Idaho Health Insurance

Idaho (ID)

Individual Health Insurance Regulations

Medical insurance is mandatory when it comes to your family's physical well-being. In the event of unanticipated circumstances, suitable health coverage can save a great deal of money due to huge medical bills. Getting a policy can be quite confusing. You should evaluate your family's medical needs and finances, before selecting a policy. If you are resident of Idaho, you can choose from a wide range of medical insurance alternatives. The Idaho Department of Insurance supervises the regulations under which the Idaho health insurers can sell private health insurance to individuals and families.
Health plans sold to individuals or families in Idaho may be medically underwritten to determine eligibility. Applicants that do not meet the medical guidelines of the insurance company may be denied coverage. Underwriting guidelines may vary from one insurance company to another. The insurance company, if they elect to insure you, may impose an elimination rider(s) that excludes paying benefits on any pre-existing medical condition disclosed in this rider. Insurance laws in the State of Idaho provide for a 12-month exclusionary period limit for pre-existing conditions, but credit for prior creditable coverage is required. For determination of pre-existing conditions, the health insurer has the right to look back into your 6-month health history. Premium rates vary and are based upon plan type, health status, age and gender and tobacco usage. An insurance company has the right to offer you a higher rate if they feel the risk of insuring you is higher than their standard risk.
Search for plans and the costs associated with them using the search box above. We provide individual, family, group and student health plan quotes for you to compare on all states and zip codes. Remember that having coverage leads to a healthier lifestyle as you are able to get regular doctor checkups and therefore a low-cost premium.

Idaho (ID)

Small Group Health Insurance Regulations

A small group in Idaho is any employer with 2-50 employees. Any person qualified to enroll in a group health plan in Idaho is protect by non-discrimination laws that prohibit the insurance company from rejecting an employee based on health status. Newborns and newly adopted children are automatically covered under the parent's group health plan for a period of 60 days. Group coverage in Idaho is guaranteed-issue. This means that the group application for coverage may not be declined coverage due to the health status of its employees. For pre-existing medical conditions, if the employee does not have creditable coverage, the insurance company can place a 12-month waiting period on treatment of that condition. The insurance can review your 6-month health records to place a pre-existing exclusionary period. An employer may elect to have a waiting period for new hires before they become eligible for coverage under the group plan, but this waiting period must be the same for all new employees. There are also laws in Idaho that require a minimum participation and minimum employer contribution of premium. Although a small group may not be denied coverage, the insurance companies can charge up to 50% higher for groups with an excessive claims history.

Idaho COBRA and Continuation Coverage

Groups with 20 or more employees must abide by federal COBRA regulations which state that a departing employee is entitled to remain on the group health plan for a period of 18 months, provided that group health plan remains in existence. An employee who has left work on his own or was terminated from the job is eligible to be covered by COBRA, unless the former employer was fired for gross misconduct. The COBRA recipient will be responsible for the payment of the entire the insurance premium that the employer was paying for his coverage as well as 2% administrative costs. Idaho does not have mini-COBRA laws that apply to groups with less than 20 employees. Some insurance companies may offer a conversion option that will allow persons under a group plan to transfer their coverage to an individual policy. Any insurance company offering individual plans in Idaho must offer at least 3 of their plans to all applicants, regardless of health status, if they are HIPAA eligible. This is done through the high-risk reinsurance pool.