Author Archive: The Benefits Consultant

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How A Claim is Defined

A discussion of how a claim is defined by benefit category – Life Insurance, Accidental Death and Dismemberment Insurance, Critical Illness, Short Term Disability, Long Term Disability, Health and Dental – who it applies to, and general commentary surrounding market prevalence

Underwriting: Refund-Accounting

A group that uses the refund accounting underwriting arrangement to fund it’s plan is essentially prospectively rated however choosing to share in the financial results of the program through an annual accounting of surplus/deficit completed by the insurer.

Group Health Insurance – Deductibles, Coinsurance and Out-of-Pocket Maximums

A tutorial highlighting the coinsurance, deductibles and out-of-pocket maximums that are used within Group Health Insurance plans as strategic levers in limiting utilization and sharing program costs with employees.

How To Calculate Monthly Life Insurance Premium

Life insurance is expressed as a rate per $1,000 of insurance.  To calculate Life Insurance premium you take the benefit volume per $1,000 of coverage multiplied by the monthly rate.  For example, to calculate the monthly premium based on a 2x annual earnings (assume $40,000) schedule and a rate of $0.12 per $1,000 of coverage […]

Group Life Insurance

A tutorial highlighting the types of group life Insurance, rate determination, and insurance provisions applicable to each. Includes basic life, optional life, dependent life, paid-up life and retiree life.

Long Term Disability Insurance

A tutorial covering long term disability benefits including provisions such as qualifying period, definition of disability, recurrent disability, offsets, maximums, subrogation, COLA, conversion and taxability.