How to Change Health Insurance Plans

Health Insurance Plans – If your current health insurance plan isn’t providing you with the services you need at a cost you can afford, it may be time to explore other options. The key is to do enough research so that you know what you’re buying and what a policy covers. Unless you’re changing health … Continue reading “How to Change Health Insurance Plans”

Health Insurance Plans – If your current health insurance plan isn’t providing you with the services you need at a cost you can afford, it may be time to explore other options. The key is to do enough research so that you know what you’re buying and what a policy covers. Unless you’re changing health insurance plans due to a qualifying life event, you must make changes during a plan’s open enrollment season.


Health plans vary in cost and the coverage they offer; therefore, it can benefit you to shop insurers. Keep in mind that buying the cheapest plan might not save you money. Besides getting less coverage, you could end up paying more out of pocket in deductibles and co-pays. Although you may be looking for lower premiums, choose a plan that will give you adequate coverage. It helps to ask plenty of questions and read the fine print on a policy before changing to another plan.

Choosing a Different Medicare Plan

If you are age 65 or older, you can make changes to the type of coverage you select during Medicare open enrollment period each year. If you want to change from traditional Medicare to a Medicare private plan, it’s important to compare costs, coverage and provider networks. Insurance agents can give you information to help you decide which plan is best for you. Consider a plan’s out-of-pocket maximum so you know what a plan will cost you should you need comprehensive health services in the future. Also, joining a Medicare Advantage plan could mean paying for medical expenses on your own if you receive care from a doctor or hospital out of network.

If you don’t have health insurance coverage through an employerand aren’t eligible for a government-funded health plan, such as Medicaid, you can buy a private insurance plan on the Health Insurance Marketplace. The Affordable Care Act, commonly referred to as Obamacare, mandates that most people obtain private health insurance. Many low- and middle-income Americans qualify for subsidies, and for those who do, health insurance likely will cost between 3 and 9.5 percent of their income. Under Obamacare, a health insurer will base your premium on your family size, where you live, your age and whether you smoke, and not on your gender or a pre-existing medical condition.

Insurance Handbook For The Medical Office

A complete guide to insurance billing and coding, Insurance Handbook for the Medical Office, 13th Edition covers all the plans that are most commonly encountered in clinics and physicians’ offices. Its emphasis on the role of the medical insurance specialist includes areas such as diagnostic coding, procedural coding, Medicare, HIPAA, and bill collection strategies.


Learning to fill in the claim form accurately is made easier by the use of icons for different types of payers, lists of key abbreviations, and numerous practice exercises. This edition provides the latest on hot topics such as ICD-10, healthcare reform, the new CMS-1500 form, and electronic claims.

Insurance Handbook For The Medical Office

  • Emphasis on the business of running a medical office highlights the importance of the medical insurance specialist in filing clean claims, solving problems, and collecting overdue payments.
  • Key terms and key abbreviations are defined and emphasized, reinforcing your understanding of new concepts and terminology.
  • Detailed tables, boxes, and illustrations call out key points and main ideas.
  • Unique! Color-coded icons clarify information, rules, and regulations for different payers.
  • An Evolve companion website enhances learning with performance checklists, self-assessment quizzes, and the Student Software Challenge featuring cases for different payer types and an interactive CMS-1500 form to fill in.
  • A workbook contains learning tips, practice exercises for key terms and abbreviations, review questions, study outlines, performance objectives, a chapter with practice tests, and critical thinking activities for hands-on experience with real-world cases. Available separately.
  • Updated coverage of key health insurance topics includes HIPAA compliance, the HITECH Act, health reform of 2010, electronic health records, electronic claims, ICD-10, NUCC standards, Physician Quality Reporting System (PQRS) Incentive Program, Meaningful Use, and CPT 2013.
  • Updated ICD-10 coding information prepares you for the October 2014 ICD-10 implementation date.
  • Updated content on claim forms includes block-by-block explanations and examples for the new CMS-1500 Claim Form.
  • Updated guidelines for the filing and submission of electronic claims include sample screenshots and prepare you for the future of the medical office.

Insurance Intermediaries Qualifying Examination

The Insurance Intermediaries Quality Assurance Scheme has been implemented since 1 January 2000. All insurance intermediaries, their responsible officers/ chief executives and technical representatives are required, unless exempted, to pass the Insurance Intermediaries Qualifying Examination under the Scheme. The Vocational Training Council (VTC) has been appointed by the Office of the Commissioner of Insurance as the examination body to implement the Examination.  This is administered by an independent unit within the VTC, the PEAK Examination Centre.


