Tuesday, October 26, 2010

Rates And PPO Network

Rates:

Preferred rates without riders are available on our instant quote page. The quoted rates are for the $5 million maximum benefit, and do not include optional benefits such as term life, supplemental accident, maternity, and Rx riders. They also do not include $7.50/month dues for membership in the National Consumer Alliance Association (NCA), which endorses these plans and gives members access to valuable products and services.

If you are not replacing current coverage, you will be issued a policy with standard rates, approximately 8% higher than preferred rates.

The premium can be paid via quarterly, semi-annual, or annual billing, or a monthly bank draft or credit card. The bank draft will occur on the premium due date each month. The initial premium can be paid with a check or credit card.

The following chart shows when you can expect payment to be deducted from your credit card:

App Effective Date

Credit Card Charged

1st of the month

1st of month

2nd - 5th of month

5th of month

6th - 10th of month

10th of month

11th - 15th of month

15th of month

16th - 20th of month

20th of month

21th - 28th of month

25th of month

PPO Network:World Insurance recently signed an agreement with Great-West Healthcare, a division of Great-West Life & Annuity Insurance Company. Having access to the PPO network can mean substantial discounts in what you pay for your health care, even before you meet your deductible. Great-West Healthcare operates a substantial multi-state (national) healthcare network that includes more than 4,200 hospitals and 530,000 providers. It provides network and other services to more than 2 million people

World Insurance HD Advantage

With this plan, the deductible only needs to be met once per family per year. After you have met your deductible, the plan pays 100% of all covered expenses, up to either $2 or $5 million per person. There is also an option for 50% of 80% coverage, with a co-insurance limit of $10,000. Routine doctor visits and out patient prescription drugs are not covered by this plan, even after the deductible has been met, unless the Comprehensive HSA Benefit rider is included.

Foreign travel is also covered for 60 days, with a $100,000 lifetime limit.

This plan qualifies as HSA-eligible. Combining a Health Savings Account with any the World High Deductible Health Plan allows you to make tax-deductible contributions, pay medical expenses with pre-tax dollars, and earn tax-deferred interest. This account works much like an IRA, except you may use your tax-free savings for qualified medical expenses your health plan does not cover, such as your deductible, contact lenses, or most types of alternative medicine. If you do not use these funds, they simply accumulate, with interest, for distribution upon your retirement.

Optional Riders:

Comprehensive HSA Benefit

The HD Advantage program does not cover outpatient doctor visits or prescription drugs unless this optional rider is added. This optional benefit cannot be added to your policy after you apply for coverage. It provides the following additional benefits.

1. Rx Benefits - subject to deductible and coinsurance. Prescription drugs or medicines for a covered illness or injury when prescribed by a physician and dispensed by a licensed pharmacist.

2. Physician Office Visit Benefits - subject to deductible and coinsurance for medical services provided by a physician.

3. Outpatient Services - subject to deductible and coinsurance. Services include, but are not limited to, physical,
occupational, speech and manipulative therapy, and diagnostic testing.

4. Wellness Benefits - a maximum of $150 first dollar coverage for wellness benefits per covered person, per calendar year. Eligibility starts for each covered person 12 months after the plan is effective for that covered individual.

Maternity Benefit

When added, this benefit covers 100% of the cost of a routine delivery after you have paid a $2500 deductible. This helps pay pregnancy-related expenses such as prenatal care, delivery, newborn hospital costs, and postpartum care after delivery. Benefits will be payable for pregnancies beginning after a six month waiting period. The cost to add this optional coverage to any World Insurance policy is $212.26 per month.

Critical Illness Benefit

Cash benefits paid directly to you to spend as you wish if you are diagnosed with a critical illness. Benefits will be paid according to the schedule in your insurance contract, up to $25,000 per illness. Available to applicants age 19 and older.

Short Term Convalescent Care Benefit

Pays a daily cash benefit to help with expenses if you are confined in a nursing home or assisted living facility. There is a 20-day waiting period before benefits will be paid, and a 90-day lifetime maximum.

