I ran into a 2 person husband and wife group that are each currently covered as employee only. They have extended their renewal to 12/31/2014 but the carrier no longer considers groups with owner & spouse as legitimate groups.
I haven't checked with the carrier but am thinking claims might be denied if the carrier understands (notices) that the group has no other employees and is ineligible for coverage under current guidelines.
One of them has had significant health problems & doesn't want to goover $5,000 out of pocket.
The other kicker is that they have a child covered under a child only policy from back when those contracts were still available. Premium is only $38 for a $5,000 HDHP plan. The premium would be ~$90 if enrolled with a parent ion a new individual policy with a parent but the out of pocket would more than double to $10,600.
Question: Should they bail to individual policies during open enrollment for a 4/1 effective date? What's going to happen to child only coverage at renewal?
I haven't checked with the carrier but am thinking claims might be denied if the carrier understands (notices) that the group has no other employees and is ineligible for coverage under current guidelines.
One of them has had significant health problems & doesn't want to goover $5,000 out of pocket.
The other kicker is that they have a child covered under a child only policy from back when those contracts were still available. Premium is only $38 for a $5,000 HDHP plan. The premium would be ~$90 if enrolled with a parent ion a new individual policy with a parent but the out of pocket would more than double to $10,600.
Question: Should they bail to individual policies during open enrollment for a 4/1 effective date? What's going to happen to child only coverage at renewal?