FAQ

Question 1

How to Get Health Insurance

Answer

When you begin to search for health insurance, you can look on the private market or through your state's healthcare exchange. For those who are new to the process, it can be overwhelming. Start by assessing your needs. If you’re prone to illness, play high impact sports, or have a risky profession, it may be better to have a co-pay plan rather than one with a high deductible.

Question 2

What does Health Insurance cover?

Answer

Health insurance can cover a variety of things, from your regular checkups and family care to your major medical expenses. The types of services that are covered will vary with different healthcare providers and plan types, so it is important to determine your needs before buying a specific health insurance plan.

Question 3

How Does Health Insurance Work?

Answer

Health insurance can help you pay for your regular healthcare costs as well as your major medical expenses, depending on the type of plan you choose. You will pay a premium of some kind, based on your plan and coverage, whether you get your health insurance through your employer or privately. Depending on your type of plan, you may have co-pays, deductibles and coinsurance.

Question 4

What Does Health Insurance Cost?

Answer

The cost of health insurance depends on several factors. Costs vary based on your plan type, whether you have insurance through an employer or private insurer, what state you live in, and how much of the insurance you cover. Additionally, if you purchase your coverage through the healthcare exchange, you may qualify for government subsidies based on your household income.

Question 5

What is the purpose of life insurance?

Answer

Life insurance is intended to serve as income replacement for your heirs in the event of your untimely death.

Question 6

What kind of life insurance do I need?

Answer

The most simple policy is what’s called a level term insurance. ‘Level term’ means you pay one flat rate year after year for the length of the policy. This policy will replace your income should you die prematurely. There are other types of life insurance policies such as whole life and universal life that has accumulated cash value and covers the insured for the length of their lives.

Question 7

Can I afford it?

Answer

Yes! One non-profit insurance industry group says that a healthy 30-year-old man can get a $250,000 level-term policy for 20 years at a cost of less than $13 a month. That’s around $150 a year…and the price never goes up with a level-term policy!

Question 8

How much coverage should I buy?

Answer

When it comes to the question of how much you should buy, people can get frustrated with all kinds of complicated formulas. Clark says that you should buy six to 10 times your annual income.

Question 9

How much does cyber liability coverage cost?

Answer

Insurance premiums can be as low as $1,500 a year. Cyber liability insurance is still a fairly new concept, so there is a lot of variation among policies. The important thing to remember: if you don’t purchase this coverage, you will be liable for first-party expenses including hiring IT experts, notification of customers, providing annual credit monitoring, lawyer expenses and any applicable state or federal fines or penalties.

Question 10

Doesn’t my general liability policy cover me?

Answer

Typically, no. General liability provides protection in the event of bodily injury or property damage. What will protect you?A cyber liability policy. This policy is designed to protect against the significant risk of economic loss related to intellectual property, network liability, and network and cyber property security.

Question 11

We have an IT department and we have firewalls. Isn’t that enough?

Answer

Not usually. Many data breaches occur because of an employee error. From passwords tacked on computer screens in plain sight and employees opening suspicious email and downloading malware to lost laptops and smart phones, a large portion of security breaches occur because of your employee actions.

Question 12

We use a third party for reservations and credit cards. Do we still need this coverage?

Answer

Even if you’re using a third-party or cloud vendor for reservations or credit card payments, your customer’s personal information is still your responsibility.

Question 13

What are the general types of group employee benefits I may be eligible for?

Answer

The types of employee benefits that are available for working people are virtually limitless, but most employers (over 50 full time equivalent employees) are required to provide the minimum coverage under the Affordable Care Act. This generally includes health insurance, prescription coverage, and dental benefits for minors.

Question 14

How can I know what kind of employee benefits I need?

Answer

This is an individual question, based on your unique needs and lifestyle. Each person is responsible for his or her own well-being, with the exception of minor children who need their parents to provide for them. To best answer this question for yourself, determine what health services you are likely to participate in the coming year.

Question 15

Do I have to offer comprehensive benefits for my employees?

Answer

If that is what you want. We offer small employers the opportunity to receive large company employee benefits like health insurance, dental and vision care, life insurance and retirement saving plans.

Question 16

What Is Workers’ Compensation?

Answer

Workers' compensation insurance helps protect businesses and their employees from financial loss when an employee is hurt on the job or gets sick from a work-related cause.

Question 17

What Does Workers’ Compensation Cover?

Answer

The workers’ compensation insurance helps cover medical expenses, lost wages, ongoing care costs, as well as funeral expenses if an employee is hurt, becomes sick, or dies as a result of a work-related accident or illness.

Question 18

What Is Not Covered by Workers’ Comp?

Answer

These vary from state to state and are typically determined by different state laws. Here are a few examples of what most workers’ compensation plans do not cover: - Injuries received by a fight that an employee started - Injuries an employee sustains due to being intoxicated in the workplace - Injuries an employee gets intentionally - Emotional injuries that are not accompanied by a physical workplace trauma

Question 19

Do I Have to Have Workers’ Compensation Insurance?

Answer

In most states, any employer with one or more employees is required to carry workers compensation insurance. Texas is exempt from this. Large employers may insure themselves, but they must apply with their state and meet strict self-insurance requirements. It’s important to note that not all workers must be covered by this type of insurance.

Question 20

Why do I need professional liability insurance?

Answer

You often run extremely important and complex projects for your clients that they may not fully understand. Professional liability insurance is especially important for businesses like IT/technology consultants, business consultants and marketing consultants for whom incorrect advice or a failure to perform professional services could lead to a lawsuit. Even if you haven’t made a mistake, you can still be sued. A general professional liability insurance policy will cover legal fees, protecting you and your business from potentially crippling costs.