Accidental Death Benefit

Cash benefits paid in the event of a fatal accident. Available in incriminates starting at $2500 and going up to $100,000.

You must be covered by a World Insurance policy in order to add any of these benefits.

For quotes on any of the optional riders listed above, call one of our expert advisors at 866-749-2039.

Maximum Benefit Option

Your HD Advantage policy/certificate's lifetime coverage maximum is $2 million per covered person. The Maximum Benefit Option increases the lifetime maximum to $5 million. It also increases the per-organ transplant maximum from $500,000 to $1,000,000 at nationwide Centers of Excellence, facilities that specialize in specific types of transplants and can provide you with quality care on a cost efficient basis.

Term Life Benefit Option

The Term Life Benefit Rider provides you and/or your spouse with annually renewable term life insurance coverage in benefit amounts of $10,000, $25,000 or $50,000. Plus, you also have the option of converting your term-life policy to a World whole life policy.

Outpatient Accident Benefit Option

With the Outpatient Accident Benefit Rider, your plan pays 100 percent of expenses for a covered injury, not to exceed the amount you choose ($500, $1,000, $1,500, $2,000, $2,500, $3,000 or $5,000) per calendar year for treatment of injuries on an outpatient basis, with no deductible or coinsurance. Additional benefits are subject to your deductible and coinsurance. (Note: Not all levels are available in all states)

Expenses covered under this rider include:

  • Services, supplies, and physician's care;
  • X-ray and laboratory tests; and
  • Treatment or services received in a hospital emergency room, urgent care center, physician's office, or ambulatory surgical center or facility.

Health Savings Account (HSA) plan

World Insurance offers an excellent Health Savings Account (HSA) plan. An HSA is a savings accounts that is coupled with a World Insurance high-deductible health plan. You can deposit tax-deductible money into the HSA and use it to pay health care expenses throughout the year that aren't covered by your World Insurance plan.

In many parts of the country, World Insurance is the only HAS qualified plan available that offers optional coverage for maternity services. Since quotes for the maternity rider are not available online, you will need to call one of our expert advisors at 866-749-2039 for pricing. When added, this benefit covers 100% of the cost of a routine delivery after you have paid a $2500 deductible. This helps pay pregnancy-related expenses such as prenatal care, delivery, newborn hospital costs, and postpartum care after delivery. Benefits will be payable for pregnancies beginning after a six month waiting period.

Before HSA legislation went into place, the majority of our business with World Insurance was their catastrophic Value Advantage plans. Since HSAs went into effect, World's HD Advantage plan is often a very good option, particularly for those over age 55. Each calendar year, includes deductible.

  1. See optional Comprehensive HSA Benefits below.
  2. 50 Plan not available in Georgia.

Additional coverage information for plans with optional Comprehensive HSA Benefit


Inpatient Hospital


Subject to deductible and coinsurance


Outpatient Medical


Subject to deductible and coinsurance


Emergency Room


$100 access fee if visit is for an illness and patient is not admitted directly into hospital as inpatient, then subject to deductible and coinsurance


Physician Office Visits


Subject to deductible and coinsurance for medical services provided by a physician


Prescription Drugs


Subject to deductible and coinsurance for prescription drugs or medicines for a covered illness or injury when prescribed by a physician and dispensed by a licensed pharmacist


Wellness Benefit


Maximum of $150 first dollar coverage for wellness benefits per covered person, per calender year. Eligibility starts for each covered person 12 months after plan is effective for that covered individual.


Foreign Travel Emergency


Subject to deductible and coinsurance; $100,000 lifetime maximum

This is a basic limited plan unless the optional Comprehensive HSA Benefit is selected. Please

note that expenses from non-PPO providers are subject to the usual and customary charge limitation described in the World Insurance brochure. Generally speaking, the “usual and customary” charge is the amount World would expect most physicians to charge for a particular medical procedure, service or supply. Each year refers to calendar year.

Friday, June 25, 2010

'Insurance Providers in Holland'

Insurance
For a list of insurance providers, please click on the 'Insurance Providers in Holland' tab located above.

