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Tricks of the Trade
Associated Insurance Benefits LLC 860-621-7766
www.SouthingtonHealthInsurance.com
Southington, CT
- Making a group of 2 employees into a group of 3 employees
- Groups of 3 pay approx 20% less per person than groups with 2 empl.
- The third employee can be a spouse active in the business split into two singles at the renewal month, joined back together as employee/spouse coverage for the other 11 months
- The third employee can be an employee who doesn’t really need the coverage. Ideally an age 20’s single male is added onto a very high deductible plan for the renewal month, termed the following month.
- This works with every carrier except ConnectiCare, where it is not necessary to do this to get the 3 rate.
Example:
|
Original 2 renewal |
Renewal month w/3 |
Each month after |
Owner and wife |
1219 |
763 |
1023 |
Employee 23F |
452 |
380 |
380 |
Wife as single |
|
600 |
|
|
1671 |
1743 |
1403 |
Annual Savings is $2876 for the exact same coverage!
- Insure the younger spouse
- For owners with a spouse in a lower 5-yr age bracket.
- Make spouse a legit employee or owner
- Place insurance on them with owner as dependent
- Owner 58 family rate $2052, 49 yr old spouse rate $1531 a $6250 savings
- Short renew
- When an older, especially family coverage, employee will change age bracket just prior to the next renewal date
- Change carrier the month before the employee’s age-bracket changing birthday.
- This locks in that lower rate for the next 12 months
- Exmple age 60 family rate $2419 vs. age 59 rate $2052 a $4400 savings
- Individual Insurance
- Individual coverage is less expensive because:
- Medical underwriting allows cherry picking
- Limited prescription coverage, most have no maternity, invitro
- The coverage can be as good as group, other than the items above
- Use for last dependent child on group family coverage
- Use for healthy self employed and employees
- Downsides:
- Future employees cannot simply add to plan.
- Rates normally increase Jan 1
- Deductibles are always calendar year