Administrator Alert from Shargel & Co. Insurance Services
Timely Topics for Group Benefits Administrators Issue 13
August 2006
Many of our clients have questions about employee waiting periods. This month we'll refresh you on the basics.
  • Cecilia's Corner: Offering Options
  • Waiting Period Refresher
  • Sample Wait Periods and Effective Dates
  • Help Us Help You!
     
  • Waiting Period Refresher


    What is a waiting period?

    A waiting period is the amount of time before a new employee's health benefits begin.

    Benefits usually start the first of the month following the waiting period. (See chart below for examples.)

    Who sets the waiting period?

    Waiting periods are established by the employer when the plan is set up.

    How do I know what my waiting period is?

    We have a record of your waiting period in our files. You can also call the insurance carrier to verify your waiting period.

    Can I make an exception for an employee?

    Not for new hires. Insurers will sometimes accept a waiting period waiver for an employee moving from part-time to full-time employment.

    What are common waiting periods?

    As the economy picks up we're seeing shorter waiting periods of 30 days or no waiting period (i.e. first of month following date of hire).

    If you have a longer waiting period, and are thinking of hiring, you might want to consider shortening it to be more competitive.

    How and when can I change our waiting period?

    You can change your company's waiting period
    by written request at your annual plan renewal.

    Is the wait period the same as an exclusionary period?

    No. A PPO exclusionary period excludes coverage for pre-existing conditions and begins when coverage begins.

     
    Sample Waiting Periods and Effective Dates
    Chart of Waiting Periods
     
    Help Us Help You!

    Help us serve you better!
    If you run into a challenging benefits issue, let us know! We'll work with you to find a solution-and help others.

    Thanks for being our client! We appreciate your business.

    We want to make your job easier. Call us at 800.733.8692 or...

    Did you know you don't have to switch carriers to offer more choice?

    Many insurers will allow you to offer several plans to employees. Employers often choose one plan as a baseline, a $500 deductible PPO for example, then allow employees to "buy up" to lower deductible or HMO plans.

    This gives employees more choice, while employers gain the flexiblity to create a benefits program that meets the needs of a diverse workforce.

    There may be restrictions on how many plans you can offer based on the number of employees in your company.

    If you have an issue you'd like to see covered, let us know.

    Or if you have a benefits question, please email me at cpaul@shargel.com

    Quick Links...

    Visit our Website

    Newsletter Archive

    Our business is built on referrals. Know another company that can benefit from benefits advice? Have them contact us!



     

    Join our mailing list!


    Main office: Shargel & Co. Insurance Services | 703 Market Street Suite 901 | San Francisco | CA | 94103