Business Insurance
Having the right company insurance gives you more than just a good night's sleep. It is fundamental to the protection and management of your business. It's hard to get the equilibrium right too: some will try to get away with minimal insurance, whereas others will overindulge on insurance they don't really need. The easiest way to evade this is to consult an expert. They will advise you on the appropriate insurance for your company.

Paying insurance premiums is always going to appear onerous, but can you really afford to be without sufficient coverage? More importantly, can your company afford it? This is especially true to setting up overseas. As a foreign business, you are susceptible to infractions, accidents, even disasters, which you will not be accustomed to in the UK. You only have to look over the past few years to see how many people in both the East and West that have been afflicted by natural disasters.

It is advised you seek out a reputable insurance broker, who will not only be able to recommend the exact insurance needs for your company, but also compare deals and negotiate cost-effective packages. They will also be able to inform you of any legal requirements that you may not be aware of.

Generally, there are four main types of insurance:

•Vehicle Insurance
•Personnel Insurance
•Public Liability Insurance
•Building and content insurance
Vehicle Insurance
By law, all vehicles must be insured to a third party liability level. There are two predominant policies to choose from: third party and comprehensive insurance. If a claim is made against you for personal injuries and legal costs, then third party injury insurance is required.

Comprehensive vehicle insurance covers damages caused to your own car by you, as well as injury, property damage, fire and theft.

Personnel Insurance
This type of insurance covers you and your employees in the event of sickness, accident or illness.

An employer must provide accident or sickness cover for their employees. However, self-employed people are not covered by employee compensation, and therefore need to cover themselves through a private insurer. There are various types of insurance available, such as income protection, trauma, life and disability.

Public Liability Insurance
This is a compulsory form of cover, and protects from claims by third parties against negligence, death, injury, loss and damage of property, and economic or financial loss.

Building and Contents Insurance
This insurance covers your property and its contents and/or stock against fire, water and other damages such as earthquakes, lightning, storms, explosions, burglary and theft.

Personal Insurance
There are a handful of insurances that are tailored to meet your day-to-day needs and cover you in the event of damage or injury to yourself or other persons, as well as assets and property.

Home Insurance
Home Insurance in Holland covers the contents of your home in the event of fire, water damage, theft and vandalism. The cost of home insurance generally depends on what it would cost to replace your home and exactly which additional contents you have insured alongside it. In this instance, home insurance is particular to each case, as opposed to universal.

Car Insurance
As in all EU countries, all vehicles must have, at the very least, third party liability insurance. It is compulsory for a car owner to take out insurance against injury and damage. The insurance covers both driver and passengers.

The two types of insurance available are third party and comprehensive. Third party ensures compensation is paid to victims, while comprehensive covers injury and damages whether or not the driver was responsible.

The criteria on which insurance is based upon include age, car and driving history.

Health Insurance
The social insurance scheme in Holland is compulsory for everyone that works there, and they are consequently eligible for free or subsidised health care.

Private health insurance is another thing you may want to consider upon arriving in Holland. There are many companies dealing in private health insurance. Private patients generate higher earnings for medical professionals and therefore will invariably be consulted by senior doctors. A private patient can also request a doctor who speaks their native language.

Life Insurance
Life insurance isn't just something to think about when you reach old age. In fact, the earlier you take it out, the better deal you get. Insurers are more likely to give a better deal to someone who is young and healthy than old and ill. Even if you have no family or dependents to worry about, there are still very good reasons for you to invest in life insurance.

Life insurance isn't really a country-specific affair, like health or vehicle cover is. It is tailored to your individual circumstances and needs.

It is important to know the kinds of life insurance available to you. Typically, these are term/temporary insurance and investment/permanent insurance.

Term insurance invariably provides compensation and benefits to a family or dependent in the case of death within the terms outlined in the policy. It ensures that, in the instance of death, the people you leave behind are not left in financial turmoil.

