Many people ask me about the difference between Group Health Insurance and an Individual Health Insurance plan. Many small business owners are in situation that  would allow them to purchase either.  In the state of Texas there is a difference between Group health plans and individual health plans.

Group plans are usually more expensive but often have higher levels of coverage than Individual plans. The usually offer the traditional maternity coverage.  Group plans allow for group dental and group life coverage.  In the state of Texas a group can exist when you have 2 employees.  These employees must be reported on your Texas workforce commission report.  Group plans usually require the employer to contribute to every employees cost and they oftern have some participation requirements, meaning that at least 75% of eligible employees must take the coverage. 

List bills are another way for the employer to assist employees with their health insurance needs.  They can not directly pay any portion of the premium but they can agree to payroll deduct the premium amount. Since 65% of Americans get their health insurance from work this becomes a good option.


Individual Plans If you have any pre-existing conditions, most individual plans will either rider them out or exclude the condition a;together.  Some conditions are even cause for decline. These conditions vary based on each carriers (companies) underwriting requirements. Maternity coverage is expensive and often not offered with individual coverage or it is very limited. The cost is usually significantly lower on family coverage over group health plans.

Call me if I you have any questions.
Brent Trice
966-877-4156
214-504-2211
http://www.dallashealthquote.com

 

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