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Individual Health Insurance

Affordable Health Insurance For College Students – Your One Stop Guide to Health Insurance Options

February 21, 2012 By Mike Sheeran

health insurance for college students

Are you a college student and need health insurance or are looking at all of your options for coverage while in college?

If so, I put together resource links for you so that you can get the best possible coverage for the lowest possible price.

 

Health Insurance for College Students

 

 

Health Insurance for College Students Option 1: Dependent to 26 Coverage

What is it?

The dependent to 26 law was enacted in March of 2010 and allows all children to stay on their parents health insurance plan up until the age of 26.

How much does it cost?

If you your parents already are paying for a parent/child or family health insurance contract, there will be no change in premium for them. If they are single or two adults now and need to add you, then they will pay an increase in premium.

Benefits

It is seamless health insurance coverage for college students and many times the parents do not have to pay an increased health insurance premium.

Additional Resources

United States Department of Labor

New Jersey Department of Banking and Insurance

 

Health Insurance for College Students Option 2: Dependent to 31 Coverage – DU 31

What is it?

Dependent to 31 coverage permits young adults to continue being covered by health insurance up until age 31. These benefits can kick in after the adult ages out of the Dependent to 26 plan. There are some eligibility restrictions so check out the resource pages below for all of the information.

 

How much does it cost?

This health insurance for college students is priced at a reduced rate compared the group plan. In many cases, you will pay about 30% less that what a single employee would pay on the group. You will be billed directly to your home and while you are still technically part of your parent’s group plan, you don’t show up on their statement.

Benefits

You can stay on the plan until age 31 and get a 30% discount on the insurance.

Additional Resources

New Jersey DOBI Coverage for Young Adults up to Age 31

 

Health Insurance for College Students Option 3: COBRA and NJ Continuation of Health Insurance Coverage

What is it?

For college students needing health insurance coverage that have exhausted options one and two, you still have the option of continuation of coverage through state and government programs. In most cases, you can continue your health insurance plan for an additiotional 18 months and sometimes up to 36 months.

How much does it cost?

The premium will be dependent upon the single rate of whatever your previous health insurance cost before plus and additional 2%.

Benefits

You can keep your same policy for an additional period of time without making any changes.

 

Additional Resources

US Department of Labor – COBRA

New Jersey Continuation

Everything you Ever Wanted to Know about NJ Continuation Coverage

 

 

Health Insurance for College Students Option 4: Individual Health Insurance Coverage

What is it?

Individual coverage is offered through the state and there are approximately 8 plans available each from most carriers. The plans between the carriers are very similar and are offered on a guaranteed issue basis.

How much does it cost?

These are priced based on your age, sex location and can vary from las low as $200-$250 per month up to $600 per month based on the plan.

Benefits

These policies are guaranteed issue so you can purchase them regardless of your medical condition.

Additional Resources

 Guide to Individual Health Insurance

New Jersey Individual Health Insurance Program Buyers Guide

 

Health Insurance for College Students Option 5: Insurance Through Your College

What is it?

Many colleges will have deals worked out through major insurance carriers to offer to their students. Each college will offer a different type of plan with varying benefits. Sometimes these plans are full insurance plans and other times they may offer limited benefits.

How much does it cost?

Prices will vary from plan to plan so check with your college.

Benefits

These polices are easy to obtain since they are through the school and may possibly be the least expensive premium option.

 

Additional Resources

Guide to Individual Health Insurance

New Jersey Individual Health Insurance Program Buyers Guide

 

 

Additional Resources

Healthcare.gov – Grads and Other Young Adults

Health Insurance Resources for Uninsured New Jersey Residents

 

 

Summary

College students have many options for getting or keeping health insurance while away at school and even when they return. Please examine each option carefully and compare the prices to the benefits being offered.

Filed Under: Individual Health Insurance Tagged With: affordable college student health insurance, Affordable student health insurance

Top Eight Resources for Uninsured New Jersey Residents to Get Health Insurance

July 10, 2011 By Mike Sheeran

NJ Health InsuranceI haven’t seen the latest numbers but previously there were over 1,000,000 New Jersey residents without health insurance coverage. While health insurance in New Jersey certainly isn’t cheap, there are many options for people to obtain quality insurance if they are willing to look and explore all their options. Some plans can be free or very inexpensive depending on your income level.

Before I provide the list, there are few things to keep in mind:

  • All New Jersey coverage is guaranteed issue. – there may or not be a pre-existing conditions clause though. There is a possibility that a carrier will not pay claims for any pre-existing condition for up to the first year. Please refer to your specific program for details.
  • Smokers and non-smokers pay the same rates.
  • New Jersey plans can only base your price on your age, your sex and your location. North Jersey will pay higher rates than Southern. Men pay less than women and older individuals will pay more than younger folks.

 

That being said, here is the list.