Investment-type insurance will be inclusive of endowment and 'whole of life' policies, and is valid for as long as premium payments are made. Technically, part of the premium is invested and will build in value. It can even be cashed before you die. Therefore, the earlier you buy, the more will accumulate, the more you can reclaim.

It is essential to remember, that, when looking for a life insurer, you shop around. It is imperative that you get a deal to suit your needs. So, with this in mind, not only are you looking for a good price, but a suitable, individual policy. Ask yourself what you need from a life insurance policy. There are many people that can help you deduce which company and policy is most appropriate for you, and there are many price comparison sites located on the internet.
Among various types of insurances available, the health care insurance in the country has covered larger portions of peoples in the country.

The Supervisory Authority De Pensioen & Verzekeringskamer has been acting as the regulatory body in the Netherlands Insurance business.

Netherlands Insurance Companies:
Leading insurance companies in Netherlands including both life insurance companies and non-life insurance companies on the basis of their gross written premiums are as follows:


Netherlands Life-Insurance Companies:
Major life insurance companies in Netherlands is as follows:
Nationale Nederlanden Leven Insurance
AEGON Leven Insurance
Interpolis BTL Insurance
AMEV Leven Insurance
Reaal Leven Insurance
Stad Rotterdam Leven Insurance
ABN Amro Leven Insurance

Netherlands Non-Life Insurance Companies:
Major Non-life insurance companies in Netherlands is as follows:
Achmea Zorg Insurance
Achmea Insurance
VGZ Zorgverzekeraar Insurance
Delta Lioyd Insurance
AEGON Insurance
Allianz Schade Insurance

General Netherlands Insurance Information

Compulsory Insurance:

1.Third Party Automobile Liability;
2.Workers’ Compensation (Social Security Scheme);
3.Hunter’s Liability;
4.Nuclear Liability;
5.Pension.
Non-Admitted Insurance:
Permitted except for compulsory coverages. The are also no restrictions on the servicing of non-admitted policies by brokers or claim adjusters.
Policy Wordings & Rates / Tariffs Controlled:
Insurers are not required to file wordings or rates.
Policy Language:
Dutch although Marine policies are often written in English.
Types of Insurance Restricted to Government Institutions:
A schedule of Social Benefit coverages including basic disability.
Policy Currency:
euro (EUR) note: on 1 January 1999, the European Monetary Union introduced the euro as a common currency to be used by financial institutions of member countries; on 1 January 2002, the euro became the sole currency for everyday transactions within the member countries. U.S $ insurance is available.
Currency Restrictions / Exchange Controls:
No restrictions.
Policy Period:
Annual is customary but longer periods of 3, 5 and 10 years are available. Long Term Agreements (LTAs) are available.
Cancellation Provisions:
90 day written notice is required for mid-term cancellations of annual policies. Longer term policies generally have annual cancellation provisions.
Premium Tax, etc. paid by Insured:
7.5% premium tax on all lines except for Surety Bond and Credit, Life, Pension, Personal Accident, Aircraft, Goods in Transit. There are no fire brigade taxes, federal taxes or stamp duties.
Insurance Companies:

Brokers:
Brokers are common. There is also an efficient agency system in The Netherlands.
Brokerage Commissions:
Fire (Industrial) - 15-20%; Liability - 25%; Automobile - 20%; Personal Accident - 25%. Commissions cannot be paid to foreign brokers not licensed in The Netherlands.
Broker of Record Letters:
Required for the transfer of business. Newly appointed brokers will not earn commissions on business placed by the previous broker.
Reinsurance:
No restrictions known.
Local Natural Hazards:
Windstorm & Flood.
Other Information:
Additional detailed information on insurance and business practices is available by e-mail: info@isn-inc.com
Property Insurance
Fire:
Standard fire perils include - fire, lightning, aircraft, explosion, storm / tempest, burst water pipe, vehicle impact. Riot / civil commotion, malicious damage, windstorm / hurricane, weight of snow / avalanche are available in the market for an additional premium charge.
All Risk:
Available.
Coinsurance:
100%.
Blanket Insurance:
Available.
Business Interruption:
Available - basically follows UK Loss of Profits.
Replacement Cost:
Available.
Discount for fire protection equipment / systems: Available and negotiable.

