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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 your medical plan current can help your employment
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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