Requirement that health plans offer coverage to all businesses during some period each year.
In group insurance, this is the maximum amount of insurance that will be issued without the need to provide evidence of insurability. If the group is acceptable, the insurance company dispenses with individual underwriting (For example, a whole life policy may offer a guaranteed amount of $10,000 for applicants under age 35.) The guaranteed issue feature reduces policy issuing costs and premiums.
Insures provides insurance up to a specific amount for each individual employee without evidence of insurability.
(See: guaranteed insurability rider.)
The maximum amount of insurance coverage available without submission and approval of medical evidence of insurability.
Federal law prohibits insurance companies from denying health coverage to small businesses (usually defined as 2 to 50 employees) on the basis of health status or other factors related to the use of health care.
A group insurance plan in which the insurer does not require individual persons to provide evidence of insurability to obtain coverage.
Automatic acceptance into an insurance plan, with no medical underwriting.
Minimum amount of benefit that will be provided without the need for evidence of insurability.
Guaranteed issue is the requirement that an insurer accept everyone that applies for coverage and guarantees the renewal of that coverage, regardless of health, income or age, as long as the premium is paid.
An insurance policy provision under which all eligible persons who apply for insurance coverage and who meet certain conditions are automatically issued an insurance policy.
The requirement that insurers accept all applicants regardless of their health status.
The Maine law protecting consumers who change health insurance plans. If a consumer has been covered under a prior health plan, or a government program like MaineCare (Medicaid), he/she cannot be denied coverage under a new health plan.
Requirement that health plans must allow for you to enroll regardless of what your health status, age, gender, or other factors that might predict your use of health services might be.
A consumer protection that gives people the right to buy Medicare supplemental insurance (Medigap). Because of this right, which is in effect during certain times, an insurance company cannot deny you insurance coverage or place conditions on a policy, must cover your pre-existing conditions, and cannot charge you more for a policy because of your health status.
Insurance coverage for which there is usually no individual underwriting. All eligible members of a particular group of proposed insureds who apply for the policy and who meet certain conditions are automatically issued a policy.
The requirement that all insurance companies accept all applicants regardless of health status. Under a guaranteed issue policy, your present and past physical condition is not considered part of the underwriting. You will not be required to go through physical examination. The insurance company cannot decline coverage to you, as an applicant of a guaranteed issue policy, based on your medical history.
Group insurance programs designed to offer affordable health coverage to a natural group, such as employees of an employer or members of an association and their families. The difference between this and other group insurances is that no proof of insurability is required. It is guaranteed that all participants will be issued. A single contract is provided for the entire group which outlines the standard benefits, terms and provisions that apply to all members of the group. These benefits, however, may be tempered by the age and size of the group. Individual certificates are usually issued to the members to verify that they are covered.
A requirement that health plans must permit you to enroll in the plan regardless of your health status, age, gender, or other factors that might predict your use of health services.
A term associated with applying for coverage with no evidence of insurability required up to certain limits (i.e., long-term care or supplemental life insurance benefits).
The requirement that an insurer or health plan accept everyone, regardless of health, income, or age, that applies for coverage and guarantees the renewal of that coverage as long as the premium is paid.
The insurance company guarantees the issuance of an insurance policy without providing Evidence of Insurability. Back to the top of the page
An insurance company or HMO will issue coverage to an applicant regardless of prior medical history. In California, small employers (defined as 3 to 50 employees) cannot be refused coverage for their employees regardless of the medical history of one or more employees.
A health insurance policy that must be issued regardless of any preexisting medical condition. The present and past physical condition of a health insurance applicant is not considered as a part of underwriting. No physical examination is required. The insurance company cannot decline coverage to an applicant of a guaranteed issue policy based on medical history.
Insurance that is placed in force without requiring any health or underwriting information about the Insured.