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June 2002

Health Insurance for Independent Consultants
By Christine Kim

There are several options for health insurance available to independent consultants: individual insurance, small business group insurance, associations, insurance pools, and HR/Payroll outsourcing.

If you are in good health, individual insurance is usually the most affordable. However, if you have a pre-existing condition — such as chronic allergies or you are pregnant — you may be rejected for individual health insurance or pay a higher premium.If you are rejected for individual insurance, group insurance is a good alternative because you are guaranteed coverage. Insurance carriers are required by law to provide insurance to small businesses regardless of medical history. As an individual, you can get group insurance through professional associations or as a small business if your consulting group has at least two full-time members.

Ed Elkin, an insurance broker who works with independent consultants, offers these tips:

  • If you are self-employed and buy your own health coverage, you are eligible to deduct a percentage of the cost of your premium from your federal income tax. This deduction is 60% for 2001, 70% for 2002, and 100% in 2003 and thereafter.
  • If you are in good health and don't anticipate high medical expenses, investigate a medical savings account (MSA). You will need to purchase an MSA high-deductible insurance policy. You then set up a Medical Savings Account where you can deposit up to 65% of the major medical deductible for individual coverage. If you don't use the entire amount, you can roll it over to the next year. You must be self-employed or in a small business (2-50 employees) to qualify. Most health insurance carriers offer this plan.

Individual Insurance
There are dozens of web sites that provide information on the major health insurance carriers in California such as Kaiser, HealthNet or Blue Cross. A good starting point is ehealthinsurance.com which lets you compare all the different plans available to you, based on your age, number of dependents and location.

Group Insurance
Most of the major health care providers in California offer health insurance plans for small businesses. The advantage to group insurance is that you are guaranteed health insurance regardless of your medical condition. You also have access to more robust offerings for dental, vision, acupuncture and chiropractic care. However, your insurance may be more expensive than if you were paying for individual insurance. Visit www.ehealthinsurance.com to compare prices between individual and small business plans.

Each insurance carrier's requirements may vary slightly but in general, the minimum requirements are:

1. Company must have between 2-50 employees
2. Company must have at least two members who have worked 30 hours a week (20 hours/week if the members are founders) for 50% of the last calendar quarter.
3. Company must be a legitimate business that conducted business for 50% of the prior calendar quarter
4. Company must be able to show a business license or articles of incorporation
5. Employees must have workman's compensation

Associations
Professional associations such as Media Alliance (a nonprofit ) often offer health insurance as a member benefit. The rates may be a little more expensive than what you can get with individual insurance (possibly $30/month more), but you will be guaranteed health insurance because you will be part of a group insurance plan.

Some associations that offer insurance:

Payroll and HR Outsourcing
If you outsource your payroll needs, companies such as ExecuStaff, AdminiStaff, TriNet offers health benefits.

Resources

About the Author
Christine Kim is a marketing consultant with 14 years of experience working with both small entrepreneurial and large corporations including Apple Computer, Netscape and Palm. She often acts as an interim director of marketing or senior marketing manager and specializes in developing integrated marketing programs to acquire/retain customers and build awareness about her client's products and services. Contact her at ckim100@pacbell.net.

     
     
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