The Office of the Commissioner of Insurance has introduced the Insurance Intermediaries Quality Assurance Scheme (“IIQAS”). Under the IIQAS, insurance intermediaries are required to pass the Insurance Intermediaries Qualifying Examination (“IIQE”) as one of the requirements for entry to the profession, and to attend continuing professional development programmes thereafter.

Insurance Intermediaries Qualifying Examination

Principles and Practice of Insurance (P&P Paper – also known as Paper 1) is the compulsory examination paper for all insurance intermediaries. The exam lasts 2 hours and has 75 questions. The passing mark of the exam is 70%, i.e. one will need to get 53 questions right out of the 75 questions. Subject to exemptions, no matter your business is general insurance and/or long term insurance, you will need to take the P&P Paper.

General Insurance Paper (also known as Paper 2) is required if you are engaged in non-life insurance (motor insurance, property insurance, liability insurance, medical insurance, travel insurance, etc.). The exam lasts 1 hour and 15 minutes and has 50 questions. The passing mark of the exam is 70%, i.e. one will need to get 35 questions right out of the 50 questions.

Long Term Insurance Paper (also known as Paper 3) is required if you are engaged in long term insurance or life insurance (linked and non-linked with investment). The exam lasts 1 hour and 15 minutes and has 50 questions. The passing mark of the exam is 70%, i.e. one will need to get 35 questions right out of the 50 questions.

Investment-linked Long Term Insurance Paper (also known as Paper 5) is required if you are engaged in long term insurance or life insurance that is linked to investments. The exam lasts 2 hours and has 75 questions. The passing mark of the exam is 70%, i.e. one will need to get 53 questions right out of the 75 questions. Most insurance intermediaries in Hong Kong are engaged in Long Term Insurance and normally will at least take Papers 1, 3 & 5.

B T A Insurance Company SE

BTA Insurance Company SE is international, dynamic and professional company of experience stretching over more than 20 years, a company that provides its customers, individuals and companies, the broadest range of non-life risk insurance services. The company successfully operates in Europe and the Baltic States and ranks among the largest Central European insurers according to data of Deloitte auditors. The financial stability and safety of each customer is the topmost priority of BTA Insurance Company SE.

b-t-a-insurance-company-seBTA Baltic Insurance Company AAS was established in 2014 as a result of reorganization of BTA Insurance Company SE, by splitting the company according to the geographic boundaries of business:  the Baltic States and the rest of Europe. On 10 June 2015, BTA Baltic Insurance Company AAS obtained licences from the Financial and Capital Market Commission (FCMC) for provision of all types of non-life insurance services. On 24 August 2016, Vienna Insurance Group AG, a leading insurer in Europe, became the biggest shareholder of the company by obtaining  90 % of the company’s shares. 10 % of the company’s shares belong to BTA Insurance Company SE.

Insurance Company

The Vienna Insurance Group AG (VIG) is a leading insurance group in Austria, as well as Central and Eastern Europe.  Around 50 insurance companies in 25 countries constitute the group that possesses a solid brand, 190 year long experience in insurance and strong customer relationships. VIG employs approximately 23,000 people and is a clear leader in its core markets.  VIG maintains the best rating of all companies in the ATX, the leading index of the Vienna Stock Exchange, with a secondary listing on the Prague Stock Exchange.

The internationally recognised rating agency Standard & Poor’s once again confirmed the A+ rating with stable outlook for Vienna Insurance Group AG on 14 July 2016 and published the new rating report on 29 July 2016. Such reviews of B T A Insurance Company SE. Hopefully by reading this article could add your insights.

How to Get Health Insurance When Laid Off

Health Insurance – Insurance companies in the United States offer different kinds of coverage all with different kinds of clauses. A health insurance policy provides coverage for your medical expenses, especially during serious illnesses or hospitalization. You need this coverage as medical expenses for all varieties of treatments are soaring worldwide. While on job you are usually insured by your employer. However, what happens if you are laid off? Are you still entitled to receive the health benefits or do you have to get a new policy? Here are some tips that will help shed light on the situation.