Boiler & Machinery / Machinery Breakdown / Engineering
Wordings:
Local, UK, U.S. forms available. Boiler explosion may be covered under the Fire policy. Inspections are required by Government Inspectors.
General / Public Liability
Available Wordings:
Comprehensive General / Public Liability including Product Liability and Employer’s Liability.
Comments:
Policies can be written on an occurrence basis. Non-Owned Automobile coverage is a usual extension of coverage. Defense costs are covered. The Territorial designation is generally worldwide providing suit is brought in the Netherlands.
Automobile / Motor
Compulsory Limits:
Euro 1,000,000 Combined Single Limit (CSL).
Comments:
Coverage applies to the Insured and any licensed individual driving with the Insured’s permission. Passengers are deemed to be Third Parties and therefore covered. Fleet discounts are available.
Workers’ Compensation
Comments:
This is a compulsory coverage and coverage is provided by the Government Social Security Scheme. All workers (including maritime) are protected. Extra-Territorial, Medical Expenses and Occupational Disease benefits are provided under the Scheme. Employees have the option to sue.
Marine
Available Wordings:
Local, UK & U.S. Cargo forms closely follow the Institute of London Underwriters. Hull is written on Dutch policy wordings. War Risks rates follow the London scale.
Crime
Available Coverages:
Available - various local and foreign forms. Theft and Burglary are included under the Fire policy subject to a deductible

Types of Insurance Providers

Types of Insurance Providers
Insurance is provided to the public by three major sources: private commercial insurers; private noncommercial (nonprofit service organization) insurers; and the federal government, which is a special type of nonprofit provider. Private life and health insurers are in the business of making money and are therefore known as commercial insurers. Stock and mutual insurers are private insurers. Other types of insurers that fall into this category include reciprocals, fraternals, Lloyd's, and reinsurers. Private noncommercial service organizations, such as Blue Cross and Blue Shield, operate on a nonprofit basis, returning profits to their subscribers in the form of reduced premiums or expanded benefits.

A stock insurance company, like other stock companies, consists of stockholders who own shares in the company. The individual stockholders provide capital for the insurer. In return, they share in any profits and losses. Capital stock companies control roughly two-thirds of the premiums in the property- and liability insurance fields and nearly one-half of the premiums of all life insurance. If the company's board of directors declares a dividend, it is paid to the stockholders. Often a stock company may be referred to as a non-participating company because its policyholders do not participate in dividends.

Conversely, there are no stockholders in a mutual company. Company ownership rests with the policy owners. They vote for a board of directors that in turn elects or appoints the officers to operate the company. Funds that are not used for paying claims or for other operating costs are returned to the policy owners in the form of policy dividends. As such, mutual companies are sometimes referred to as participating companies because the policy owners participate in the dividends. In theory, policy owners should share in company losses as well as profits, but in actuality losses are generally realized simply in the discontinuation of dividends. Mutual companies write nearly one-third of the property and liability insurance in the U.S. and the other half of the life insurance business.

Reciprocal insurers are unincorporated groups of people providing insurance for one another through individual indemnity agreements. Each member individual is known as a subscriber. Every subscriber is allocated a separate account into which his or her premiums are paid and interest earned is tracked. If any subscriber suffers a loss provided for by the reciprocal insurance, each subscriber account would then be assessed an equal amount to pay the claim. Administration, underwriting, sales promotion, and claims handling for the reciprocal insurance are handled by an attorney-in-fact, who is in turn overseen by an advisory committee of subscribers.

Fraternal benefit societies are primarily life insurance carriers that exist as social organizations and usually engage in charitable and benevolent activities. Fraternals are distinguished by the fact that their membership is usually drawn from those who are also members of a lodge or fraternal organization. They operate under a special section of the state insurance code and receive a number of income tax advantages.

