Nebraska Health Insurance


Nebraska (NE)

Individual Health Insurance Regulations

When it comes to insurance, medical insurance has always received precedence. As an earning member of your family, it becomes your responsibility to protect your family against sickness or injuries. An appropriate health plan can save you from huge medical bills and promise well-being of your family's health. It is advisable to assess your budget and family's health care needs, before purchasing health coverage. If you live in Nebraska, you can choose from various options of health insurance. The Nebraska Department of Insurance controls the regulations under which the Nebraska health insurers can sell private health plan to individuals and families.
Nebraska law permits insurance carriers to medically underwrite individual health plan policies. This process provides the insurance carrier an opportunity to evaluate the applicant's past and present health history and determine whether or not coverage will be declined; offered under the terms of the individual health plan; or amended so as to exclude coverage of specific pre-existing conditions. There is no limitation as to the look back and/or exclusionary periods for pre-existing conditions. Nebraska does not require insurance carriers to offer credit for prior creditable coverage towards exclusionary periods. Compared to most other states, Nebraska has few laws that regulate the individual health insurance market, including no rate caps on health plan monthly premiums.
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.


Nebraska (NE)

Small Group Health Insurance Regulations

Nebraska defines a small group as 2-50 employees. Companies who fall under this classification are entitled to obtain coverage on a guarantee issue basis and may not be declined coverage due to the health status of the group or any individual employee wishing to obtain coverage under that group health plan. Nebraska insurance carriers require verification of employment on all employees and may request copies of State Wage and Tax Reports for this purpose. Once an employee has been determined eligible to join the health plan, issuance of coverage is guaranteed and may not be denied or altered due to health status or history. For all applicants joining a group health plan, Nebraska allows carriers to utilize a 6 month look back period and 12-month exclusionary period for pre-existing medical conditions. Under Nebraska law, credit for prior coverage is required as long as there is no more than a 63-day break in coverage. Newborns, children placed for adoption and adopted children are automatically covered under the group health plan for the first 31 days. Premiums for small business health plans can be altered based on medical underwriting with a rate adjustment factor of plus or minus 25 percent.


Nebraska COBRA and Continuation Coverage

Federal COBRA regulations, as in all states, apply to Nebraska employers that offer group insurance and have 20 or more employees. The federal COBRA laws require the employer to provide the option to a departing employee to remain on the group health plan for a minimum of 18 months. In special cases, some persons may be entitled to 36 months of continued COBRA coverage under federal law. Under COBRA you are entitled to the same benefits that you had under your employer's group plan and the benefits might include drug, dental, and vision care. The COBRA recipient is responsible for paying the insurance premiums that the employer was paying for the coverage along with 2%.
Nebraska has a state mandated mini-COBRA program which applies to groups of less than 20 employees. Under the state regulated COBRA program, employees suffering a qualifying event may elect, at their sole expense, to continue their coverage under their group health plan. Under state regulations, continuation coverage provides for an additional 9 months of coverage and 12 months for disabled individuals. Individuals who are transferring out of a group health plan may also seek coverage under an individual conversion plan. For exhausting their COBRA coverage, the state high-risk pool guarantees them the right to purchase a permanent issue individual health plan without being subjected to medical underwriting.