Self Employed Web

Self Employed Health Insurance Plans

Posted on Monday, September 2nd, 2002 by

Each and every time we speak to someone who is contemplating opening their own business or who has been on there own for years the same subject always comes up – self employed Health Insurance .  Let’s take a look at what we are up against. You are only one self employed businessperson and you are not afforded any of the ‘breaks” the big companies receive.  You are taken advantage of by unscrupulous insurance agents. In many cases, the real tragedy occurs when you use your insurance due to a catastrophic event and you find it lacking.

Health insurance , having enough and being able to afford it, is one of the most nagging concerns for those who leave corporate America to run their own business .

Many small businesses have dropped health coverage or reduced it in the past three years because of rising rates. About 24 million of American small-businessemployees and their families are uninsured, according to a study by the Kaiser Family Foundation.

The Consolidated Omnibus Budget Reconciliation Act (COBRA) is a federal law that requires employers to allow departing workers to buy Health insurance through the employer’s group plan. For the first 18 months after you leave your employer you may elect to continue to receive coverage in your employer’s group plan at your expense.

However, the cost of the monthly premiums for COBRA can come as quite a surprise if you’re  accustomed to you employer picking up most of your Health insurance tab via pretax paycheck deductions. COBRA coverage for a family can run $500 a month, and upwards of $200 a month for an individual.

Depending on which State you live in COBRA may not necessarily be the best deal for you. Shop around, you may find joining a short term insurance plan to be less expensive than continuing your current insurance under COBRA.

One piece of good news for the self-employed – Starting in 2003, the self-employed Health insurance deduction is increased to 100% from the 70% that was deductible in 2002. As a result, if you work as a consultant, freelance worker, and other self-employed individual you will be allowed to deduct all of your Health insurance premiums. The self-employed Health insurance deduction is especially valuable because it is an above the line deduction for Adjusted Gross Income (AGI). This means that you can take advantage of this deduction even if you do not you itemize your deductions on your tax return.

Even with Health insurance the portion of medical expenses that has to come out of your pocket can be more than you imagine. If you have to dip into your retirement savings for certain medical expenses, distributions from your IRA used for that purpose may be exempt from the IRS 10 percent early withdrawal penalty. However, you still will have to pay taxes on the IRA distribution. Another alternative is to transfer your IRA to a Self-Employed 401(k) plan and take a loan from that plan. Loans from a 401(k) plan are tax-free and penalty free as long as the loans are paid back

On a personal note….A friend of ours in Dallas was forced to go to the Emergency Room recently (2/2005) with severe stomach pains. Unfortunately, he had no Health Insurance .  He was diagnosed with severe pancreatitis and spent two days in Intensive Care and an additional 5 days in the hospital. One week after being released, he had day surgery to remove his gall bladder.He called us to ask for our help because the experience was overwhelming to him.

The initial 7 day stay in the hospital cost $27,563.00 and he had to sign papers to the effect that he understood this would be billed at the full amount and not discounted.  This is common practice when you do not have health insurance.

The gall bladder surgery was classified as elective surgery – unlike his first admission to the hospital through the emergency room which was deemed life threatening and necessary.  The surgeon and hospital required payment in advance  for this procedure. That bill was $13,365.00. So his total bill is going to exceed $41,000.

Of course, at this point, health insurance will not help him with his current medical bills.

We did recommend he check out NetQuote.com. We feel like they offer the best selection, most affordable rates and easiest online signup of all the health insurance brokers. They have also been in businessfor almost ten years which certainly adds credibility. You can read more about Netquote  insurance by clicking HERE.

The other option would be a short term health insurance policy which would have the advantage of getting him covered within 48 hours in most cases. Liberty Short Term Medical is a good choice if he chooses this route.
Click HERE for an Online Quote from Liberty


So, is there a solution??  Our best advice is to do your homework. Here is a checklist:

bulletCheck with your State Department of insurance and make sure the Insurance Company you are considering is licensed in your state.

bulletCheck the Complaint Index that most State insurance Departments compile.

bulletAsk friends and family what self employed insurance coverage they have and are they satisfied with it. A word of caution here though, also ask them how long they have had it and if they have used it. If the insurance policy has been in effect for over a year, ask them if they have had any price increases. If they have used the insurance, ask them if the claim was paid properly.

bulletREAD YOUR POLICY!!  Read the Policy and Outline of Coverage word for word and ask questions if it does not make sense. Hopefully, the agent who calls on you will be ethical and knowledgeable bit that is not always the case.

bulletBE Cautious and avoid common pitfalls. Read our articles under “Inside insurance” to learn about some common problems.

For our visitors from the UK looking for business insurance you can use Decision Finance for a Public Liability Insurance quote. They offer businesses from the UK the chance to compare different quotes. In the UK Public Liability Insurance is important for all businesses to have no matter if you are a small tradesman or a large company. You are also required by law to have Employers Liability Insurance in the UK if you employ people. Public Liability Insurance is needed by businesses to ensure that if a business causes accidental injury or damage to another person or their property they are covered for any claims made against them. Claims can often cost a lot of money so insurance is important.

About Self Employed Web

Self Employed Web has been providing self employment advise and resources since January 30th, 2003. Get started via our popular SUV Tax Deduction list, Corp vs. LLC article, or eBay tips section. Over 300 other articles are categorized in the navigation menu on the lefthand side of this webpage. If you have a question not answered on this website, please contact us.

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