The IACP is proud to provide a health insurance program
for its members. We realize that health insurance for self-employed
individuals and small businesses can present challenges, both in terms
of accessibility and affordability. Our program includes:
- Large selection of plans and insurance companies
- Consumer information about the various types of health
plans (PPO's, HSA's, HMO's, etc), including the pros and cons of each
type of plan
- For those of you with employees, our program provides
guidance on employer-sponsored health care plans, including contribution
rules, participation requirements, COBRA, HIPAA and more
- Information to help you understand and manage specific
medical conditions and health issues
- Valuable information on wellness, prevention and
disease management
- Resources for the uninsured and those with uninsurable
medical conditions
Unfortunately, most national associations, including
IACP, are not legally able to offer true group coverage
for their members. Federal legislation allowing association group plans
has been proposed in Congress many times, but it has never made it through
the legislative process for approval. Until such a law passes we must
work within the state controlled regulatory framework that governs personal
and small business health insurance. Each state is responsible for regulating
its own insurance markets, and the result is that plan availability,
rates and underwriting rules vary greatly from state to state. Therefore,
our health insurance program also varies in availability, rates and
underwriting from state to state.
WorldWide Insurance Services, Inc., a national, independent
broker, in business since 1989, and representing more than fifty insurance
companies, administers our program.
Following are frequently asked questions and answers
about our health insurance program:
Q. Which insurance companies are offered in the program?
A. The state in which you live determines the insurance companies
that are available. Your proposals will include quotes from several
of the best companies available in your area. Major insurance companies
included in the program are Aetna, Assurant Health, BlueCross BlueShield,
Golden Rule (a UnitedHealthcare company), Guardian, Health Net, John
Alden, Humana, Time, UniCare, UnitedHealthcare and many other regional
companies.
Q. Which types of insurance plans are available?
A. In the majority of states we offer PPO, POS, HMO, HSA and traditional
major medical plans. Also included are student plans, children-only
plans, and temporary health insurance plans for those with a gap in
coverage. WorldWide's representatives can provide detailed explanations
of the features, benefits, limitations and exclusions of each type of
plan in the program.
Q. Are your rates lower than the rates that I would
pay if I went directly to these insurance companies?
A. No. As we mentioned, health insurance is regulated by each of
the states. This regulation includes oversight on rates, which must
be filed with the state by the insurance companies, prior to the sale
of any policies. Currently the states do not allow discounting of rates.
Our program more closely resembles a shopping service for our members,
in some cases offering as many as 500 different plan designs to our
members. However, unlike health insurance rates, our dental, vision,
accident and cancer plans provide discounts for our members, their families
and employees.
Q. Is the program available in every state?
A. There are a number of states in which the program is not available.
In such states, WorldWide provides our members with a list of carriers,
including contact information, that are available in their states.
Q. Is acceptance guaranteed?
A. For individual members, or members who are just insuring themselves
or their families (not their employees), coverage is not guaranteed
except in a small number of states, primarily in the Northeast. In most
states, members will be required to complete medical questionnaires
in order to determine whether they qualify for coverage. For those members
insuring themselves plus 1 to 49 other employees, coverage is guaranteed,
under federal law, in most states (several states guarantee coverage
to groups of one).
For those individuals with medical conditions that are uninsurable,
WorldWide's representatives will provide information and contacts for
each state's risk sharing pool plans or for their state's designated
carrier offering open enrollment.
Q. What about pre-existing conditions? Are they covered?
A. The answer to this question varies greatly and depends on several
factors, including the severity of the condition, prior coverage, which
type of plan is being applied for, and the state in which you reside.
WorldWide's licensed representatives are trained to take a detailed
medical history before releasing quotes for which you may or may not
qualify. They also have direct access to underwriters so that they can
determine if you qualify, even before completing an application for
coverage.
Q. With all the plans to choose, how can I tell which
plan is right for me?
A. WorldWide's representatives will work with you to learn about
how you use your current health insurance, how often you and your family
usually use medical services, which medical providers are important
to you, the cost of your prescription medications, and a budget that
you can comfortably afford.
Q. Must I purchase my plan through the program or
can I use my own broker or buy direct?
A. The choice is yours. You can make your purchase through WorldWide,
or through your local broker, or, in some cases directly from the insurance
company. Regardless of whom you purchase your plan from, WorldWide provides
its information free of charge and you will pay the same amount for
your coverage regardless of who it is purchased through.
Q. How much does the shopping service cost?
A. There is no charge for this service.
Q. How can I get involved in order to assure the
passage of a national association health insurance bill?
A. While various association health insurance bills have passed the
House of Representatives many times (seven at last count), a bill has
never passed a Senate committee and made it to the Senate floor for
a vote. We suggest that you write your senators and urge passage of
such a bill. WorldWide's representatives can provide suggested wording
for a letter or e-mail, and they can also provide contact information
for your state's senators.