| These are some of the follow up questions that | | | | expertise to do so. For this reason, many group |
| people have regarding health insurance for the | | | | insurance purchasers do not deal directly with |
| average consumer, it is easy to become baffled | | | | insurance company underwriters or group |
| by the process; but, learning about the process, | | | | insurance representatives, preferring instead to |
| educating yourself, gives you much more | | | | deal with an intermediary. |
| purchasing power. | | | | Smaller employers need a qualified professional to |
| 1. What is an HMO? | | | | act as intermediary because they lack the |
| A health maintenance organization HMO is an | | | | resources and expertise to handle their group |
| organization that provides comprehensive health | | | | insurance needs. An intermediary can help them |
| care to a voluntarily enrolled population at a | | | | define their needs and objectives, design a plan to |
| predetermined price. Members pay fixed, periodic | | | | meet those criteria, select the proper purchasing |
| fees directly to the HMO and in return receive | | | | and funding vehicle, obtain competitive quotes |
| health care services as often as needed. | | | | from insurers and service the plan. |
| 2. What is a PPO? | | | | 4. What is a risk? |
| A preferred provider organization PPO is an | | | | The risk an insurance company assumes when it |
| association that contracts with a group of | | | | agrees to cover a particular group is the possibility |
| doctors, dentists, hospitals or other health care | | | | that claims will exceed the expected level. It is |
| service providers to provide care at prearranged | | | | the chance of financial loss inherent in the group. |
| rates or discounts. | | | | Insurance companies use it to determine whether |
| 3. Can an employer work directly with an | | | | they will underwrite an insurance policy on a |
| insurance company? | | | | particular group. |
| It is possible for an employer to deal directly with | | | | The spread of risk is necessary not only because |
| an insurer through a group sales representative to | | | | of the expected variations in a populations health |
| purchase group insurance. Premium rates and | | | | but also because some policy holders particularly |
| underwriting practices vary considerably from one | | | | very small groups purchase group insurance to |
| insurer to another, however. In addition, the | | | | cover certain individuals with known health |
| coverage provided is rarely identical. This means | | | | problems. This is a more costly way to obtain |
| that comparison shopping is often beyond the | | | | coverage for those high risk individuals, but often |
| capability of all but the most sophisticated | | | | the only way possible, given the evidence of |
| purchases, for example, the very large company | | | | insurability requirement for individual policies. |
| that has sufficient internal employee benefits | | | | |