Overview: Health care insurance provides protection against the risk of medical expenses and generally provides coverage for doctor visits, hospital stays, medicines and other medical expenses defined in the contract. Issuers of group health insurance can assess the risk associated with an employer's group and develop a financial arrangement typically in the form of a monthly insurance premium.
A health insurance policy or contract is a written document that defines the type and amount of health care services covered, and, if both parties agree, are renewable on a periodic basis, usually annually. In employer group health plans, employees usually share the cost of their health plan with their employer by paying their share of premium contributions and by paying deductibles, co-payments and co-insurance.
Tracy Morley, SPHR, Legal Editor
The requirements of the Affordable Care Act (ACA) go into effect over several years. The following is a summary of major provisions of health reform that are already in effect as well as those that will become effective over the next several years.
Final regulations on the Affordable Care Act's 90-day waiting period limitation, which clarify the one-month maximum length of orientation periods preceding the waiting period.
These FAQs help explain how the Affordable Care Act determines full-time employee status. An employer can use this information to determine whether it must offer health benefits or else pay a penalty, and to whom health benefits must be offered.
These FAQs provide answers to some of the most commonly asked questions about the Affordable Care Act's pre-existing condition exclusion and 90-day waiting period limitations.
HR guidance on the importance of understanding health care insurance.