Health Insurance Case

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Health insurance is very important in life. It is for this reason that insurance companies have designed different types of insurance as a strategy to provide services to all categories of people. Before purchasing insurance for an organization, there are considerations that should be put in place in deciding the best insurance for the employees. One of the most important factors is the number of employees. The mode of employment also matters, such as whether employees are full time or part time.
Considering that the organization has 50 employees, it can be classified as a small business. The best criterion to use for purchasing insurance plan is the Small Business Health Option Program (SHOP). According to Kitces et al. (2013), small business …show more content…

In this case, the best insurance plan is the Preferred Provider Organization (PPO) plan. PPO plans are good because unlike other plans, no referral from a primary care physician is required in order to obtain any kind of benefits for any services one may need from an in-network specialist. One can be allowed to get services from a doctor of his/her own choice. However, charges for outside network doctors are slightly more than on network doctors. A special case arises when the illness is serious. One can be allowed to go to any nearest medical facility even when out of state and yet the higher out of network deductibles will not be charged. There are also considerations put in place for people who have some special kind of life styles such as smoking, drinking or even age. For those who smoke, it is conceived that they have high chances of getting illness and therefore there charges are slightly higher than the non-smokers. Another thing to note about this plan is that one will be required to pay for an annual deductible before the insurance provider begins to cover the medical bills. Some services may also require the employee to chop in some amount of about $10 to $30 to contribute a certain percentage of the overall medical bills (Roemer, M. I., & University of Michigan, …show more content…

It was set out to monitor the premiums that insurance companies offer and moderate them so that every citizen gets access to the services. There are exchanges that were established for people who cannot access health insurance from employers. In choosing insurance plans for employees, the employer must ensure that the employees can afford the premiums and also must ensure that the plan includes the most important medical services for the employer.
There are several advantages of purchasing health insurance for employees. The first one is that it helps an organization to recruit the best employees and retain them (Editors of Salem Press, 2014). There are several benefits that an employee gets when the company pays for medical bills. This makes the company more attractive to other potential employees and thus enabling the company to recruit the best and retain those already employed. When employees are offered insurance, they tend to be happier and more comfortable at work and therefore creating a good working

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