Well, the big question is, what EXACTLY is management services? That's not a workers comp class code. And what's the EXPOSURE on the professional liability? What type of BUSINESS do you want to consult for, what are the EXACT services you're going to render, how many employees, what's the payroll and estimated sales?
AND, what's going to be required by contract? Are "co-owners" partners, or shareholders? Are they active, or passive?
Expect these to be MINIMUMS, and it will only go up based on your answers above: GL, starting at $1,000 as a new venture, based on payroll or sales. Workers Comp, minimum premium of $500, but could be as much as 25% of your payroll. Depending on the class, minimum could be MUCH higher. Professional liability – plan on $1500 per employee. It could vary from $500 to $5,000, depending on the EXACT nature of the services rendered, per employee. Health insurance will be individually rated – with three non-related people, that's not enough for a group in most states. So if you're 25 and healthy, $250 a month for just you.
Whatever else you say about California, we don't use credit as a factor in rating insurance.
Anecdotally, I can tell you that people who pay their insurance bills regularly have fewer claims than people who don't. It makes total sense that credit would reflect this. Insurance companies claim credit as a factor since it is what is called a "moral hazard." In short, it means that what type of person you are can determine the frequency of claims.
Right or wrong, like it or don't like it, the numbers bear it out.
Section 102 is laying out the requirements for Grandfathered Health Care Coverage. This means that the text refers to what an Insurance Provider must comply with in order to keep current plans from falling under the Bill's requirements for Insurance.
Your current insurance will not be required to meet the Bill's policies as long as they don't enroll new people, start charging you a lot more or change any of its terms or conditions.
If for some reason you change insurance providers or re-work your insurance, the New Insurance Policy will have to comply with the policies and requirements of the Bill.
"Does not enroll any individual in such coverage if the first effective date of coverage is on or after the first day of Y1." refers ONLY to keeping a policy's status as "Grandfathered" or Immune to the requirements of the Bill. It does NOT apply to New Policies. What it DOES do is make New Policies participate in an Exchange.
Edit:
Sec. 102 (c)
(1) IN GENERAL- Individual health insurance coverage that is not grandfathered health insurance coverage under subsection (a) may only be offered on or after the first day of Y1 as an Exchange-participating health benefits plan.
Title II, Sec. 201
(a) Establishment- There is established within the Health Choices Administration and under the direction of the Commissioner a Health Insurance Exchange in order to facilitate access of individuals and employers, through a transparent process, to a variety of choices of affordable, quality health insurance coverage, including a public health insurance option.
The Bill goes on to list a lot of requirements for New Private Health Insurance Policies.
Such as :
SEC. 111. PROHIBITING PRE-EXISTING CONDITION EXCLUSIONS.
SEC. 112. GUARANTEED ISSUE AND RENEWAL FOR INSURED PLANS.
SEC. 113. INSURANCE RATING RULES.
SEC. 114. NONDISCRIMINATION IN BENEFITS; PARITY IN MENTAL HEALTH AND SUBSTANCE ABUSE DISORDER BENEFITS.
SEC. 115. ENSURING ADEQUACY OF PROVIDER NETWORKS
SEC. 116. ENSURING VALUE AND LOWER PREMIUMS.
AND
SEC. 122. ESSENTIAL BENEFITS PACKAGE DEFINED.
(b) Minimum Services To Be Covered- The items and services described in this subsection are the following:
(1) Hospitalization.
(2) Outpatient hospital and outpatient clinic services, including emergency department services.
(3) Professional services of physicians and other health professionals.
(4) Such services, equipment, and supplies incident to the services of a physician's or a health professional's delivery of care in institutional settings, physician offices, patients' homes or place of residence, or other settings, as appropriate.
(5) Prescription drugs.
(6) Rehabilitative and habilitative services.
(7) Mental health and substance use disorder services.
(8) Preventive services, including those services recommended with a grade of A or B by the Task Force on Clinical Preventive Services and those vaccines recommended for use by the Director of the Centers for Disease Control and Prevention.
(9) Maternity care.
(10) Well baby and well child care and oral health, vision, and hearing services, equipment, and supplies at least for children under 21 years of age.
