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Anyone heard about these offers sold as group insurance for individuals? Wouldn't the agents/agencies offering these plans get sued if people had catastrophic claims and found their insurance was not what they thought? Calling their offer group insurance sets the expectation that this is like the employer based, probably ACA compliant plans most employers offer.
Why wouldn't the client be interested in low cost plans that sound good, since the only ACA carrier's plans range from $1500+ to 1900+ per month. The family dropped off the group insurance a couple years ago to save money. Open enrollment is in the spring. I suggested they will probably do better on the working spouse's group insurance with spouse and 3 kids costing double + this year's $800 premium for a plan with a $5900 deductible.
I mentioned they absolutely need to see a summary of benefits and coverage if not a specimen policy for the "Association Group PPO" plan the working spouse found for $500 a month.
It can't possibly be anything comparable to an ACA compliant plan, even if it's got MEC features to avoid the penalty. The spouse says they were told pre-existing conditions are covered.
I can offer an STM with some interesting features for just the right situation, and I have a specimen policy I send out, so they know the limitations.
I am fine with the client getting something great, but concerned this is being sold in a deceptive manner.
Why wouldn't the client be interested in low cost plans that sound good, since the only ACA carrier's plans range from $1500+ to 1900+ per month. The family dropped off the group insurance a couple years ago to save money. Open enrollment is in the spring. I suggested they will probably do better on the working spouse's group insurance with spouse and 3 kids costing double + this year's $800 premium for a plan with a $5900 deductible.
I mentioned they absolutely need to see a summary of benefits and coverage if not a specimen policy for the "Association Group PPO" plan the working spouse found for $500 a month.
It can't possibly be anything comparable to an ACA compliant plan, even if it's got MEC features to avoid the penalty. The spouse says they were told pre-existing conditions are covered.
I can offer an STM with some interesting features for just the right situation, and I have a specimen policy I send out, so they know the limitations.
I am fine with the client getting something great, but concerned this is being sold in a deceptive manner.