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Health Insurance Issue

amanda007amanda007 Posts: 18
edited 06/11/2012 - 8:45 AM in Health Insurance Issues
Health care for all is a prerequisite, and it i a noble goal, but the current process leaves much to be preferred. My question is - What happens to the cost of insurance to the company that is providing the insurance to the employee? :?


  • dilaurodilauro ConnecticutPosts: 9,859
    if we have members on this site that work for Insurance companies so that they could provide you with detailed answers.

    I also can't say which Web site to get that answered, but probably if you poked around, you might get some reasonable clues.
    Ron DiLauro Spine-Health System Administrator
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • SpineAZSpineAZ WiscPosts: 1,084
    Are you asking what is the cost to the employer vs the cost to the employee?

    If so, there's no set formula, it varies by employer. Some of the variables are company size, industry, claim history, claim costs, demographics, etc. Every year the insurance company reviews all the data along with the projected increase in medical costs for the next year.

    Many large employers actually pay employee medical claims themselves out of a trust funded in lieu of premiums to the insurance company. However they contract with an insurance company to be the administrator of the claims. Often employees do not know this as it doesn't affect the employee care, etc.

    All of this requires complex actuarial calculations. Renewal rates are provided to the employer. If the employer chooses to get other quotes they provide any prospective insurance company their claim history (costs and diagnoses) for a set period (usually 5-10 years).

    Many employers offer statements to employees each year to show the actual cost of coverage and how much they pay and the % shifted to the employee. You can ask HR/Benefits how much it costs to insure you. They often will know the cost per employee, per family, etc (depending on the structure at your employer)

    I happened to work for a Dutch based insurance company. In the Netherlands the medical coverage is provided at a much lower cost in terms of actual premiums or employee contribution (and much higher taxes are paid by employees). Because of this they wanted to provide their USA employees coverage at a lesser cost than some other companies such as ones based in the US.

    Even if you and I are the same age and both have coverage under the same insurance company, there's no reasonable way to compare what we each pay. There are too many variables for that to be viable comparison.

    Am I getting at what you are looking for?

    2 ACDFs, 2 PCDF, 3 LIFs; Rt TKR; Rt thumb fusion ; Lt thumb arthroplasty; Ehlers Danlos 
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