Well, the big question is, what EXACTLY is management services? That's not a workers comp class code. And what's the EXPOSURE on the professional liability? What type of BUSINESS do you want to consult for, what are the EXACT services you're going to render, how many employees, what's the payroll and estimated sales?
AND, what's going to be required by contract? Are "co-owners" partners, or shareholders? Are they active, or passive?
Expect these to be MINIMUMS, and it will only go up based on your answers above: GL, starting at $1,000 as a new venture, based on payroll or sales. Workers Comp, minimum premium of $500, but could be as much as 25% of your payroll. Depending on the class, minimum could be MUCH higher. Professional liability – plan on $1500 per employee. It could vary from $500 to $5,000, depending on the EXACT nature of the services rendered, per employee. Health insurance will be individually rated – with three non-related people, that's not enough for a group in most states. So if you're 25 and healthy, $250 a month for just you.
Whatever else you say about California, we don't use credit as a factor in rating insurance.
Anecdotally, I can tell you that people who pay their insurance bills regularly have fewer claims than people who don't. It makes total sense that credit would reflect this. Insurance companies claim credit as a factor since it is what is called a "moral hazard." In short, it means that what type of person you are can determine the frequency of claims.
Right or wrong, like it or don't like it, the numbers bear it out.
Section 102 is laying out the requirements for Grandfathered Health Care Coverage. This means that the text refers to what an Insurance Provider must comply with in order to keep current plans from falling under the Bill's requirements for Insurance.
Your current insurance will not be required to meet the Bill's policies as long as they don't enroll new people, start charging you a lot more or change any of its terms or conditions.
If for some reason you change insurance providers or re-work your insurance, the New Insurance Policy will have to comply with the policies and requirements of the Bill.
"Does not enroll any individual in such coverage if the first effective date of coverage is on or after the first day of Y1." refers ONLY to keeping a policy's status as "Grandfathered" or Immune to the requirements of the Bill. It does NOT apply to New Policies. What it DOES do is make New Policies participate in an Exchange.
Edit:
Sec. 102 (c)
(1) IN GENERAL- Individual health insurance coverage that is not grandfathered health insurance coverage under subsection (a) may only be offered on or after the first day of Y1 as an Exchange-participating health benefits plan.
Title II, Sec. 201
(a) Establishment- There is established within the Health Choices Administration and under the direction of the Commissioner a Health Insurance Exchange in order to facilitate access of individuals and employers, through a transparent process, to a variety of choices of affordable, quality health insurance coverage, including a public health insurance option.
The Bill goes on to list a lot of requirements for New Private Health Insurance Policies.
Such as :
SEC. 111. PROHIBITING PRE-EXISTING CONDITION EXCLUSIONS.
SEC. 112. GUARANTEED ISSUE AND RENEWAL FOR INSURED PLANS.
SEC. 113. INSURANCE RATING RULES.
SEC. 114. NONDISCRIMINATION IN BENEFITS; PARITY IN MENTAL HEALTH AND SUBSTANCE ABUSE DISORDER BENEFITS.
SEC. 115. ENSURING ADEQUACY OF PROVIDER NETWORKS
SEC. 116. ENSURING VALUE AND LOWER PREMIUMS.
AND
SEC. 122. ESSENTIAL BENEFITS PACKAGE DEFINED.
(b) Minimum Services To Be Covered- The items and services described in this subsection are the following:
(1) Hospitalization.
(2) Outpatient hospital and outpatient clinic services, including emergency department services.
(3) Professional services of physicians and other health professionals.
(4) Such services, equipment, and supplies incident to the services of a physician's or a health professional's delivery of care in institutional settings, physician offices, patients' homes or place of residence, or other settings, as appropriate.
(5) Prescription drugs.
(6) Rehabilitative and habilitative services.
(7) Mental health and substance use disorder services.
(8) Preventive services, including those services recommended with a grade of A or B by the Task Force on Clinical Preventive Services and those vaccines recommended for use by the Director of the Centers for Disease Control and Prevention.
(9) Maternity care.
(10) Well baby and well child care and oral health, vision, and hearing services, equipment, and supplies at least for children under 21 years of age.