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Convert from Group to Individual
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· To avoid break in cover & possible
penalties, convert from group plan to a private one
· Employers benefit too plus conversion premium rates are usually
better than individual ones
· Convert prior to expiry of existing cover & have Broker negotiate
new plan at No Worst Terms
· Keeping employee's medical plan current can help their chances
with new employers
All International Medical Insurance and HealthCare Plan companies
offer or will consider offering conversion of a group plan member's
cover to an individual or family plan upon his/her termination from
a group. Many employers ask their Brokers to pre-negotiate with their
existing plan company a convenient and effective way for employees
to convert to private coverage once leaving employment. Employers
use this conversion option as an employee benefit that leaving employees
appreciate and often exercise. This rewards employees with continuity
of their medical protection after leaving the employer without penalty.
In doing so the employee may avoid need to reapply for a plan independently
which often results in additional restrictions attached to their new
plan benefits, especially related to "pre-existing conditions".
Conversion is normally applied for within the month prior to leaving
the group. Of-course once accepted, the individual must arrange his/her
premium payment for their converted plan. Usually individual premium
is higher than as a group member. However, some plan companies will
either continue at existing group premium charged or even lower it.
They do this to keep the business with their plan company rather than
lose it to another. Because of the typical occupational profile of
such employees, plan companies estimate they will again be on the
job with another employer relatively soon. If so, already their medical
plan in place without need to join a new and different employer group
scheme. Employers normally appreciate this pre-arrangement as it lessens
their in-processing work. This is especially true for new Independent
Contractors or Temporary Employees hired for a specific project or
limited period of time.
Conversion is always strongly recommended so long as the resultant
coverage does not include new unfavorable terms, conditions or penalties
not existing in the group coverage. This is called "No Worst Terms".
Conversion terms should be in a written provision within the new plan
document and is called a takeover provision. If one prefers to take
up a private plan with a different plan company than the group's,
then a "takeover provision" should be pre-negotiated prior to actual
subscription. Your Broker will assist on this very important aspect.
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OMNI
Group -
Centralized Liaison Office
5th Flr. Salustiana D. Ty Tower, 104 Paseo De Roxas,
Legaspi Village, Makati, Philippines 1262
Tel: (632) 810-0487 Fax: (632) 810-0761 |
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OMNI
Capital (Far East), Limited
4/Floor
Galuxe Building
8-10 On Lan St., Central Hong Kong
Tel: (852) 2523-2167 Fax: (852) 2810-1957 |
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OMNI is an active member of: American Chamber, Canadian Chamber, European
Chamber, Australian-New Zealand
Chamber, Lighthouse Club, Le Club, British Business Association.
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