Our Top Ten Frequently Asked Questions

  1. How do I obtain a group medical quote?

    Answer: Download a Request for Proposal Form here.

  2. What constitutes a group?

    Answer: Two or more full time employees working a minimum of 30 hours a week.

  3. How much does the employer have to pay?

    Answer: Most companies require 75% of employee cost or 50% of total employee and dependent cost.

  4. What kind of participation is needed?

    Answer: 75% participation of all eligible employees.

  5. What is required at application time?

    Answer: Texas Workforce Commission (TWC) Quarterly Report, last month’s billing statement, individual applications, a group application and the first month’s premium.

  6. How long does it take to approve and issue a group plan and obtain identification cards?

    Answer: Normally, a group plan can be approved and issued within 7 to 10 business days. The employee ID cards are mailed to the employee home address after the case is approved.

  7. Question: How do insurance companies calculate health insurance rates?

    Answer: There are several factors that are used to determine the premiums that are charged for insurance. An underwriter will look at the following:

    1. The age of all the employees,
    2. The sex of all the employees,
    3. The geographic area of the business and its employees,
    4. The type of industry of the business / SIC Code (Standard Industrial Classification Code),
    5. Medical conditions of the group.

  8. What is needed to obtain an individual life insurance quote?

    Answer: Amount of insurance desired, name, date of birth, smoking status, any health conditions.

  9. What constitutes a pre-existing condition?

    Answer: A medical condition believed to exist prior to the policy start or is not covered under your current group health insurance.

  10. What is HIPAA (Health Insurance Portability & Accountability Act)?

    Answer: A federal law that guarantees health care plan issuance to small employers with 2-50 employees and guarantees eligibility of coverage for people changing jobs, if the new employer offers group insurance.