products offered specifically for the employees needs, most often are the medical plans, dental plans, and can even be for the optical or visualization needs of employees.

Insurance premium rates to be paid will be determined on the amount of participation in the cost of premiums to be shouldered by the employers and other factors that are to be considered. History of previous claims can also affect the amounts of insurance premiums to be paid. Past histories of claims made, not necessarily with the individual beneficiary only but the whole group as well, can have influence on the amount of insurance premiums. Overall costs of providing the health insurance coverage, especially if these are continuously rising, can also have influence on the premium costs.

It can even be observed that other companies, those not qualified to avail of the group plan, or with employees of less than 50, are also offering some sort of insurance plans to their employees. They see it as a good way of attracting the best employees available and also the better way of motivating present employees to perform their best, because of the many medical and health benefits they can avail of.

Employees don't need to fear that claims will not be paid because the state regulates insured group health plans. Government regulations will be those giving protection, giving assurances that insurance beneficiaries will be able to avail of the health benefits provided for in their group health insurance plans. There are some instances though that a company will fund and assume the health benefit needs of their employees, and the funds coming from a pool of funds set in reserve by the company. This can come from very large companies, or those with more than 100 employees and they are self-insured.

There are also group insurance plans that give comprehensive care to employees and even to direct beneficiaries of the employees. This may be the more expensive type in a way, but with the many medical and health benefits that employees get, they may not be at a disadvantage at all. Employers can get discounts from insurance providers, thus may not also be exactly more expensive after all.

Employees in these large companies cannot also be excluded from availing of the group medical and health insurance plan, provided that they are eligible for this, and even if the basis is their medical history and claims filed. Provided that the insurance contracts are renewed and premiums are constantly paid, they can avail of this group plan.




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