Personal Finance Essentials

A Warning About Group Health Insurance

Health Insurance > A Warning About Group Health Insurance

Many people receive health insurance through their employer, and that can be a genuine advantage.

Employers often negotiate coverage that is broader and less expensive than what you could buy on your own. It’s also convenient – premiums are typically deducted from your paycheck automatically, and you don’t have to shop the market yourself.

That said, there are real risks that come with depending entirely on employer-provided coverage. Compared to an individual policy you might purchase on your own, employer-provided health insurance:

might be more expensive
could have fewer benefits
can be canceled or changed by the employer at any time
is lost the moment you leave the organization – whether you quit, get laid off or retire

For this reason, it’s worth shopping for a policy on your own and comparing it to what your employer offers. Having that knowledge puts you in a stronger position regardless of what you decide.

Five Ways to Lose Your Employer-Provided Coverage

It’s easy to take group health insurance for granted, but there are more ways to lose it than most people realize. You could lose your coverage if:

you quit your job
you get fired
you have a pre-existing condition not covered by your new employer’s plan 
you divorce the spouse who pays the insurance premiums 
your spouse who pays the insurance premiums dies 

COBRA Coverage

If you lose employer-provided health insurance, ask your human resources office about COBRA. COBRA is a federal law that allows you – or a covered family member – to continue your existing health coverage for 18 to 36 months after losing employer-provided insurance. 

The downside is cost. Under COBRA, you pay the full premium yourself, without any employer contribution. That can be a significant expense. COBRA also has an expiration date, so it’s not a permanent solution. If you find yourself relying on it, begin looking for a permanent alternative right away.

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