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3 Steps: Get Ready Now For Open Enrollment

Open Enrollment Begins November 15th.

Are You Ready?

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Big decisions, like selecting a health insurance plan, require advanced preparation.  With only 2 months until open enrollment, now is the perfect time to get ready. Whether you’re an experienced benefits professional or an open enrollment rookie, we’ve got a few things that will help you navigate the chaos and come out on top.

Step 1: LEARN THE TERMS
Learn the most important health insurance terms. Review the Open Enrollment Terms & Definitions below for an explanation of the most common health insurance jargon.
Step 2: UNDERSTAND OPTIONS

Get to know the different types of coverage you can choose from.

Step 3: FIND HELP

The rates you pay for individual coverage will be the same whether you use a broker or not. The HIG team is trained and certified to help you understand your coverage options and enroll  in a plan, making the whole process easier for you and/or your business.

Open Enrollment Terms & Definitions

/enˈrōlmənt/
  • ACA (or PPACA): The Patient Protection and Affordable Care Act, also known as the Affordable Care Act or Obamacare, is a United States federal statute signed into law by President Barack Obama in 2010. Primary components include subsidies, mandates for participation and insurance exchanges, read more HERE or HERE.
  • Broker: In the U.S., insurance brokers are regulated by the states. Most states require anyone who sells, solicits, or negotiates insurance in that state to obtain an insurance broker license. The premiums you pay for individual health insurance will be the same with or without the help of a broker. (So why not use a broker like HIG who can help you get the exact coverage you need!)
  • Carrier: Generally this is the insurance company or a company that ‘carries’ insurance policies (e.g. Aetna, Humana, Cigna, Coventry, BlueCross BlueShield, United Healthcare, etc.).
  • Coinsurance: Your share of the costs of a covered health care service, calculated as a percent. For example, if the health insurance plan’s allowed amount for an office visit is $100 and you’ve met your deductible, a coinsurance payment of 20% would be $20. The health insurance plan pays the rest of the allowed amount, or $80.
  • Deductible: The amount you owe for health care services before your health insurance plan begins to pay.
  • Guaranteed Issue: A health insurance term meaning that coverage is offered to everyone regardless of health status or pre-existing conditions.
  • Open Enrollment: The annual period during which individuals may buy individual health insurance plans through the online, federal and state-based health insurance exchanges established by the Affordable Care Act. The term also applies to the period of time, usually once per year, when employees of companies may make changes to their benefits, such as health insurance.
  • Provider:  Generally refers to health care providers, such as doctors or even institutions like a doctor’s office or hospital system.
For additional terms and definitions check the glossary links below.