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If you are a business owner, you may wish to jump ahead to Part II and learn how you can:
  • Terminate your expensive group health benefits plan
  • Give your employees tax-free money to buy their own individual/family health insurance
  • Simultaneously make your employees instantly HIPAA-eligible, which guarantees them immediate coverage without exclusions for preexisting conditions

If you have an employee with a preexisting condition that costs your employer-sponsored health insurance plan $25,000 to $75,000 each year, HIPAA-eligible individual premiums of $3,000 to $4,800 a year ($250 to $400 per month) look like the deal of a lifetime for your business. But the real person getting the best deal could be your employee with a preexisting condition—since now that individual could get permanent health insurance, guaranteed renewable until age 65, independent of any employer.  

Traditional Defined Benefit Health Insurance versus New Defined Contribution Health Insurance
Traditional defined benefit plan: You provide your employees with a defined healthcare benefit—doctor visits, hospitalization, pharmacy and so on—at uncertain annual cost. The benefit is administered through your limited-choice employer-sponsored group health benefits plan.

New defined contribution plan: You provide your employees with a tax-free allowance or “contribution” to spend on their own healthcare—at an annual cost that you control. Employees use this allowance to pay the premiums for their own individual/family health insurance policy, to pay out-of-pocket medical expenses, and to make contributions to their Health Savings Account.

Unhealthy Employees Also Save Money and Get Safer Coverage
What about the other up to 20 percent of your employees who are not healthy or who have an unhealthy family member—some of these employees may not medically qualify for affordable private individual/family health insurance. These 20 percent of your employees will not benefit as much financially as your healthy employees (unless your company sets a higher level of HRA reimbursement for unhealthy employees); however, they, too, will be much better off with a defined contribution plan—because they will now have guaranteed renewable health insurance independent of their employment. As highlighted in Chapter 1, three-fourths of the millions of Americans who have filed medical bankruptcy had health insurance from an employer when they first became ill—health insurance they lost when they became too sick to continue their job.Here are the four options for your unhealthy employees or employees with an unhealthy family member:

How Much Will Your Organization Save with a Defined Contribution Plan?
Designing Your Defined Contribution Health Benefits Plan
Special-Purpose HRA Program(s) for Singles, Families, and Unhealthy
   Individuals
Implementing Your Defined Contribution Health Benefits Plan

HSA Plans for Employers: Why Every Employer Should Encourage Tax-Free
  Employee Contributions to HSAs
Three HSA Contribution Options Every Employer Should Consider: 0, 50, and
  100 Percent

How to Make Sure Your HSA Plan Is Enthusiastically Adopted by Your
  Employees

 

 
  ADDITIONAL RESOURCES FOR THE NEW HEALTH INSURANCE SOLUTION
   



New Health Insurance Solutions for individuals, families, self-employeds, and businesses.

 



View the basic chapter table, expanded topical table, and pdf table of contents.

 



View the html or download a pdf version of the October 2005 press release.

   



Read excerpts on each topic discussed in The New Health Insurance Solution.



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View other books written by New York Times best-selling author Paul Zane Pilzer.

 



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