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Guaranteed issue means that the health insurance coverage is guaranteed to be issued to applicants, regardless of their medical history, their age, their gender, or any other factors that might increase their likelihood of using health services. In most states, guaranteed issue doesn’t limit what you can be charged when you enroll in a plan.
Prior to 2014, individual market health insurance companies determined an applicant’s eligibility largely based on their medical history. Applicants could be denied coverage, either altogether or for certain conditions, if the health insurance company decided that they were more likely to use their coverage than the average member.
In other words, the individual market health insurance was not guaranteed issue. Many pre-existing conditions were an automatic decline, and that person could not ever get coverage through that insurance company. The only exception was through an employer, either a small or large group of employees. If the employer offered the coverage, the employee and family could get covered.
This changed in 2014 when most of the Affordable Care Act’s provisions took effect. The ACA required that all individual market major medical plans be guaranteed issue, meaning that they could not turn applicants away based on any factors including pre-existing medical conditions. You were no longer pushed into a corner to try and find an employer that offered group coverage.
To ensure individuals and families that did not have employer provided health care wouldn’t simply wait until they needed coverage to purchase coverage, the enrollment period was limited to a single “open enrollment period”. To make provision for those who had a “life change” (marriage, birth of baby, move, etc.) that affected their insurance needs, there were special enrollment periods instituted.
Health insurance is a necessity; for most people, the medical bills that result from a single injury or illness could wipe out their savings and seriously jeopardize their financial future. At Nevada Insurance Enrollment, our health insurance agents are here to help you get the coverage you need, regardless of your medical history.
If you’re hit in an accident, the at-fault party’s auto insurance company is responsible for getting your vehicle back to pre-accident condition by making any necessary repairs. However, even if your vehicle is restored to its pre-accident condition, it may not be restored to its pre-accident value.
After an accident, it’s an insurance company’s job to pay for any repairs necessary for getting your vehicle back to pre-accident condition. But what happens if an old tire is damaged during an accident? For safety reasons, your auto insurance company would pay for a new tire to be put on your vehicle.
Your auto insurance probably isn’t something you spend much time thinking about. It may come as a surprise, then, when your insurance agent gets in touch with you twice a year to discuss your policy. Many insurance policies are only six months long, and as it turns out, that can work in your favor.
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