A group health and accident insurance plan provides coverage to a group of people such as workforce or organization in exchange for premiums. Coverage can be paid for entirely or partly by the plan’s sponsor.
Group health and accident insurance pays for losses suffered by the insured and their spouses and dependents due to an illness, injury or accident that is covered under the policy.
All eligible applicants of a group health and accident insurance plan must be accepted regardless of their health status.
Insurance companies consider several factors, including the group’s occupation, size and plan features, such as co-pay, coinsurance and deductible amounts to determine premium payments.
Benefit payments received from a group health and accident insurance plan may be considered taxable compensation if the premiums are paid totally by the plan’s sponsor.
Under a group health and accident plan, members have no control over the plan’s details or changes made by the plan’s sponsor. Also, if a member loses his job, his coverage will be terminated.