Lloyd's of London is not an actual insurance company; it can be more closely compared to a stock exchange. Just as an exchange provides facilities for its members but does not actually buy or sell securities itself, Lloyd's provides a meeting place and clerical services to its members who actually transact the business of insurance. Members – which may be individuals or corporations – are grouped into syndicates, but they remain individually liable and responsible for the insurance contracts that they enter into. Their individual fortunes and resources are pledged as the capital behind their assumption of risk. A syndicate is represented in a Lloyd's Organization by an underwriter. Lloyd's of London assures full and adequate performance by its members through a governing committee and rules of eligibility. Character, experience, business integrity, and amount of capital (funds held in trust at Lloyd's along with personal wealth) are among the factors that are considered for any new member.

Reinsurance is a type of insurance between insurers. It occurs when an insurer (the reinsurer) agrees to accept all or a portion of a risk covered by another insurer (known as the ceding company). In many cases, the original insured individual or entity has no knowledge of the transaction. In the event of loss, the insured has no claim against the reinsurer. The ceding company is responsible for the coverage it has written, but it will have a legitimate claim against the reinsurer for any portion of its own loss that is reinsured.

Companies often use reinsurance to reduce the risk of a catastrophic loss. Insurance against disastrous losses by earthquakes, floods, or aviation accidents might not be available if a single carrier had to assume all of the risk. Large life insurance cases are also often reinsured. For example, a $1 million life insurance policy on an insured may be shared through reinsurance with one or more additional insurers. Reinsurance makes it possible for a carrier to issue a policy and then share the risk with another insurer or group of insurers. Additionally, reinsurance also helps carriers avoid capacity problems. Insurers must keep unearned premium reserves and certain levels of surplus in relation to premiums that they've written. A shortage of capacity occurs when the ratio of premiums to surplus and reserves becomes unbalanced. By reinsuring a risk, many insurers are able to avoid – or greatly reduce – capacity shortages.

Service organizations are unique to the health insurance field, and are technically not insurers at all. They are operations that provide prepaid plans for hospital, medical, and surgical expenses. They don't pay cash benefits (except under certain limited conditions) to their plan subscribers (the insureds), but instead pay the medical services provider used by the subscriber to the extent the services are covered in the contract. The most well known insurers of this category are the various Blue Cross and Blue Shield companies. Blue Cross plans cover hospital expenses and Blue Shield plans pay for medical and surgical costs.

The "Blues, as they are known in the industry, are a cooperative group of separate insuring organizations loosely coordinated by a national association – the Blue Cross and Blue Shield Association – that sets standards and attempts to enforce them by the authorization or denial of use of the Blue Cross or Blue Shield designation. Originally, Blue Cross and Blue Shield were completely separate entities, but with the merger of the national associations in the early 1980s, many local Blue Cross and Blue Shield organizations followed suit, combining into one Blue Cross and Blue Shield association. BC/BS associations are, with very few exceptions, incorporated under special legislation in most states.

The United States Government provides life and health insurance through various sources. The federal government has offered a variety of military life insurance plans including United States Government Life Insurance (to veterans of World War I), National Service Life Insurance (in 1940) and Servicemen's Group Life Insurance. Other occupations are also eligible for federal government insurance provided through the Railroad Retirement Act, the Civil Service Retirement Act, and the Federal Employees' Compensation Act.

Because private insurance policies invariably exclude catastrophic risks, the federal government provides War Risk Insurance, Nuclear Energy Liability Insurance, National Flood Insurance, Federal Crop Insurance, and insurance on mortgage loans. Additionally, federal, state and local governments provide social insurance to a segment of the population that would otherwise be without disability income, retirement income, or medical care.

Social Security provides retirement benefits to covered workers when they reach the age of 65 (or earlier if elected by the individual). It also provides survivor benefits in the event of the death of a covered worker, as well as disability benefits if a covered worker becomes totally disabled. The Medicare program – also part of Social Security – provides medical expense benefits for covered workers beginning at age 65. Medicaid is primarily a state governmental program that provides health care benefits for the financially needy. It's financed by the individual states with some federal subsidies.