Inquire about the COBRA (Consolidated Omnibus Budget Reconciliation Act), which allows the previous employer to continue the health coverage of a laid off employee. This law also provides coverage to the dependents of a laid off employee. Find out if your company qualifies for COBRA. Usually, a company needs to have an employee size of 18 or more in order to extend the COBRA benefits to its laid off employees.

Health Insurance

Inform your company or previous employer that you would like to take advantage of COBRA and want to continue with the health insurance coverage offered by them. You will have to complete the necessary forms and may still have to pay separately every month in order to stay covered. Visit the local unemployment office to learn more about COBRA and the extent of health benefits you are able to receive during the period of unemployment.

Learn more about the extent of the coverage. It is possible to get an extended coverage up to 18 months from the date of being laid off. Under the provisions of COBRA, one can remain unemployed or join another company while continuing to be part of the group insurance policy of the company from which they were laid off. Call your nearest insurance agent and inquire about getting a policy in if you are laid off and your employer does not qualify under COBRA .

How to Sue a Health Insurance Company

Determine the state laws regarding liability and health insurance. Each state has a department of insurance. This agency’s job is to regulate insurance companies and ensure operations with sound legal processes. Some states will have a division within the agency dedicated to the needs of health insurers and beneficiaries. Others will have guidelines that apply generally to all insurance entities.

how-to-sue-a-health-insurance-companyFollow appeals guidelines for the health insurance company. This is particularly important with health insurers as beneficiaries with chronic conditions often make several trips to various healthcare providers for their care. Timelines for appeals processes are often connected to each procedure/health provider visit. If a beneficiary fails to follow written procedures related to appeals and/or complaints, health insurance companies have precedence to prove noncompliance by the beneficiary.

Health Insurance Company

Understand the coverage guidelines of the insurance company. Coverage for an emergency room visit, for example, often only applies to specific life-threatening conditions outlined by the insurance company. The beneficiary may feel gallbladder pain warranted an emergency room visit, while the insurance may state in its guidelines that it doesn’t. Terms such as “elective surgery” and “totally disabled” should be clearly understood by the beneficiary before electing to sue an insurance company for failure to cover a specific procedure.

Consider arbitration. It is important to weigh the costs of suing an insurance company against the immediate needs of the consumer. Don’t let emotions win over common sense. Make sure that a violation has occurred and, if so, that it warrants the time and effort the consumer will dedicate to a lawsuit. Arbitration is a good tool to maintain a working relationship between two parties after a breakdown in communication.

Document every step of the process. Health insurance claims often lead to litigation. It is a rule of thumb for any beneficiary to file all documentation received from the health insurance company and any healthcare providers. Write the first and last name of every employee at an insurance company when a conversation occurs and the date and times of each conversation, as well as the resolution of the conversation. Being proactive will mean a shorter trial if and when a suit occurs.

About AFLAC Disability Insurance Benefits

Insurance Benefits – American Family Life Assurance Company, or AFLAC, provides supplemental insurance policies to individuals and groups. The company offers several types of policies. These include a general short-term disability plan that replaces a portion of your salary while you are out on disability due to injury or illness as well as a cancer indemnity plan that provides cash benefits to assist with out-of-pocket expenses during cancer treatments. Unlike health insurance, which pays major medical expense benefits directly to the healthcare provider, AFLAC’s disability policies offer cash benefits paid directly to the policy holder to assist with daily living expenses.


American Family Life Assurance Company insurance premiums can only be paid through employer payroll deductions, so you must work for a company that partners with AFLAC to apply for a supplemental insurance policy. Each policy is customized based on individual needs, and the premium cost varies based on the age and income of the policyholder along with the type of policy and benefit period selected. An insurance quote can be obtained by contacting an AFLAC agent, by submitting a request online at, or by calling 1-800-99-AFLAC.

Short Term Disability Insurance FAQ

You can purchase a short-term disability insurance policy to provide coverage when you get hurt and are unable to work. This insurance acts as a subsidy for income until you’re capable of returning to work. A standard short-term disability policy provides coverage up to a maximum of 26 weeks. When you purchase a short-term disability policy there are various factors to consider.

Most short-term disability polices come with a waiting period before you receive policy benefits. The length of the waiting period can vary by insurer and type of policy. A typical waiting period is 30 to 90 days. It’s important to have savings in place to pay expenses during the waiting period.

