Examples: Coverage Impact

Georgia Health Insurance Reform Examples

 

The proposed legislation on Georgia Health Insurance Reform may seem complicated to many not steeped in the area of health insurance. Sometimes, simple straightforward examples are helpful to understand how legislation can affect individual lives.

 

1.     The 2012 Georgia Health insurance Reform equalizes fully insured small group (state laws) and large group coverage (federal laws) after job loss.      

 

Example:

Bill, a 30 year old CPA works for a large 250 employee regional accounting firm.  He was laid off recently and continued his health insurance for 18 months under federal COBRA continuation of coverage.  His neighbor George, age 48 lost his job with MES, a small Macon equipment sales company.  MES had only 19 employees and is downsizing to 15.  Because, federal COBRA laws only apply to groups of 20 employees or more, George is only eligible under Georgia state law for 3 months insurance.  The Georgia Health Insurance Reform will equalize continued coverage after job loss between these two neighbors.

 

2.     The proposed 2012 Georgia Health Insurance Reform will allow insurance companies to provide incentive rewards for increased personal responsibility and healthy behaviors.

 

Example:

Mary is a single 28 year old entrepreneur starting her own business.  She is a runner and a non-smoker who monitors her blood pressure, cholesterol levels, and body mass index (BMI).  She would like to buy a plan with a Health Savings Account (HSA), now that she is no longer on her parents plan. She doesn’t want to pay high premiums for the poor health habits of others.

 

Under the proposed 2012 Georgia Health Insurance Reform bill, insurers could share the savings generated from Mary’s healthy lifestyle by making direct deposits into an HSA account as a reward for lower healthcare costs.  Current Georgia law forbids such incentives.   

 

3.     The proposed 2012 Georgia Health Insurance Reform will allow coverage for tax dependent children through age 26.

 

John, is a student at the University of Georgia.  He is the first in his family to even go to college. He hopes to be ultimately get a Ph.D. in physics.  John’s is one of five children.  His family is covered by a group health plan. He has qualified for the Hope scholarship, but needs to work part-time at a local warehouse to pay for his own education. John takes as many classes as he can, but cannot always maintain a full-time student status every semester.  Under current law, John would be uninsured when his class hours drop him a credit below full-time student status.

 

The above represent three relatable examples of how the 2012 Georgia Health Insurance Reform will help lower the uninsured and insurance costs in Georgia.   There are many more that could be shown.   Please take the time to review this website: www.georgiahealthreform.com to better understand the beneficial impact on these free-maket health insurance reform recommendations.   Remember, state laws govern the market for individual and small group health insurance.  Georgia's laws need change to equalize the coverage options and lower cost opportuites that individuals in larger self-insured groups already have. You shouldn't have to work for a large company or a governmental entity to get the choices they offer their employees. 

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