Mayıs 17, 2022


Convenience and Security at Your Fingertips

Overview of Guaranteed Issue Health Insurance

Finding the right health care insurance is easy for some, but much more difficult for others. If you have been turned down for coverage due to a pre-existing condition or any other reason, you will want to look into guaranteed issue health insurance. If you are currently employed, begin your search with your employer, as most guaranteed issue health insurance is offered through an individual’s employer. If you want to learn a bit more about this type of coverage, please take a few moments to read through this article.

Definition of Guaranteed Issue Health Insurance

The general definition is that guaranteed issue means that you must be allowed to enroll in a plan regardless of your health, age, sex, or any other factors that affect your use of health care. Depending upon the state in which you live, there may be guaranteed coverage for individuals. Employers with 2 to 50 employees that offer health care insurance to employees must do so on a guaranteed issue basis. Some states may have regulations that go above and beyond those of the federal statute.

Guaranteed Issue Health Insurance for Small Businesses

Federal regulations define small businesses as those employing 2 to 50 employees. Some states, however, define a small business as having 1 to 50 employees. Currently, employers are not federally mandated to offer health care insurance for employees; however, if insurance is offered, all employees must be guaranteed to qualify for coverage under HIPAA regulations. While this is generally quality, low-cost coverage due the protection of the group (employees), it is less flexible in that if your company changes plans you must also change to keep the guaranteed coverage.

In addition to coverage for employees, the spouses of employees are also eligible for guaranteed coverage and the same rules apply.

Guaranteed Issue Health Insurance for Individuals

As an individual, getting individual health care coverage that is guaranteed is a bit harder than getting it through an employer. You will find a variety of rates for this type of coverage, but it will be more expensive than insurance that you must qualify for. This does allow you to shop and compare rates of available policies. Until the health care reforms are put into action in 2014, if you have a pre-existing condition and cannot find coverage, paying for guaranteed issue health insurance or seeking out the state high risk pool may be your only alternative.

Guaranteed Issue Health Insurance: Where to Find Information

Guaranteed qualified health insurance is available due to federal and state legislation. To learn as much as possible about this type of coverage you should visit the website of your state’s department of insurance. There you will learn about legislation and regulations regarding all types of insurance. If your state has no legislation regarding guaranteed issue health insurance, you can visit the website of the United States Department of Labor.