 
EMPLOYER SMALL GROUP APPLICATIONS
Online Quote Instruction Guide
Family Members to be insured. You can insure any one
of the following combinations of family members:
• Single adult
• Couple - you and your spouse
• Family - you, your spouse and one or more children
• Single parent household - parent and one or more children
• Single child
• More than one child
The gender and age of each person is also required.When enrolling
a child and/or children only, enter the ages in the child boxes. Enter
any additional children in the appropriate child blocks. Rate computations
for child/children only plans vary by carrier. Some California
health insurance companies have specific rates for youth plans and
other California
health insurance companies base rates for children on the age of either
the youngest or oldest child.
Age - The age for each family member that is to be insured.
Tobacco Usage - For each adult that is to be insured, please check the
box if they are a tobacco user. By default, all adults are assumed to
NOT be tobacco users
Medical Plan Types
Medical, standard long-term coverage
Most people select this form of coverage. This type of coverage is renewable
for multiple years and can provide continuous claims coverage over a long
period of time. Most plans of this type cover both major medical expenses
(e.g., hospitalization and surgeries) and routine medical expenses (e.g.,
office visits and annual exams), subject to deductibles and co-payments
or co-insurance.
Short-term, up to 12 months temporary coverage
Short-term health insurance is a temporary California health insurance
plan (typically 1 to 12 months) and should NOT be used as a substitute
for standard, long-term California health insurance.
If you are,
• Between jobs
• Waiting for coverage from another health plan to start
• Laid off
• On strike
• A recent college graduate
• A seasonal employee then short-term California health insurance may
be right for you.
For more informations on our services contact insurance
brokers John Good|
Kelly Good
|