Top Eight Resources for Uninsured New Jersey Residents to Get Health Insurance

  1. Employer based coverage- If you are working at least 25 hours at your current job, ask HR or your boss if coverage is available. Employers must pay 10% of the premium at a minimum so these prices may be less than other plans.
  2. COBRA and New Jersey Continuation – if you had previous employer based coverage through a small or large business, you may still be eligible to enroll in New Jersey Continuation coverage or COBRA.
  3. Dependent to 31 Coverage– http://www.state.nj.us/dobi/division_consumers/du31.html -DU31, P.L. 2005, c. 375, permits young adults to continue coverage or become covered under a parent’s group health plan as an over-age dependent until the young adult’s 31st birthday.A young adult may use the DU31 election right to:continue coverage under a parent’s group health benefits plan, when the young adult is “aging-out” of that parent’s coverage; orbecome covered under a parent’s group health benefits plan, so long as the young adult has had coverage at some time in the past.
  4. New Jersey Family Care http://www.njfamilycare.org/ – NJ FamilyCare is a federal and state funded health insurance program created to help New Jersey’s uninsured children and certain low-income parents and guardians to have affordable health coverage. It is not a welfare program. NJ FamilyCare is for families who do not have available or affordable employer insurance, and cannot afford to pay the high cost of private health insurance.
  5. Medicaid http://www.state.nj.us/humanservices/dmahs/clients/medicaid/ Medicaid provides health insurance to parents/caretakers and dependant children, pregnant women, and people who are aged, blind or disabled. These programs pay for hospital services, doctor visits, prescriptions, nursing home care and other healthcare needs, depending on what program a person is eligible for.
  6. New Jersey Individual Health Insurance Program http://www.state.nj.us/dobi/division_insurance/ihcseh/ihcmain.htm  The Individual Health coverage program was created to ensure that people without access to employer or government sponsored health care programs could purchase health coverage for themselves and their families from a variety of private carriers. Individuals, regardless of their age or health status, are guaranteed renewable coverage under standard individual health benefits plans designed by the individual health coverage program board as well as under the “Basic and Essential” plans (B&E) sold by carriers.
  7. New Jersey Protect/NJ Protect – http://www.state.nj.us/dobi/division_insurance/njprotect/index.htmNJ Protect is a new health insurance option for uninsured New Jerseyans with pre-existing medical conditions. Coverage through NJ Protect will generally cost less than comparable individual health insurance and offer superior benefits. Because the program is federally subsidized, treatment for pre-existing medical conditions will be covered as of the day a policy goes into effect, and preventive care will be covered at no out-of-pocket cost to the policyholders.   NJ protect can be purchased through Horizon Blue Cross Blue Shield NJ  or Amerihealth.
  8. NJ Health Link – Services for uninsured or under-insured people. This site has an expansive list of other state/government subsidized programs and other options for obtaining health insurance or health care.

 

Final notes: Many of these programs are handled directly through the state or insurance carrier. If you need assistance with options 1, 2, 3 or 6 I can help you directly. Please contact me for any details or if you have other resources you think may be a good addition.

If you would like a quote on individual coverage, please contact me here.

 

Filed Under: Individual Health Insurance Tagged With: affordable health insurance, Individual Health Insurance, new jersey health insurance

Everything You Ever Wanted to Know About N.J. Continuation Coverage

July 6, 2011 By Mike Sheeran

If you have recently lost your health insurance coverage because you were laid-off or have quit, you have the option to continue your coverage via NJ Continuation or COBRA.

If the company you worked for had less than 20 employees for more than 50% of year in the previous calendar year, than you are eligible for NJ Continuation rather than COBRA.

 

Qualifying for NJ Continuation – a list of qualifying events

  • You must be terminated for a reason “other than for cause”
  • Your hours have been reduced to less than 25 per week, making you part-time.
  • Death of the employee – dependents may continue
  • Dependent child ages off plan – older than 26

 

Who is eligible to continue coverage?

Typically, anyone who was covered by the plan prior to the loss of coverage including all dependents.

 

How long may you continue your coverage?

  • Normal Termination: Up to 18 months
  • For death of primary card holder : Dependents may continue up to 36 months.
  • Divorce: Spouses that lose coverage through a divorce may continue up to 36 months.
  • Disability: Employees deemed disabled under the Social Security Act may continue up to 29 months.

 

Cost

Employees are responsible for 100% of the premium and employers may charge an additional 2% administrative fee. For disabled employees, employers may charge up to 150% of the premium.

When enrolling, the employee has up to 30 days to make first premium payment after notifying the employer they would like to continue the coverage.

 

When does the coverage end?

There are a few ways the coverage can end.

  1. Employer terminates all the health plans offered.
  2. Continuing subscriber requests termination
  3. Subscriber fails to make timely premium payment
  4. Subscriber exhausts the time allotted to continue(18,29 or 36 mos)

 

Notes For Employers

  • Employers must notify employees of their right to continue coverage but not required to notify dependents.
  • The employer cannot require the first premium payment be made immediately. Employee has up to 30 days to make first payment.

Notes for Employees

  • You must notify your prior employer you would like to continue coverage within 30 days of receiving your continuation paperwork.
  • You must make your first premium payment within 30 days of notifying that you will be continuing coverage.
  • Each month you must make a timely payment and not exceed your 30 day grace period payment window.
  • Premium payments should be made directly the employer and not to the carrier.

Additional Resources

If you have any questions regarding NJ Continuation please contact me directly and I will do my best to assist you.

Additional information from the State DOBI can be found here.

Filed Under: Individual Health Insurance Tagged With: COBRA, Glenn Insurance, Group Health Insurance, New Jersey Continuation

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