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...Employee number two comes down with the same condition as employee five has. Let's assume they are in the same title, rank, etc. In a conversation number two says, man I am sure glad I have that $30 copay for "X" drug. Employee number five, what are you talking about, I have been paying $800 a month out of my pocket for the last 3 months.loyee five happy, No. Does employee 2 start wondering why the boss ditched the group plan, yes. Is the owner happy, no. Would he be happy with the agent, no.
The oracle has spoken.
jbage
What state are you in? Can't do it in TX? Unless you want TDI knockin' on your door.
I'm licensed in Texas and 34 other states. Grew up in the biz running leads all over Texas. Happen to have been the "snitch" who turned in Jimmy Walker's group over this very issue. A good friend of mine happened to be working for the AG's office following law school, so I brought this issue to her attention. AG's office sued the pants off of AHU, based on misrepresentation of individual plans as group! But very disappointed in AG for letting the case fizzle out with a little slap on the wrist.
So long as the employer cuts all strings to sponsorship, they can do whatever the hell they want, as there is no law requiring sponsorship. On the other hand, if there is one iota of sponsorship, then if it looks and smells like group, you'd better go group--for all of the reasons mentioned in this thread (except margarita's)
Jimmy Walker was the owner of United Benefit Life, not AHU.
4. A medical reimbursement plan can be installed ON TOP OF a 125 plan (hey moron-are you listening?)
Same in Texas. Can't use an HRA to reimburse premium. Some other states do allow it is my understanding.