Frequently Asked Questions
I am leaving my job and want to avoid any gap in health insurance coverage while I am looking for a new job. What are my options?
Typically, depending upon the size of your soon-to-be previous employer, you will be given the opportunity to continue on the employer’s plan for a certain length of time; however, you must pay the premium. You may also want to consider a short-term health insurance policy or purchasing an individual health insurance policy, depending upon both your current health and financial status.
My baby is due in three months; will it automatically be covered under my health insurance policy?
Your child will be covered under your insurance policy for thirty days only. You must notify the insurance company, in writing, within thirty days of your child’s birth, to add them as a dependent on your insurance policy.
Professional Liability Insurance
How do I report an incident?
During normal business hours, you may contact your insurance agent. If it is after business hours, your agent’s answering service should provide an 800 number so that you can contact the insurance company directly.
What is EPLI coverage?
Employment Practices Liability Indemnity coverage. This goes beyond defense coverage to include payment for settlements or judgments up to the limit of liability and subject to policy terms, conditions, and exclusions. The employer becomes obligated to pay for claims arising from a wrongful employment practice, sexual harassment, wrongful discharge, and discrimination.
What is the difference between a claims-made policy and an occurrence policy?
“Occurrence” provides for an injury or damage which takes place during the policy period, regardless of when the claim is reported. Under “claims made”, coverage is provided for claims made and reported to the insurance company while the policy remains in force.
Group Life & Disability
I have group life and disability insurance through my association plan. Will my coverage automatically increase when I get a raise next year?
You must request, in writing, to increase your benefit, within thirty days of being notified of a change in salary, to qualify for guaranteed issue.
I have heard that I can exclude myself from Workers’ Compensation; is this true?
Corporate officers are automatically included unless they elect to be excluded. Sole Proprietors, Partners, and Members of LLC’s are automatically excluded unless they elect to be included.
If you elect to be excluded, some health insurance policies will not cover a work-related injury. Contact your agent or carrier to determine how you are affected.
Section 125 Plans
What is a Section 125 plan and what types of expenses are covered under it?
A Section 125 plan provides the option for employees to select certain benefits normally paid on an after-tax basis and, through salary reduction, pay for these benefits on a pre-tax basis. For a full listing of covered expenses, please click here.
Are individual dental insurance plans available? Is there a waiting period before my benefits begin?
Yes, individual plans are available. Typically, your exam and cleaning will be covered once your policy is in force; for most other procedures, there is a waiting period.
What is Direct Reimbursement?
Direct Reimbursement is an innovative method of self-funding whereby the plan reimburses employees for any expenses incurred, or a specified portion thereof, during a plan year. Benefits are expressed in maximum dollar limits per year or a percentage thereof.
DR plans are self-funded. That means that no insurance company is involved in the design, marketing, or administration of a DR plan. DR plans are stated in dollar maximums and percentages of the maximum per year. They differ from a traditional plan in that there is no list of covered and non-covered services. All treatments are covered depending on the amount of funds that remain in the employee’s dollar yearly limit.
Asset Management for Professionals
Who and what is Asset Management for Professionals?
Asset Management for Professionals is a Wisconsin-based Registered Investment Advisor (RIA) utilizing research and academic principles to produce stable and consistent investment performance with a focus on reducing risk. Their philosophy relies on a long-term commitment to a selected asset allocation policy with an investment horizon of at least five years.
Not what you’re looking for? Call us today and a member of our staff would be happy to answer your question.