“I used to lie awake nights worrying about how I was going to cover my employees with health insurance Now I sleep like a baby. Thank you!” - Roberta Black
Group Health Insurance
Welcome
Start by finding the right BROKER that can compare the leading carrier's quotes for FREE
Robert Moritz, Broker
Moritz Financial Group
512.762.5755
Austin Texas Affordable group health insurance quotes on policies & plans from local agents representing major insurance carriers. Austin TX protective Free health insurance premium rates, Small Employer Health Benefit Plan Rates, low cost plans, Business Insurance, Texas health insurance coverage plans provide protection from the cost of your employees' major sickness and injury, plus we offer dental plans and prescription drug cards, texas small group health insurance rate, group health care, medical group. Term life insurance Group Health Insurance Austin, Texas
With insurance plans changing all the time and costs increasing constantly, getting the coverage you need at affordable rates can be a real challenge. We the guesswork out of insurance shopping by giving you FREE quotes from top health insurance companies in just minutes.
We make it easy to find great health coverage at the lowest rates available anywhere. Simply fill out one of our short request forms and in just minutes, you'll receive several quote comparisons from top-rated companies. Start your FREE quote now!
Top companies represented in our network include:
Aetna, BlueCross BlueShield, Blue Cross and Blue Shield, Assurant Health, Time Insurance and over 100 others.
How our Rates are Established
Texas law requires all fully insured small employer health benefit plans to small employers to comply with specific rating requirements to improve the affordability and availability of health coverage for small employers, . Those requirements do not apply to "self-insured" or "self-funded" health plans. The law establishes certain limits and guidelines that carriers must use when calculating rates for small employers although the Texas Department of Insurance (TDI) does not approve or set health coverage rates.
Below is a simplified explanation of the criteria affecting rates.
Texas law allows insurance carriers to use the following
Five case characteristics in determining a group´s rate:
•
age of employees
age of employees •size of the small employer group
size of the small employer group •gender of employees
gender of employees •geographic area.
geographic area. •industry classification
industry classification Age
The older your employees are, the more you can expect to pay for health insurance. Older employees can reasonably be expected to have more, and often more expensive, health-related claims. Statistics show that, in general, an individual is more likely to use health care services as he or she ages.
Group Size
As the group size increases, the per-insured expenses required to issue and service the business decrease allowing for a lower rate
.
When purchasing medical coverage, small groups tend to select insurers based on the insurance needs of each employee in a small group. As group size increases, this selection becomes more difficult and is spread over a larger base.
Gender
Females generally incur greater medical costs than males at younger ages, especially during her childbearing years. In their late fifties or early sixties the variances in costs diminish with age until medical costs for males begin to exceed those for females.
Geographic Area
The cost of medical care varies from one area of Texas to another due to the general cost level of the area, the differences in medical practices by each region, the degree of specialization of services, and the amount of competition. Most small group plans vary rates either by ZIP code. or county. The employer´s business address is generally used to determine rates.
Industry
People working in some industries exhibit higher medical claim costs than in others. This is due in part to prevalence of accidents and the working conditions Additionally, higher employee turnover in some industries may result in higher administrative costs for the insurer.
The rate factor associated with an industry classification may not exceed the lowest factor associated with an industry classification by more than 15%.
Health Benefit Plan Characteristics
Health plans are now classified as either "consumer choice health benefit plans." or "state-mandated health benefit plans" A consumer choice health benefit plan is any plan developed by a carrier that is required by law to include only a very few state-required benefits. A state-mandated plan provides certain required minimum features and coverages.
Although consumer choice health benefit plans also may be called "standard plans," the term should not be interpreted to mean that the coverages provided are "standardized." Every insusrance carrier´s consumer choice health benefit plan may be different - and, in fact, a carrier may offer several different consumer choice health benefit plans.
Some state-mandated benefits continue to be required for consumer choice health benefit plans, including coverages for
- complications of pregnancy
- minimum hospital stay after childbirth (federally mandated)
- phenyltketonuria treatment, if prescription drugs are covered
- mastectomies (federally mandated).
Unlike insurance companies, HMO consumer choice health benefit plans must include basic health care services, such as inpatient, outpatient, and preventative services. Carriers may offer optional benefits that vary widely from insurance plan to plan.
The rate guide contains rate information on the following types of plans:
•a carrier´s most popular indemnity consumer choice health benefit plan
a carrier´s most popular indemnity consumer choice health benefit plan a carrier´s most popular PPO consumer choice health benefit plan •a carrier´s most popular preferred provider organization (PPO) state-mandated health benefit plan
a carrier´s most popular preferred provider organization (PPO) state-mandated health benefit plan •an HMO´s most popular consumer choice health benefit plan.
an HMO´s most popular consumer choice health benefit plan. an HMO´s most popular state-mandated health benefit plan
PPO plans have 2 levels of benefits. The plan will reimburse at a higher level of benefits when an employee uses a network provider. The plan will ray less when an "out of network" provider is used.
An indemnity plan gives the employee the freedom of choice to use any provider you want. When services are received, the employee usually pays the provider and then submits a claim form to the carrier. The plan will require that the employee satisfy the deductible before it will reimburse.
Health insurance carriers do not have to offer both PPO and indemnity plans howevers ome carriers may offer both types of plans.
Generally, HMOs require employees to receive services from providers in their network. Although, the HMO must pay for out of network services only when those services are not available from network providers, the HMO might not pay for the treatment.if an employee obtains services from an out of-network provider without prior authorization.
Purchasing Coverage
Texas state law requires small employer carriers to provide premium quotes to small employers (directly or through an authorized agent) within ten working days of receiving a request for a quote and the information necessary to calculate the premium. If an insurance carrier needs more information to develop the quote, it must request it within 5 days after receiving the request. A small employer health insurance carrier may not decline to provide a quote to a small employer directly or through an authorized agent - There are no exceptions.
Group Health insurance Austin, Texas
Austin Texas Affordable group health insurance quotes on policies & plans from local agents representing major insurance carriers. Austin TX protective Free health insurance premium rates, Small Employer Health Benefit Plan Rates, low cost plans, Business Insurance, Texas health insurance coverage plans provide protection from the cost of your employees' major sickness and injury, plus we offer dental plans and prescription drug cards, texas small group health insurance rate, group health care, medical group
Moritz Financial Group
Local Brokers - Personalized Service
- Specializing in Employee & Executive Benefits
- Not just an automated quote web site without your specific need in mind
- Lowest rates anywhere
- Top Companies
- Fast, easy quote process
- Personal service from local agents
Our carriers offer a wide choice of health insurance plans designed to deliver the benefits and coverage you want at a competitive price.
We have a plan that is right for you and your employees, and at a price you can afford.
You can:
• Apply for insurance with minimal underwriting
• Get affordable group health insurance
• Have a health insurance partner you can rely on
For Immediate Assistance Call
Robert Moritz
Licensed Broker
512.762.5755