Question 21

How much does a professional liability policy cost?

Answer

Professional liability insurance premiums vary a lot depending on several factors, including the size of your business, your occupation, the types of activities you conduct, and the level of protection you choose. However our minimum premiums start from as little as $270 a year.

Question 22

What do I have to protect as a business owner?

Answer

Business owners have the responsibility to protect their companies and their personal assets in the event of a lawsuit. With these five actions under your belt, your business should be well on its way to a legal- and hassle-free future.

Question 23

What is BPP?

Answer

Business Personal Property (BPP) Insurance is contents coverage for your business. This valuable option is tailored to our members’ unique insurance needs in the event of equipment loss due to a fire, flood, theft, etc.

Question 24

What is Business Income and Extra Expense?

Answer

Net Income and Continuing Normal Operating Expenses including payroll. Extra Expense means the necessary expenses that you incur during the period of restoration that would not have incurred if there had not been direct physical loss or damage to your property.

Question 25

What is the difference between professional liability insurance and errors and omissions insurance?

Answer

Professional liability insurance and errors and omissions insurance are essentially the same thing. People use these terms interchangeably, and they are referring to the same basic product.

Question 26

What is erros and omissions Insurance(E&O)?

Answer

E&O Insurance is designed to cover the professional services rendered by a licensed insurance agent. E&O Insurance specifically covers you as an insurance agent in the event of an error or omission made while servicing and/or selling insurance products

Question 27

What is an extended reporting period (ERP)?

Answer

An extended reporting period, also referred to as tail coverage, is to provide some degree of E&O coverage to an agent who has retired from the business, becomes disabled or deceased. Instead of purchasing E&O coverage year after year, an agent can purchase an ERP.

Question 28

Is E&O necessary?

Answer

Statistics show that 1 in 7 insurance professionals will be named in some type of E&O claim at some point in their career. Even if the agent is not at fault, defense costs can be significant and without the proper E&O coverage, the insurance agent will be paying the cost to defend claims out of pocket.

Question 29

Will my health insurer make me pay anything if I need coronavirus treatment?

Answer

It depends on your health plan. Most large insurers have temporarily waived cost-sharing for COVID-19 testing and treatment. If you are covered by one of those providers, you probably won't pay deductibles, coinsurance or copayments for coronavirus-related medical services for a set period.

Question 30

Is Medicare covering COVID-19 testing and treatment?

Answer

Medicare will pay all costs for COVID-19 testing ordered by a doctor or other health care provider, and for services related to testing, such as office and emergency room visits. Beneficiaries will pay nothing for testing. People with original Medicare who are hospitalized for COVID-19 treatment will still have deductibles and copays. If you have a supplemental Medigap plan, it may cover these costs. If you have Medicare Advantage, out-of-pocket costs for hospital and outpatient treatment vary by plan.

Question 31

Does my Health plan have to cover my COVID-19 test?

Answer

Yes, if you: -Have COVID-19 symptoms,
-Were exposed to someone who has COVID-19, or
-The test is medically necessary for your situation.

If you have COVID-19 symptoms or think you’ve been exposed, under federal law, you can get a test anywhere and your health plan must pay for it. If you are an essential worker, your health plan must cover your COVID-19 test. But you must contact your health plan before getting tested. If none of these things above are true but you’d still like a test, contact your health plan or health care provider. As a first step, you can check your symptoms using the Symptom Screener or by contacting your doctor.

Question 32

Does Medi-Cal Provide free COVID-19 diagnosis, testing and treatments for the uninsured?

Answer

Yes. Medi-Cal is available to those with no insurance or whose insurance does not cover COVID-19 diagnosis, testing, and treatment. COVID-19 diagnosis, testing and treatment are considered emergency services. This allows all Medi-Cal beneficiaries, regardless of their scope of coverage under Medi-Cal or their immigration status, to receive at no cost all medically necessary testing, testing-related, and treatment services, which may include inpatient or outpatient services related to a COVID-19 diagnosis.

Question 33

I get my health care coverage through my employer, who has a "self-insured" plan. Do the California Department of Managed Health Care (DMHC) regulations apply to me?

Answer

Self-insured plans are regulated by the federal government, not the state. If you have COVID-19 symptoms or were exposed to someone with symptoms, under federal law, your self-insured plan must cover your test. In all other instances, you should talk to your plan to find out whether they will cover COVID-19 testing.

Question 34

Does my plan include COVID-19 testing and treatment?

Answer

Some carriers are now considering COVID-19 treatment to be an “Essential Health Benefit” (EHB) of their plans, and are adding extra language to their plans to ensure coverage for COVID-19 testing and treatment. The Centers for Medicare and Medicaid Services (CMS) issued an FAQ on COVID-19, which states that COVID-19 testing and treatment must be covered as an EHB of most plans. However, cost-sharing and plan benefits vary, and are specific to each separate plan. The CMS FAQ states that medically necessary isolation or quarantine, required by a physician during hospital treatment, is generally considered an EHB and must be included in plans. However, quarantine outside a medical facility without oversight of a doctor is not medical treatment and therefore not an EHB. Most fully insured health plans in California and Nevada consider COVID-19 testing to be a preventive benefit, with no cost sharing to policyholders. Any treatment needed as a result of such testing, however, will likely be run through the policyholder’s plan as normal, with standard cost-sharing.

FAQ

Health Insurance