How Does Car Insurance Work in an Accident

Car insurance is the one aspect of an auto accident that consumers generally don’t understand. From deductibles to the written contract, consumers normally get confused on how car insurance applies to an actual wreck. As a result, several myths exist about it. However, experts in the industry understand that how car insurance works after an auto accident is to restore an individual back to pre-accident state.


Car insurance restores an individual back to a pre-accident state after an auto accident through the claims process. It usually begins with a call to the car insurance company. After a car insurance representative collects the initial data about an auto accident, a claim number is assigned and a claim set up. This claim is a record of the actual auto accident that is linked to a specific auto policy. From here, the claim is assigned to a claims adjuster who will process the claim through a series of tasks.

Car Insurance Accident

The claims adjuster will verify accident details, review coverage, review determination of fault and pay out. Claims adjusters complete these tasks through phone or face-to-face interviews, police reports, scene investigations and policy reviews. After these tasks are complete, if a claims adjuster deems that coverage exists and a claim payment is in order, he will pay out based on policy limits, deductibles and damages.

Payment from a car insurance company is not for gain. As a result, if the rear bumper of a car is damaged in an auto accident, the car insurance company will only pay for the rear bumper. And, this payment is based on a professional appraisal and less any deductible that applies. For example, if the approved repairs cost $600.00 and the deductible is $200.00, the car insurance will issue a check for $400.00 to the customer or body shop. After the payment is issued, the claim is closed. When a car insurance company closes a claim, it still stays in their records, but all activity stops on it.

How to Build a Successful Insurance Business

Insurance Business – Starting an insurance business is hard work, and building a successful insurance business is an ongoing battle. Any good service company starts with existing customers, but in order to create a successful insurance business you need to be able to reach out to new customers as well. It also helps to have a diversified product offering and to represent more than just one company.


Create a mailer to send out each month to your existing customer base that offers some sort of incentive for your existing customers to refer new customers to you. Gifts such as restaurant gift certificates or theater tickets work well. Only give an incentive if the referred prospect becomes a paying customer.

Starting Insurance Business

Become involved in local community events and begin networking with people from the area by introducing yourself and your company whenever you can. Always carry business cards wherever you go. Offer free informational seminars to local businesses and private individuals to answer insurance-related questions and offer advice. Also offer to do presentations to local businesses at no charge to help introduce your service to companies and their employees. Be sure to leave plenty of contact literature behind in case people want to call with follow-up questions.

Begin networking with local businesses that complement your insurance business. Ask local car dealerships to mention you and your company to people who have just purchased a car and might need insurance. Begin networking with local business owners to introduce your line of commercial insurance and employee health insurance.

Contact your existing customer base with new ideas and products that will help to enhance the insurance they already have. People are constantly trying to save money for the future and make sure that their personal finances are in line. By staying in touch with your customers, you give them the feeling that you are the person who has the answers for a secure financial future.

How to Start an Allstate Insurance Agency

Allstate Insurance agents sell a variety of products, including insurance policies, mutual funds and annuities. According to the Bureau of Labor Statistics, the job forecast for insurance agents is expected to experience steady growth through 2016. But to start an Allstate Insurance Agency, you must apply to their education program, and pass a rigorous training and background check. Here’s a guide to starting an Allstate Insurance Agency.


Start a new agency. This will require attending the Allstate Education program, lasting about six weeks. In this program, you will get classroom, agency and sales education. Become an exclusive Allstate Agent Independent Contractor. Successful competition of the education component will qualify you to become an Allstate agency owner. You’ll be running your own business, with the support of Allstate. Have the required capital for start-up. You may be required to have between $25,000-$50,000 in the bank before Allstate will allow you to open an agency. This is because they want to ensure you have living costs while building your business.

Insurance Agency

Sign the necessary paperwork for extensive background checks, including information about criminal history and financial issues. If you don’t pass these checks, Allstate won’t grant you a contract to start a business. Ask about compensation while training. Those enrolled in Allstate’s training program may receive a modest compensation, until graduating. Once graduated, they work on commission only.

Consider purchasing an existing Allstate Agency. To find a business for sale in your area, visit Allstate’s sales page (see Resources), and use the drop down menu to select your state. This will give you results for all agencies for sale and the owner’s email address. Send an email to the owner and set up a time to discuss the business. Be prepared for tough competition. Just because you apply to Allstate’s program, doesn’t mean you’ll be accepted. On average, just one out of six applicants is accepted to become agents.